학술논문
Psychological distress in women with recurrent spontaneous abortion: A case-control study/Rekurren spontan abortus yapan kadinlarda psikolojik sikinti: Bir olgu kontrol calismasi
Clinical Investigation / Arastirma
Clinical Investigation / Arastirma
Document Type
Academic Journal
Source
Turkish Journal of Obstetrics and Gynecology. September 2019, Vol. 16 Issue 3, p151, 7 p.
Subject
Language
English
ISSN
2149-9322
Abstract
Introduction Infertility and recurrent spontaneous abortion (RSA) are two challenging issues in the field of obstetrics and gynecology (1,2). The perception of infertility has received great attention as a psychological [...]
Objective: The aim of the present study was to evaluate psychological problems in women with recurrent spontaneous abortion (RSA). Materials and Methods: In this case-control study, 115 women with RSA were assigned to the case group and 240 non-pregnant women comprised the control group. The revised version of the Symptom Checklist-90 (SCL-90-R) and the Intolerance of Uncertainty scale (IUS) were used for assessing mental health problems. Results: The results showed that the mean Global Severity Index (GSI) of the SCL-90-R and the IUS scores in the case and control groups were 109.10[+ or -]59.85 and 68.91[+ or -]22.17, and 82.98[+ or -]52.99 and 59.19[+ or -]23.01, respectively. GSI was the strongest predictor of RSA [odds ratio (OR)=6.43; 95% confidence interval (CI): 3.52-11.72]. The chance estimate of RSA was approximately 2.1 times higher in women in rural areas (OR=2.07; 95% CI: 1.16-3.69), and 2 times higher at 12 months after the last pregnancy (OR=1.99; 95% CI: 1.42-2.78). Conclusion: Psychological problems are greater after RSA. Therefore, it is suggested that the treatment of RSA emphasizes psychological counseling and psychological management. Keywords: Recurrent spontaneous abortion, anxiety, depression, intolerance of uncertainty Amac: Mevcut calismanin amaci, rekkurren spontan abortus (RSA) yapan kadinlardaki psikolojik problemleri degerlendirmektir. Gerec ve Yontemler: Bu olgu kontrol calismasinda, 115 RSA'li kadin olgu grubuna ve 240 gebe olmayan kadin da kontrol grubuna dahil edilmistir. Semptom Kontrol Listesi'nin revize edilmis versiyonu (SCL-90-R) ve Belirsizlik Intoleransi olcegi (IUS) mental saglik problemlerinin degerlendirilmesi icin kullanilmistir. Bulgular: Sonuclar, SCL-90-R ve IUS skorlari ortalama Global Siddetlilik Indeksinin (GSI), olgu ve kontrol gruplari icin sirasi ile 109,10[+ or -]59,85 ve 68,91[+ or -]22,17 ile 82,98[+ or -]52,99 ve 59,19[+ or -]23,01 oldugunu gostermistir. GSI, RSA'nin en guclu on gostergesidir [olasilik orani (OO)=6,43; %95 guven araligi (GA): 3,52-11,72]. RSA'nin sans tahmini kirsal kesimdeki kadinlarda yaklasik 2,1 kat daha yuksektir (OO=2,07; %95 GA=1,16-3,69) ve en son gebelikten 12 ay sonra da 2 kat daha yuksektir (OO=1,99; %95 GA=1,42-2,78). Sonuc: RSA sonrasinda psikolojik problemler daha buyuktur. Bu nedenle, RSA tedavisinin psikolojik danismayi ve psikolojik yonetimi vurgulamasi onerilir. Anahtar Kelimeler: Rekurren spontan abortus, anksiyete, depresyon, belirsizlik intoleransi
Objective: The aim of the present study was to evaluate psychological problems in women with recurrent spontaneous abortion (RSA). Materials and Methods: In this case-control study, 115 women with RSA were assigned to the case group and 240 non-pregnant women comprised the control group. The revised version of the Symptom Checklist-90 (SCL-90-R) and the Intolerance of Uncertainty scale (IUS) were used for assessing mental health problems. Results: The results showed that the mean Global Severity Index (GSI) of the SCL-90-R and the IUS scores in the case and control groups were 109.10[+ or -]59.85 and 68.91[+ or -]22.17, and 82.98[+ or -]52.99 and 59.19[+ or -]23.01, respectively. GSI was the strongest predictor of RSA [odds ratio (OR)=6.43; 95% confidence interval (CI): 3.52-11.72]. The chance estimate of RSA was approximately 2.1 times higher in women in rural areas (OR=2.07; 95% CI: 1.16-3.69), and 2 times higher at 12 months after the last pregnancy (OR=1.99; 95% CI: 1.42-2.78). Conclusion: Psychological problems are greater after RSA. Therefore, it is suggested that the treatment of RSA emphasizes psychological counseling and psychological management. Keywords: Recurrent spontaneous abortion, anxiety, depression, intolerance of uncertainty Amac: Mevcut calismanin amaci, rekkurren spontan abortus (RSA) yapan kadinlardaki psikolojik problemleri degerlendirmektir. Gerec ve Yontemler: Bu olgu kontrol calismasinda, 115 RSA'li kadin olgu grubuna ve 240 gebe olmayan kadin da kontrol grubuna dahil edilmistir. Semptom Kontrol Listesi'nin revize edilmis versiyonu (SCL-90-R) ve Belirsizlik Intoleransi olcegi (IUS) mental saglik problemlerinin degerlendirilmesi icin kullanilmistir. Bulgular: Sonuclar, SCL-90-R ve IUS skorlari ortalama Global Siddetlilik Indeksinin (GSI), olgu ve kontrol gruplari icin sirasi ile 109,10[+ or -]59,85 ve 68,91[+ or -]22,17 ile 82,98[+ or -]52,99 ve 59,19[+ or -]23,01 oldugunu gostermistir. GSI, RSA'nin en guclu on gostergesidir [olasilik orani (OO)=6,43; %95 guven araligi (GA): 3,52-11,72]. RSA'nin sans tahmini kirsal kesimdeki kadinlarda yaklasik 2,1 kat daha yuksektir (OO=2,07; %95 GA=1,16-3,69) ve en son gebelikten 12 ay sonra da 2 kat daha yuksektir (OO=1,99; %95 GA=1,42-2,78). Sonuc: RSA sonrasinda psikolojik problemler daha buyuktur. Bu nedenle, RSA tedavisinin psikolojik danismayi ve psikolojik yonetimi vurgulamasi onerilir. Anahtar Kelimeler: Rekurren spontan abortus, anksiyete, depresyon, belirsizlik intoleransi