Dergi Ara >>
Yıl:2018; Cilt: 56; Sayı: 3>> Özet
TAM METİN
Yeni Symposium; 2018;56(3):9-14
Gebelik Döneminde Depresif Belirtiler, Karma Belirtiler ve Mizaç Özellikleri Arasındaki Olası İlişkilerin Araştırılması
Hİ Taş, İE Pek
Çanakkale Onsekiz Mart Universitesi, Çanakkale
Amaç: Gebelik döneminde depresyon hem anne hem de fetal sağlık için risk oluşturan çeşitli obs- tetrik komplikasyonla ilişkilidir. Majör depresif dönemde karma özelliklerin tanınması, tedavi seçimi ve prognoz açısından önem taşımaktadır. Yakın dönemdeki çalışmalarda affektif mizaçlarla duygudu- rumdaki bozulmalar arasında önemli ilişkiler bildirilmiştir. Bu çalışmada gebe kadınlardan oluşan bir örneklemde depresif belirtilerin sıklığının saptanması ve karma depresif belirtiler ile mizaç özellikleri arasındaki olası ilişkilerin incelenmesi amaçlanmıştır. Yöntem: Bu çalışma Ocak 2018 ile Temmuz 2018 tarihleri arasında Dinar Devlet Hastanesi’nde yürütülmüştür. Kadın Hastalıkları ve Doğum polikliniğine ardışık olarak başvuran ve çalışmaya katıl- mayı kabul eden 164 gebe kadın dahil edilmiştir. Sosyodemografik veri formu, Beck Depresyon Ölçeği (BDÖ), Değiştirilmiş Hipomani Kontrol Listesi (DHKL), TEMPS-A (Temperament Evaluation of Memp- his, Pisa, Paris, San Diego Autoquestionaire) ölçekleri gebeler tarafından doldurulmuştur. Bulgular: Katılımcıların BDÖ ortanca puanının 5,00 ± 4,00 olduğu ve gebelerin %4.3’ünün BDÖ kesme puanının üzerinde oldukları değerlendirildi. DHKL ortanca puanı 2,00± 2,00 idi. Karma belirtili depresyon riskinde olan sadece bir gebe vardı. TEMPS-A alt ölçek puanları ile DHKL puanları arasında anlamlı korelasyon bulunmazken, BDÖ puanları ile TEMPS-A alt ölçek puanları arasında anlamlı korelasyonlar saptanmıştır. Sonuç: Bulgularımız gebelik döneminin depresyon riskini artırmadığı gibi depresyon gelişimi için koruyucu bir faktör olarak da değerlendirilemeyeceğini düşündürmektedir. Mizaç özelliklerinin gebelik döneminde depresyonun taranmasında ve müdahale planlarında dikkate alınmasında faydalı olabilir. Gebelik dönemi depresyonunda, karma özelliklerin varlığının ve olası etkilerinin değerlendir- mesinde ileriye dönük ve uzunlamasına izleminin planlandığı çalışmalara ihtiyaç ç
An Investigation of Probable Relationships between Depressive Symptoms, Mixed Symptoms and Affective Temperaments in a Sample of Pregnant Women
Objective: Antenatal depression is associated with several obstetric complications that pose a risk for both maternal and fetal health. The recognition of mixed characters in the major depressive period is very important for the prognosis and treatment choice. Recent studies have reported remarkable relationships between affective temperaments and mood disorders. In this context, the current study aims at determining the frequency of depressive symptoms in a sample of pregnant women and investigating the probable relationships between mixed depressive symptoms and characteristics of temperament. Method: This study was conducted at Dinar State Hospital from January 2018 to July 2018. It included 164 volunteers comprising of pregnant women who were consecutively referred to the Obstetrics and Gynecology Outpatient Clinic. The pregnant participants filled out a sociodemographic data form, Beck’s Depression Inventory (BDI), Modified Hypomania Checklist (MHC), and TEMPS-A (Temperament Evaluation of Memphis, Pisa, Paris, San Diego Autoquestionnaire) inventories. Results: The participants’ BDI median score was found to be 5.00 ± 4.00, and 4.3% pregnant women scored above the BDI cutoff value. MHC mean score was 2.00 ± 2.00. There was only one pregnant woman with mixed-symptom depression risk. Despite the absence of a significant correlation between TEMPS-A sub-inventory scores and MHC, BDI, and TEMPS-A sub-inventory scores presented significant correlations. Conclusions: Our findings suggest that pregnancy neither increases the risk of depressive symp- toms nor could be considered a protective factor for the progression of depressive symptoms. Bearing in mind the characteristics of temperament in the scanning of antenatal depression and taking them into account for the intervention plans might be valuable. Further prospective studies are essential for the better evaluation of the presence and impacts of mixed symptoms in the gestational depression.

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