Cent Eur J Nurs Midw 2019, 10(3):1069-1075 | DOI: 10.15452/CEJNM.2019.10.0016
Socio-demographic and pregnancy-related characteristics associated with prenatal distress: a Turkish study
- Department of Midwifery, Faculty of Health Sciences, Giresun University, Giresun, Turkey
Aim: This study aimed to determine socio-demographic and pregnancy-related characteristics associated with prenatal distress.
Design: Cross-sectional study.
Methods: This cross-sectional study was carried out at the obstetrics and gynecology clinics of the Maternity and Children's Hospital, Giresun, Northern Turkey (n = 230). The data were collected using the Demographic Information Form, Insomnia Severity Index, and Prenatal Distress Scale. The Kruskal Wallis test and the Mann Whitney U test were used to compare characteristics. Bivariate correlation analysis was conducted to investigate the influencing factors of prenatal distress.
Results: Prenatal distress levels of pregnant women were low (10.27 ± 5.02). Prenatal distress was affected at the level of statistical significance by employment status (Z = -1.976; p = 0.048), income status (X2 = 6.568; p = 0.037), and history of stillbirth (Z = -2.398; p = 0.016). Nausea, vomiting, and insomnia during pregnancy were determined as significant variables that increase prenatal distress level.
Conclusion: The results for this Turkish population were consistent with the previous literature on prenatal distress and influencing factors of pregnant women. Evaluation of prenatal distress level in pregnancy follow-up is necessary to prevent the development of mental illness. In this respect, it is suggested that pregnancy follow-up be carried out with a holistic approach.
Keywords: insomnia, nausea, prenatal distress, Turkish population, vomiting
Received: December 9, 2018; Accepted: June 27, 2019; Published: September 30, 2019 Show citation
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References
- Alderdice F, Lynn F. Factor structure of the Prenatal Distress Questionnaire. Midwifery. 2011;27(4):553-559.
Go to original source...
Go to PubMed...
- Alderdice F, Lynn F, Lobel M. A review and psychometric evaluation of pregnancy-specific stress measures. Journal of Psychosomatic Obstetrics & Gynaecology. 2012;33(2):62-77.
Go to original source...
Go to PubMed...
- Alderdice F, Savage-Mcglynn E, Martin C, McAuliffe F, Hunter A, Unterscheider J, Daly S, Geary M, Kennelly M, O'Donoghue K, Morrison JJ, Burke G, Dicker P, Tully E, Malone F. The Prenatal Distress Questionnaire: an investigation of factor structure in a high risk population. Journal of Reproductive Infant Psychology. 2013;31(5):456- 464.
Go to original source...
- Awopetu RG, Annor TS, Ingyer MM, Ayankaa JK. Demographic variables predicting psychological distress among pregnant women in Makurdi Metropolis, Benue State, Nigeria. Journal of Psychology and Behavioral Science. 2016;4(1):56-64.
Go to original source...
- Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine. 2001;2(4):297-307.
Go to original source...
Go to PubMed...
- Boysan M, Güleç M, Beşiroğlu L, Kalafat T. Uykusuzluk Şiddeti İndeksi'nin Türk örneklemindeki psikometrik özellikleri. Anatolian Journal of Psychiatry. 2010;11:248-252. (in Turkish)
- Çapik A, Ejder-Apay S, Sakar T. Gebelerde distres düzeyinin belirlenmesi. Journal of Anatolia Nursing and Health Sciences. 2015;18(3):196-203. (in Turkish)
Go to original source...
Go to PubMed...
- Dağlar G, Nur N. Gebelerin stresle başa çikma tarzlarinin anksiyete ve depresyon ile ilişkisi. Cumhuriyet Medical Journal. 2014;36(4):429-441. (in Turkish)
- Daş Z. Gebeliğin Pskososyal ve Kültürel Boyutu. In: Taşkin L, Editor. Doğum ve Kadin Hastaliklari Hemşireliği. Ankara: Akademis yen Tip Kitabevi; 2016. pp. 253-254. (in Turkish)
- Ertuğrul M, Okumuş H, AluşTokat M, Bektaş M. Psychometric evaluation of the Tilburg Pregnancy Distress Scale - Turkish version (TPDS-T). Journal of Transcultural Nursing. 2015;26(5):499-506.
Go to PubMed...
- Fall A, Goulet L, Vézina M. Comparative study of major depressive symptoms among pregnant women by employment status. Springer Plus. 2013;2(1):201.
Go to original source...
Go to PubMed...
- Fontein-Kuipers Y, Ausems M, Budé L, Van Limbeek E, De Vries R, Nieuwenhuijze M. Factors influencing maternal distress among Dutch women with a healthy pregnancy. Women Birth. 2015;28(3):36-43.
Go to original source...
Go to PubMed...
- Gümüşdaş M, Ejder-Apay S, Özorhan EY. Riskli olan ve olmayan gebelerin psiko-sosyal sağliklarinin karşilaştirilmasi. Journal of Health Science and Profession. 2014;1(2):32-42. (in Turkish)
Go to original source...
- Huizink AC, Mulder EJ, Robles de Medina PG, Visser GH, Buitelaar JK. Is pregnancy anxiety a distinctive syndrome? Early Human Development. 2004;79(2):81-91.
Go to original source...
Go to PubMed...
- Kang Y-T, Yao Y, Dou J, Guo X, Li S-Y, Zhao C-N, Han HZ, Li B. Prevalence and risk factors of maternal anxiety in late pregnancy in China. International Journal of Environmental Research and Public Health. 2016;13(5):468.
Go to original source...
Go to PubMed...
- Köken G, Yilmazer M, Coşar E, Kir-Şahin F, Cevrioglu S, Gecici Ö. Nausea and vomiting in early pregnancy: relationship with anxiety and depression. Journal of Psychosomatic Obstetrics & Gynaecology. 2008;29(2):91-95.
Go to original source...
Go to PubMed...
- Kuğu N, Akyüz G. Gebelikte rushal durum. Cumhuriyet Medical Journal. 2001;23(1):61-64. (in Turkish)
- Lacasse A, Rey E, Ferreira E, Morin C, Bérard A. Nausea and vomiting of pregnancy: what about quality of life? BJOG: an International Journal of Obstetrics and Gynaecology. 2008;115(12):1484-1493.
Go to original source...
Go to PubMed...
- Lobel M, Cannella DL, Graham JE, DeVincent C, Schneider J, Meyer BA. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychology, 2008;27(5):604-615.
Go to original source...
Go to PubMed...
- Lynn FA, Alderdice FA, Crealey GE, McElnay JC. Associations between maternal characteristics and pregnancyrelated stress among low-risk mothers: an observational crosssectional study. International Journal of Nursing Studies. 2011;48(5):620-627.
Go to PubMed...
- Peltzer K, Shikwane E, Matseke G. Psychological distress and associated factors among a sample of pregnant women in South Africa. Journal of Psychology in Africa. 2011;21(3):495-499.
Go to original source...
- Pop VJM, Pommer AM, Pop-Purceleanu M, Wijnen HAA, Bergink V, Pouwer F. Development of the Tilburg Pregnancy Distress Scale: the TPDS. BMC Pregnancy and Childbirth. 2011;11:80.
Go to original source...
Go to PubMed...
- Razurel C, Kaiser B, Antonietti JP, Epiney M, Sellenet C. Relationship between perceived perinatal stress and depressive symptoms, anxiety, and parental self-efficacy in primiparous mothers and the role of social support. Women Health. 2017;57(2):154-172.
Go to original source...
Go to PubMed...
- Ruiz-Robledillo N, Canário C, Dias CC, Moya-Albiol L, Fiqueiredo B. Sleep during the third trimester of pregnancy: the role of depression and anxiety. Psychology, Health & Medicine. 2015;20(8):927-932.
Go to original source...
Go to PubMed...
- Sanguanklin N, McFarlin BL, Finnegan L, Park CG, Giurgescu C, White-Traut R, Engstrom JL. Job strain and psychological distress among employed pregnant Thai women: role of social support and coping strategies. Archives of Womens Mental Health. 2014;17(4):317-326.
Go to original source...
Go to PubMed...
- Smith C, Crowther C, Beilby J, Dandeaux J. The impact of nausea and vomiting: a burden of early pregnancy. Australian & New Zealand Journal of Obstetrics & Gynaecology. 2000;40(4):397-401.
Go to original source...
Go to PubMed...
- Surkan PJ, Rådestad I, Cnattingius S, Steineck G, Dickman PW. Events after stillbirth in relation to maternal depressive symptoms: a brief report. Birth. 2008;35(2):153-157.
Go to original source...
Go to PubMed...
- Swanson LM, Pickett SM, Flynn H, Armitage R. Relationships among depression, anxiety, and insomnia symptoms in perinatal women seeking mental health treatment. Journal of Womens Health. 2011;20(4):553-558.
Go to original source...
Go to PubMed...
- Turton P, Hughes P, Evans CD, Fainman D. Incidence, correlates and predictors of post-traumatic stress disorder in pregnancy after stillbirth. British Journal of Psychiatry. 2001;178:556-560.
Go to original source...
Go to PubMed...
- Volkovich E, Tikotzky L, Manber R. Objective and subjective sleep during pregnancy: links with depressive and anxiety symptoms. Archives of Womens Mental Health. 2016;19(1):173-181.
Go to original source...
Go to PubMed...
- Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. Psychosocial stress during pregnancy. American Journal of Obstetrics & Gynaecology. 2010;202(1):61.e1-7.
Go to original source...
Go to PubMed...
- Yali AM, Lobel M. Coping and distress in pregnancy: an investigation of medically high risk women. Journal of Psychosomatic Obstetrics & Gynaecology. 1999;20(1):39-52.
Go to original source...
Go to PubMed...
- Yanikkerem E, Ay S, Mutlu S, Goker A. Antenatal depression: prevalence and risk factors in a hospital based Turkish sample. Journal of Pakistan Medical Association. 2013;63(4):472- 477.
- Yüksel F, Akin S, Durna Z. Prenatal Distres Ölçegi"nin Türkçe'ye uyarlanmasi ve faktör analizi. Hemşirelikte Eğitim ve Araştirma Dergisi. 2011;8(3):43-51. (in Turkish)
- Yüksel F, Akin S, Durna Z. Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress. Journal of Clinical Nursing. 2014;23(1-2):54-64.
Go to original source...
Go to PubMed...
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