Abstract
Amaç: Bu çalışma, gebelik döneminde partner/eş katılım ve desteğin gebelikte kadınların, anksiyete, depresyon ve stres düzeyleri ile ruhsal durumu üzerindeki etkisini tanımlamak amacıyla planlanmıştır.
Yöntem: Araştırma, kesitsel ve tanımlayıcı bir çalışma olup 01.07.2020 - 1.12.2020 tarihlerinde bir devlet hastanesi Kadın Hastalıkları ve Doğum polikliniklerine veya NST polikliniğine hizmet almak için başvuran, çalışmaya katılmayı kabul eden 257 gebe dahil edilerek gerçekleştirilmiştir. Araştırmada belirtilen tarihlerde polikliniğe başvuran ve araştırma kriterlerine uyan gebe kadınlar gelişigüzel örnekleme yöntemi ile araştırmaya dahil edilmişlerdir.
Bulgular: Araştırmaya katılan gebelerin yaş ortalaması 29.05±5.54 (min-=18, maks=44), gebelik haftası ortalamaları 34.2±5.68 (min=12, maks=41), gebelik ortalamaları ise 1.88±0.93 olarak hesaplanmıştır. Yapılan bu çalışmada eş eğitim düzeyi ortaokul olanların, çekirdek aile yapısına sahip olanların, büyükşehir de ikamet edenlerin ve 3. Tremesterda olanların eş destek düzeylerinin daha yüksek olduğu görülürken, geniş aile yapısı, ilçede yaşama durumu, kötü ekonomik düzeyi, sigara kullanma durumu ile ikinci tremesterda bulunma durumunda depresyon, anksiyete ve stres düzeylerinin daha yüksek olduğu saptanmıştır. Eş desteği ile DASS-21 ile üç alt boyutu olan Anksiyete, Stres ve Depresyon puan ortalamaları arasında ilişki analizi sonucunda aralarında anlamlı pozitif yönde ilişki olduğu saptanmıştır (p<0.005). Bu da eş desteği distress puanları artıkça, Anskiyete, Stres ve Depresyon düzeylerinin pozitif yönde artığını göstermektedir.
Sonuç: Bu çalışma sonuçları, doğum öncesi ruhsal sağlığın önemli bir aracı olarak psikososyal risk faktörlerinin azaltılmasında eş desteği ve katılımın katkısının önemine dikkat çekmektedir.
Supporting Institution
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Project Number
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Thanks
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References
- Anastasopoulou, S.V., Bonotis, K.S., Hatzoglou, C., Dafopoulos, K.C., Gourgoulianis, K.I. (2022). Smoking patterns and anxiety factors among women expressing perinatal depression. Women's Health Reports, 3(1),198-206.
- Antoniou, E., Stamoulou, P., Tzanoulinou, M.D., Orovou, E. (2021). Perinatal mental health; The role and the effect of the partner: A systematic review. In Healthcare, 9(11), 1572.
- Bilszta, J.L., Tang, M., Meyer, D., Milgrom, J., Ericksen, J., Buist, A.E. (2008). Single motherhood versus poor partner relationship: outcomes for antenatal mental health. Australian & New Zealand Journal of Psychiatry, 42,56–65.
- Capponi, S., Cohen, K., Nyamukapa, M., Baxter, J.K., Crawford, A., Worly, B.L. (2014). The effect of partner support on maternal smoking and alcohol use during pregnancy. Obstetrics & Gynecology, 123,140S.
- Çapık, A. (2013). Tilburg gebelikte distresölçeği’nin geçerlilik ve güvenilirlik çalışması (Doktora tezi). Atatürk Üniversitesi, Erzurum.
- Duru, Y. (2014). Anne ve babaların doğum eylemindeki eş desteğine ilişkin görüşleri (Master tezi). Yayınlanmamış Master tezi, İnönü Üniversitesi.
- Fisher, J., Mello, M.C.D., Patel, V., Rahman, A., Tran, T., Holton, S., Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle-income countries: a systematic review. Bulletin of the World Health Organization, 90,139-149.
- Glazier, R.H., Elgar, F.J., Goel, V., Holzapfel, S. (2004). Stress, social support, and emotional distress in a community sample of pregnant women. Journal of Psychosomatic Obstetrics & Gynecology, 25(3-4), 247-255.
- Ilska, M., Przybyła-Basista, H. (2017). Partner support as a mediator of the relationship between prenatal concerns and psychological well-being in pregnant women. Health Psychology Report, 5(4),285-295.
- Jonsdottir, S.S., Thome, M., Steingrimsdottir, T., Lydsdottir, L.B., Sigurdsson, J.F., Olafsdottir, H., Swahnberg, K. (2017). Partner relationship, social support and perinatal distress among pregnant Icelandic women. Women and Birth, 30(1), e46-e55.
- Karataş, N. (2004). Araştırmada örnekleme. İçinde: Erefe İ, ed. Hemşirelikte Araştırma İlke, Süreç ve Yöntemleri. İstanbul: Odak Ofset, 125-138.
- Kroelinger, C.D., Oths, K.S. (2000). Partner support and pregnancy wantedness. Birth, 27(2),112-119.
- Lovibond, P.F., Lovibond, S.H. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (dass) with the beck depression and anxiety inventories. Behaviour research and therapy, 33(3),335-343. https://doi.org/10.1016/0005-7967(94)00075-U.
- Luecken, J.L., Lin, B., Coburn, S.S., MacKinnon, P.D., Gonzales, N.A., Crcnic, A.K. (2013). Prenatal stress, partner support, and infant cortisol reactivity in low-income mexican american families. Psychoneuroendocrinology, 38(12), 3092-101. doi: 10.1016/j.psyneuen.2013.09.006.
- Ozturk, R., Guner, O. (2020). Comparing psychosocial health in women with and without risky pregnancies: a cross-sectional study. Erciyes Medical Journal, 42(4),417-425.
- Özşahin, Z., Erdemoğlu, Ç., Karakayalı, Ç. (2018). Gebelikte psikososyal sağlık düzeyi ve ilişkili faktörler. The Journal of Turkish Family Physician, 9(2),34-46.
- Pop, V.J.M., Pommer, A.M., Pop-Purceleanu, M., Wijnen, H.A.A., Bergink, V., Pouwer, F. (2011). Development of the tilburg pregnancy distress scale: the TPDS. BMC Pregnancy and Childbirth, 11,80-87.
- Rosand, G.M., Slinning, K., Eberhard-Gran, M., Roysamb, E., Tambs, K. (2011). Partner relationship satisfaction and maternal emotional distress in early pregnancy. BMC Public HealHt, 11,161.
- Roye, C.F., Balk, S.J. (1996). The relationship of partner support to outcomes for teenage mothers and their children: A review. Journal of Adolescent Health, 19(2),86-93.
- Schetter, C.D. (2011). Psychological science on pregnancy: stress processes, biopsychosocial models, and emerging research issues. Annu Rev Psychol, 62(1),531-558.
- Sokoya, M., Farotimi, A., Ojewole, F. (2014). Women’s perception of husbands’ support during pregnancy, labour and delivery. IOSR Journal of Nursing and Health Science, 3(3),45-50.
- Stapleton, L.R.T., Schetter, C.D., Westling, E., Rini, C., Glynn, L.M., Hobe, C.J., Sandman, C.A. (2012). Perceived partner support in pregnancy predicts lower maternal and infant distress. Journal of family psychology, 26(3), 453.
- Udofia, E.A., Akwaowo, C.D. (2012). Pregnancy and after: What women want from their partners - listening to women in Uyo, Nigeria. J Psychosom Obstet Gynaecol, 33(3),112-9. doi: 10.3109/0167482X.2012.69355.
- Yılmaz, Ö., Boz, H., Arslan, A. (2017). Depresyon Anksiyete Stres Ölçeğinin (Dass-21) Türkçe Kisa Formunun Geçerlilik-Güvenilirlik Çalişmasi. Finans Ekonomi ve Sosyal Araştırmalar Dergisi, 2(2), 78-91
Investigating the Relationship of Spousal Support with Stress, Anxiety, and Depression during Pregnancy
Abstract
Objective: This study was planned to define the effect of partner/spouse participation and support during pregnancy on anxiety, depression and stress levels and mental status of women.
Methods: The research is a cross-sectional and descriptive study, and it was carried out by including 257 pregnant women who accepted to participate in the study and applied to the Gynecology and Obstetrics outpatient clinics or NST outpatient clinic at a state hospital. Pregnant women who applied to the outpatient clinic on the dates specified in the study and met the research criteria were included in the study by random sampling method.
Results: The mean age of the pregnant women participating in the study was 29.05±5.54 (min-=18, max=44), the mean week of gestation was 34.2±5.68 (min=12, max=41), and the mean of pregnancy was 1.88±0.93. In this study, it was seen that the level of co-education, those who are in secondary school, the nuclear family structure, those who reside in the metropolitan area and those who are in the 3rd Tremester have higher spousal support levels, depression, anxiety and stress levels were found to be higher in case of extended family structure, living in the district, poor economic level, smoking status and being in the second trimester. As a result of the correlation analysis between spouse support and DASS-21 and its three sub-dimensions, Anxiety, Stress and Depression, it was determined that there was a significant positive correlation between them (p<0.005). This shows that as spousal support distress scores increase, Anxiety, Stress and Depression levels increase positively.
Conclusion: The results of this study reemphasize the importance of the contribution of spousal support and participation in reducing psychosocial risk factors as an important tool of prenatal mental health.
Project Number
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References
- Anastasopoulou, S.V., Bonotis, K.S., Hatzoglou, C., Dafopoulos, K.C., Gourgoulianis, K.I. (2022). Smoking patterns and anxiety factors among women expressing perinatal depression. Women's Health Reports, 3(1),198-206.
- Antoniou, E., Stamoulou, P., Tzanoulinou, M.D., Orovou, E. (2021). Perinatal mental health; The role and the effect of the partner: A systematic review. In Healthcare, 9(11), 1572.
- Bilszta, J.L., Tang, M., Meyer, D., Milgrom, J., Ericksen, J., Buist, A.E. (2008). Single motherhood versus poor partner relationship: outcomes for antenatal mental health. Australian & New Zealand Journal of Psychiatry, 42,56–65.
- Capponi, S., Cohen, K., Nyamukapa, M., Baxter, J.K., Crawford, A., Worly, B.L. (2014). The effect of partner support on maternal smoking and alcohol use during pregnancy. Obstetrics & Gynecology, 123,140S.
- Çapık, A. (2013). Tilburg gebelikte distresölçeği’nin geçerlilik ve güvenilirlik çalışması (Doktora tezi). Atatürk Üniversitesi, Erzurum.
- Duru, Y. (2014). Anne ve babaların doğum eylemindeki eş desteğine ilişkin görüşleri (Master tezi). Yayınlanmamış Master tezi, İnönü Üniversitesi.
- Fisher, J., Mello, M.C.D., Patel, V., Rahman, A., Tran, T., Holton, S., Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle-income countries: a systematic review. Bulletin of the World Health Organization, 90,139-149.
- Glazier, R.H., Elgar, F.J., Goel, V., Holzapfel, S. (2004). Stress, social support, and emotional distress in a community sample of pregnant women. Journal of Psychosomatic Obstetrics & Gynecology, 25(3-4), 247-255.
- Ilska, M., Przybyła-Basista, H. (2017). Partner support as a mediator of the relationship between prenatal concerns and psychological well-being in pregnant women. Health Psychology Report, 5(4),285-295.
- Jonsdottir, S.S., Thome, M., Steingrimsdottir, T., Lydsdottir, L.B., Sigurdsson, J.F., Olafsdottir, H., Swahnberg, K. (2017). Partner relationship, social support and perinatal distress among pregnant Icelandic women. Women and Birth, 30(1), e46-e55.
- Karataş, N. (2004). Araştırmada örnekleme. İçinde: Erefe İ, ed. Hemşirelikte Araştırma İlke, Süreç ve Yöntemleri. İstanbul: Odak Ofset, 125-138.
- Kroelinger, C.D., Oths, K.S. (2000). Partner support and pregnancy wantedness. Birth, 27(2),112-119.
- Lovibond, P.F., Lovibond, S.H. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (dass) with the beck depression and anxiety inventories. Behaviour research and therapy, 33(3),335-343. https://doi.org/10.1016/0005-7967(94)00075-U.
- Luecken, J.L., Lin, B., Coburn, S.S., MacKinnon, P.D., Gonzales, N.A., Crcnic, A.K. (2013). Prenatal stress, partner support, and infant cortisol reactivity in low-income mexican american families. Psychoneuroendocrinology, 38(12), 3092-101. doi: 10.1016/j.psyneuen.2013.09.006.
- Ozturk, R., Guner, O. (2020). Comparing psychosocial health in women with and without risky pregnancies: a cross-sectional study. Erciyes Medical Journal, 42(4),417-425.
- Özşahin, Z., Erdemoğlu, Ç., Karakayalı, Ç. (2018). Gebelikte psikososyal sağlık düzeyi ve ilişkili faktörler. The Journal of Turkish Family Physician, 9(2),34-46.
- Pop, V.J.M., Pommer, A.M., Pop-Purceleanu, M., Wijnen, H.A.A., Bergink, V., Pouwer, F. (2011). Development of the tilburg pregnancy distress scale: the TPDS. BMC Pregnancy and Childbirth, 11,80-87.
- Rosand, G.M., Slinning, K., Eberhard-Gran, M., Roysamb, E., Tambs, K. (2011). Partner relationship satisfaction and maternal emotional distress in early pregnancy. BMC Public HealHt, 11,161.
- Roye, C.F., Balk, S.J. (1996). The relationship of partner support to outcomes for teenage mothers and their children: A review. Journal of Adolescent Health, 19(2),86-93.
- Schetter, C.D. (2011). Psychological science on pregnancy: stress processes, biopsychosocial models, and emerging research issues. Annu Rev Psychol, 62(1),531-558.
- Sokoya, M., Farotimi, A., Ojewole, F. (2014). Women’s perception of husbands’ support during pregnancy, labour and delivery. IOSR Journal of Nursing and Health Science, 3(3),45-50.
- Stapleton, L.R.T., Schetter, C.D., Westling, E., Rini, C., Glynn, L.M., Hobe, C.J., Sandman, C.A. (2012). Perceived partner support in pregnancy predicts lower maternal and infant distress. Journal of family psychology, 26(3), 453.
- Udofia, E.A., Akwaowo, C.D. (2012). Pregnancy and after: What women want from their partners - listening to women in Uyo, Nigeria. J Psychosom Obstet Gynaecol, 33(3),112-9. doi: 10.3109/0167482X.2012.69355.
- Yılmaz, Ö., Boz, H., Arslan, A. (2017). Depresyon Anksiyete Stres Ölçeğinin (Dass-21) Türkçe Kisa Formunun Geçerlilik-Güvenilirlik Çalişmasi. Finans Ekonomi ve Sosyal Araştırmalar Dergisi, 2(2), 78-91
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Article |
| Authors | |
| Project Number | - |
| Publication Date | August 21, 2023 |
| Submission Date | October 17, 2022 |
| Acceptance Date | May 31, 2023 |
| Published in Issue | Year 2023 Volume: 39 Issue: 2 |
