Comparison of Coronavirus Anxiety, Sleep Quality and Quality of Life in Pregnant Women with Healthy Controls
Abstract
Objective: In the pandemic, pregnant women are at the forefront of the disadvantaged groups and need special needs related to more mental problems. This study aims to evaluate the pandemic anxiety of pregnant women and how their sleep and quality of life are affected.
Materials and Methods: 200 pregnant and 200 control patients were included in the study. Informed consent was obtained from the participants. They were asked to fill out the sociodemographic data form, The Coronavirus Anxiety Scale (CAS), the Pittsburgh sleep quality index (PSQI), and the 12-Item Short Form Survey (SF-12) Quality of Life scale.
Results: No statistically significant difference was found in the CAS between pregnant and healthy controls (p=0.093). While the physical score subscale of the SF-12 Quality of Life Scale (SF12-PCS) scored statistically significantly higher in pregnant women compared to the healthy controls, the mental score subscale (SF12-MCS) scored significantly lower (respectively: p<0.001; p=0.009).
A statistically weak correlation was found between coronavirus anxiety and sleep quality (r:0.222; p=0.002).
Conclusions: The pandemic process affects pregnant women's sleep quality and mental quality of life terribly. Clinicians should take care to evaluate the sleep quality of pregnant women in this process.
References
- Berthelot N, Lemieux R, Garon-Bissonnette J, Drouin-Maziade C, Martel É, Maziade M. Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic. Acta Obstet Gynecol Scand. 2020;99(7):848-855. doi:10.1111/aogs.13925
- Alan S, Vurgec BA, Cevik A, Gozuyesil E, Surucu SG. The effects of COVID-19 pandemic on pregnant women: Perceived stress, social support and sleep quality. Yonago Acta Med. 2020;63(4):360-367. doi:10.33160/yam.2020.11.016
- Caparros-Gonzalez RA, Alderdice F. The COVID-19 pandemic and perinatal mental health. J Reprod Infant Psychol. 2020;38(3):223-225.
- Demissie DB, Bitew ZW. Mental health effect of COVID-19 pandemic among women who are pregnant and/or lactating: A systematic review and meta-analysis. SAGE Open Med. 2021;9:1-11. doi:10.1177/20503121211026195
- Wu Y, Zhang C, Liu H, et al. Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China. Am J Obstet Gynecol. 2020;223(2):240-249.
- Zhou Y, Shi H, Liu Z,et al. The prevalence of psychiatric symptoms of pregnant and non-pregnant women during the COVID-19 epidemic. Transl Psychiatry. 2020;10(1):319-326.
- Kim KT, Cho YW, Bae JG. Quality of sleep and quality of life measured monthly in pregnant women in South Korea. Sleep Breath. 2020;24(3):1219-1222.
- Accortt EE, Cheadle AC, Dunkel Schetter C. Prenatal depression and adverse birth outcomes: an updated systematic review. Matern Child Health J. 2015;19(6):1306-1337.
- Stein A, Craske MG, Lehtonen A, et al. Maternal cognitions and mother-infant interaction in postnatal depression and generalized anxiety disorder. J Abnorm Psychol. 2012;121(4):795-809.
- Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for covid-19 related anxiety. Death Stud. 2020;44(7):393-401.
- Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N. Measuring anxiety related to covid-19: A Turkish validation study of the Coronavirus Anxiety Scale. Death Stud. 2020;3:1-7.
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
- Agargun MY, Kara H, Anlar O. The reliability and validity the Pittsburgh sleep quality index. Turkish Journal of Psychiatry. 1996;7:107-115.
- Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-233.
- Soylu C, Kütük B. Reliability and Validity of the Turkish Version of SF-12 Health Survey. Turkish Journal of Psychiatry. 2021. doi:10.5080/u25700
- Coban A., Yanıkkerem UE. Sleep quality and fatigue in pregnant women. Ege Tıp Dergisi. 2010;49(2):87-94.
- Pinar S E, Arslan S, Polat K, Ciftci D, Cesur B, Daglar G. Examining the association of perceived stress with sleep quality in pregnancy. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2019;7(3):171-177.
- Hossain MM, Tasnim S, Sultana A, et al. Epidemiology of mental health problems in covıd-19: a review. F1000Res. 2020;9:636. doi:10.12688/f1000research.24457.1
- Turen E. Determination of the anxiety level in pregnant women who administer to the obstetrics clinic within the covid-19 pandemia period. Selcuk Med J. 2020;36(4):352-356.
- Okun ML, Mancuso RA, Hobel CJ, Schetter CD, Coussons-Read M. Poor sleep quality increases symptoms of depression and anxiety in postpartum women. J Behav Med. 2018;41(5):703-710.
- Tomfohr-Madsen L, Cameron EE, Dunkel Schetter C,et al. Pregnancy anxiety and preterm birth: The moderating role of sleep. Health Psychol. 2019;38(11):1025-1035. doi:10.1037/hea0000792
- Gelaye B, Addae G, Neway B, et al. Poor sleep quality, antepartum depression and suicidal ideation among pregnant women. J Affect Disord. 2017;209:195-200.
- Lagadec N, Steinecker M, Kapassi A, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455.
- Bozkurt Y, Zeybek Z, Askın R. Covid-19 pandemic: Psychological effects and therapeutic intervention. İstanbul Ticaret Üniversitesi Sosyal Bilimler Dergisi. 2020; 19(37):304-318.
- Ozhuner Y, Celik N. Sleep Quality and Quality of Life in Pregnants. Sağlık Bilimleri ve Meslekleri Dergisi. 2019; 6(1):25-33. doi:10.17681/hsp.434753
- Celik F, Mesut K. The relationship of sleep quality during pregnancy with trimester. Kocatepe Tıp Dergisi.2017; 18(3):85-88. doi:10.18229/kocatepetip.344658
- Neau JP, Texier B, Ingrand P. Sleep and vigilance disorders in pregnancy. Eur Neurol. 2009;62(1):23-29.
- Nodine PM, Matthews EE. Common sleep disorders: management strategies and pregnancy outcomes. J Midwifery Womens Health. 2013;58(4):368-377.
- Naghi I, Keypour F, Ahari SB, Tavalai SA, Khak M. Sleep disturbance in late pregnancy and type and duration of labour. J Obstet Gynaecol. 2011;31(6):489-491.
- Sarıgedik E, Yurteri N. Evaluation of sleep quality and quality of life in female adolescents with post-traumatic stress disorder related to sexual abuse. Psychiatr Clin Psychopharmacol. 2021;31: 90-97. doi:10.5152/pcp.2021.20182
Gebelerde Koronavirüs Anksiyetesi, Uyku Kalitesi ve Yaşam Kalitesinin Sağlıklı Kontrollerle Karşılaştırılması
Abstract
Amaç: Covid-19 pandemi süreci, insanların büyük çoğunluğunu ruhsal ve fiziksel olarak etkileyen önemli bir toplumsal durumdur. Bu süreçte dezavantajlı olan ve daha fazla düşünülmesi gereken grupların başında gebeler gelmektedir. Bu çalışmanın amacı gebelerin pandemi kaygısını, uyku ve yaşam kalitelerin nasıl etkilendiği değerlendirmektir.
Materyal ve Metot: Çalışmaya 200 gebe ve 200 kontrol hastası dahil edilmiştir. Katılımcıların aydınlatılmış onamları alınmış ve sosyo demografik veri formu, Koronavirüs Anksiyetesi Ölçeği (CAS), Pittsburgh Uyku Kalitesi ölçeği (PSQI), Yaşam Kalitesi Ölçeğin Kısa Form-12 (SF-12) yaşam kalitesi ölçeği doldurmaları istenmiştir.
Bulgular: Gebe ve sağlıklı kontroller arasında Koronavirüs Anksiyetesi Ölçeği puanları arasında istatistiksel olarak anlamlı fark bulunamamıştır (p=0,93). Gebe ve sağlıklı kontroller arasında uyku kalitesi açısından istatistiksel olarak anlamlı fark bulunmuştur (p=0,02). Gebelerde sağlıklı kontrollere göre Yaşam Kalitesi Ölçeğin Kısa Form-12 (SF-12) fiziksel puan alt ölçeği istatistiksel olarak anlamlı daha yüksek puan almışken, mental puan alt ölçeği istatistiksel olarak anlamlı düşük puan almıştır (sırasıyla: p<0,001; p=0,009).
Koronavirüs anksiyetesi ile uyku kalitesindeki bozulma arasında istatistiksel olarak anlamlı pozitif yönde zayıf korelasyon bulunmuştur (r:0,222; p=0,002).
Sonuç: Pandemi süreci gebelerdeki uyku kalitesini ve mental olarak yaşama kalitelerini oldukça kötü yönde etkilenmektedir. Klinisyenler bu süreçte gebelerin uyku kalitelerini değerlendirmeye özen göstermelidirler.
References
- Berthelot N, Lemieux R, Garon-Bissonnette J, Drouin-Maziade C, Martel É, Maziade M. Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic. Acta Obstet Gynecol Scand. 2020;99(7):848-855. doi:10.1111/aogs.13925
- Alan S, Vurgec BA, Cevik A, Gozuyesil E, Surucu SG. The effects of COVID-19 pandemic on pregnant women: Perceived stress, social support and sleep quality. Yonago Acta Med. 2020;63(4):360-367. doi:10.33160/yam.2020.11.016
- Caparros-Gonzalez RA, Alderdice F. The COVID-19 pandemic and perinatal mental health. J Reprod Infant Psychol. 2020;38(3):223-225.
- Demissie DB, Bitew ZW. Mental health effect of COVID-19 pandemic among women who are pregnant and/or lactating: A systematic review and meta-analysis. SAGE Open Med. 2021;9:1-11. doi:10.1177/20503121211026195
- Wu Y, Zhang C, Liu H, et al. Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China. Am J Obstet Gynecol. 2020;223(2):240-249.
- Zhou Y, Shi H, Liu Z,et al. The prevalence of psychiatric symptoms of pregnant and non-pregnant women during the COVID-19 epidemic. Transl Psychiatry. 2020;10(1):319-326.
- Kim KT, Cho YW, Bae JG. Quality of sleep and quality of life measured monthly in pregnant women in South Korea. Sleep Breath. 2020;24(3):1219-1222.
- Accortt EE, Cheadle AC, Dunkel Schetter C. Prenatal depression and adverse birth outcomes: an updated systematic review. Matern Child Health J. 2015;19(6):1306-1337.
- Stein A, Craske MG, Lehtonen A, et al. Maternal cognitions and mother-infant interaction in postnatal depression and generalized anxiety disorder. J Abnorm Psychol. 2012;121(4):795-809.
- Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for covid-19 related anxiety. Death Stud. 2020;44(7):393-401.
- Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N. Measuring anxiety related to covid-19: A Turkish validation study of the Coronavirus Anxiety Scale. Death Stud. 2020;3:1-7.
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
- Agargun MY, Kara H, Anlar O. The reliability and validity the Pittsburgh sleep quality index. Turkish Journal of Psychiatry. 1996;7:107-115.
- Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-233.
- Soylu C, Kütük B. Reliability and Validity of the Turkish Version of SF-12 Health Survey. Turkish Journal of Psychiatry. 2021. doi:10.5080/u25700
- Coban A., Yanıkkerem UE. Sleep quality and fatigue in pregnant women. Ege Tıp Dergisi. 2010;49(2):87-94.
- Pinar S E, Arslan S, Polat K, Ciftci D, Cesur B, Daglar G. Examining the association of perceived stress with sleep quality in pregnancy. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2019;7(3):171-177.
- Hossain MM, Tasnim S, Sultana A, et al. Epidemiology of mental health problems in covıd-19: a review. F1000Res. 2020;9:636. doi:10.12688/f1000research.24457.1
- Turen E. Determination of the anxiety level in pregnant women who administer to the obstetrics clinic within the covid-19 pandemia period. Selcuk Med J. 2020;36(4):352-356.
- Okun ML, Mancuso RA, Hobel CJ, Schetter CD, Coussons-Read M. Poor sleep quality increases symptoms of depression and anxiety in postpartum women. J Behav Med. 2018;41(5):703-710.
- Tomfohr-Madsen L, Cameron EE, Dunkel Schetter C,et al. Pregnancy anxiety and preterm birth: The moderating role of sleep. Health Psychol. 2019;38(11):1025-1035. doi:10.1037/hea0000792
- Gelaye B, Addae G, Neway B, et al. Poor sleep quality, antepartum depression and suicidal ideation among pregnant women. J Affect Disord. 2017;209:195-200.
- Lagadec N, Steinecker M, Kapassi A, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455.
- Bozkurt Y, Zeybek Z, Askın R. Covid-19 pandemic: Psychological effects and therapeutic intervention. İstanbul Ticaret Üniversitesi Sosyal Bilimler Dergisi. 2020; 19(37):304-318.
- Ozhuner Y, Celik N. Sleep Quality and Quality of Life in Pregnants. Sağlık Bilimleri ve Meslekleri Dergisi. 2019; 6(1):25-33. doi:10.17681/hsp.434753
- Celik F, Mesut K. The relationship of sleep quality during pregnancy with trimester. Kocatepe Tıp Dergisi.2017; 18(3):85-88. doi:10.18229/kocatepetip.344658
- Neau JP, Texier B, Ingrand P. Sleep and vigilance disorders in pregnancy. Eur Neurol. 2009;62(1):23-29.
- Nodine PM, Matthews EE. Common sleep disorders: management strategies and pregnancy outcomes. J Midwifery Womens Health. 2013;58(4):368-377.
- Naghi I, Keypour F, Ahari SB, Tavalai SA, Khak M. Sleep disturbance in late pregnancy and type and duration of labour. J Obstet Gynaecol. 2011;31(6):489-491.
- Sarıgedik E, Yurteri N. Evaluation of sleep quality and quality of life in female adolescents with post-traumatic stress disorder related to sexual abuse. Psychiatr Clin Psychopharmacol. 2021;31: 90-97. doi:10.5152/pcp.2021.20182
Details
| Primary Language | English |
|---|---|
| Subjects | Psychiatry |
| Journal Section | Research article |
| Authors | |
| Early Pub Date | August 29, 2023 |
| Publication Date | September 6, 2023 |
| Submission Date | January 16, 2022 |
| Acceptance Date | July 17, 2023 |
| Published in Issue | Year 2023 Volume: 8 Issue: 3 |
