Anxiety and depression in hyperemesis gravidarum: prevalence, risk factors and correlation with clinical severity

Tan, Peng Chiong; Vani, Subramaniam; Lim, Boon Kiong; Omar, Siti Zawiah

doi:10.1016/j.ejogrb.2009.12.031

Cited by 78 publications

(72 citation statements)

References 22 publications

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“…Some authors suggested that psychiatric problems increased the risk of HG (10,11). However, the others reported that psychiatric symptoms emerged as a response to HG (9,12,13). According to the data from these studies, it is not possible to establish a conclusion on whether psychiatric symptoms are the cause or the result of HG.…”

Section: Introductionmentioning

confidence: 43%

“…Conversely, the other studies reported that a history of antidepressant treatment before pregnancy did not affect the incidence of nausea and vomiting during pregnancy (41) and higher rates of psychiatric disorders did not continue after delivery (15). Tan et al (9) reported that high rates of anxiety and depression in HG were the result of HG, as there was no significant association between anxiety and depression and severity of HG. In their other study, Tan et al (42) followed 121 women with HG and 113 healthy pregnant women throughout their pregnancies and detected that anxiety, depression, and stress levels measured with Stress Scale (DASS-21) were decreased with the relief of nausea and vomiting in the third trimester.…”

Section: Discussionmentioning

confidence: 79%

“…Historically, HG was thought to be related to resentment or ambivalence towards pregnancy, immature personality, mother dependence, anxiety and tension related to pregnancy, sexual dysfunction, conversion, or hysteria (9). However, recent studies have strongly supported that psychiatric symptoms might be the result rather than the cause of HG (40).…”

Section: Discussionmentioning

confidence: 99%

“…These studies showed that anxiety and depression were common in women with HG. Tan et al (9) reported that the Hospital Anxiety Depression Scale (HADS) anxiety and depression rates were higher in HG patients. Annagur Poor social support was reported to be related to depression and anxiety in pregnant women (18,36).…”

Section: Discussionmentioning

confidence: 99%

“…Historically, HG was thought to be related to the resentment or ambivalence towards pregnancy, immature personality, mother dependence, anxiety and tension related to pregnancy, sexual dysfunction, conversion or hysteria; but psychological symptoms may be the result of HG rather than the cause (9). Studies have shown that, psychiatric symptoms are seen more frequently in HG than healthy controls (9)(10)(11). Some authors suggested that psychiatric problems increased the risk of HG (10,11).…”

Section: Introductionmentioning

confidence: 99%

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Psychiatric symptoms, perceived social support, coping styles, and dyadic adjustment in pregnant women with hyperemesis gravidarum

Kara¹,

Kalem²,

Balci³

et al. 2016

Dusunen Adam

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Psychiatric symptoms, perceived social support, coping styles, and dyadic adjustment in pregnant women with hyperemesis gravidarum Objective: Hyperemesis gravidarum (HG) is a condition with severe nausea and vomiting, which is seen in 0.3-2% of pregnancies. In addition to biological factors, psychosocial factors were also reported to play a role in the development of HG. However, the impact of psychosocial factors in HG has not been elucidated yet. In this research, we aimed to investigate psychiatric symptoms in patients with HG and their relationships with perceived social support, coping styles, and dyadic adjustment. Method: Forty-eight women with HG hospitalized in the Obstetrics and Gynecology Inpatient Unit and 48 healthy pregnant women consulted to the Obstetric Outpatient Unit for their routine obstetric control were recruited for the study. The subjects were evaluated with sociodemographic form, Symptom Check List (SCL-90-R), Multidimensional Scale of Perceived Social Support (MSPSS), Ways of Coping Scale (WCS), and Dyadic Adjustment Scale (DAS). Results: All sociodemographic variables except nausea and vomiting history in previous pregnancies were similar in both groups. All subscales and global symptom index scores of SCL-90-R were higher; optimistic and submissive subscale scores of WCS were lower, satisfaction, consensus and total scores of DAS were higher in HG group (p<0.05). Conclusion: Psychiatric symptom levels are higher in women with HG compared to the controls. No difference for previous psychiatric history among groups shows that previous psychiatric history is not a predictor for HG. The psychiatric symptoms in HG is self-limiting and possibly due to HG symptoms. Psychosocial factors such as perceived social support, coping styles, and dyadic adjustment may contribute to the psychiatric symptoms. Keywords: Coping styles, dyadic adjustment, hyperemesis gravidarum, perceived social support, psychiatric symptoms ÖZET Hiperemezis gravidarumu olan gebelerde ruhsal belirtiler, stresle başa çıkma tarzları, algılanan sosyal destek ve çift uyumu Amaç: Hiperemezis gravidarum (HG), şiddetli bulantı-kusma ile giden ve gebelerin yaklaşık %0.3-2'sinde görülen bir tablodur. Biyolojik etkenler yanında psikososyal etkenlerin de HG gelişiminde rol oynayabileceği bildirilmiştir. Fakat, HG'de psikososyal etkenlerin rolü tam olarak gösterilememiştir. Bu çalışmada HG ile ruhsal belirtiler ve bu belirtilerin algılanan sosyal destek, stresle başa çıkma tarzları ve çift uyumu arasındaki ilişkisini değerlendirmeyi hedefledik. Yöntem: Kadın Hastalıkları ve Doğum Kliniği'nde HG tanısı ile yatırılan 48 gebe ile hastanenin Kadın Hastalıkları ve Doğum polikliniğine rutin doğum öncesi kontroller için başvuran 48 sağlıklı gebe çalışmaya alındı. Denekler, sosyodemografik form, Belirti Tarama Listesi (SCL-90-R), Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ), Stresle Başaçıkma Tarzları Ölçeği (SBTÖ) ve Çift Uyum Ölçeği (ÇUÖ) ile değerlendirildi. Bulgular: Bulantı kusma öyküsü dışında tüm sosyodemografik değişk...

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Section: Introductionmentioning

confidence: 43%

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Psychiatric symptoms, perceived social support, coping styles, and dyadic adjustment in pregnant women with hyperemesis gravidarum

Kara¹,

Kalem²,

Balci³

et al. 2016

Dusunen Adam

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Women's experiences of the therapeutic value of writing about pregnancy sickness

Nicholson

2017

Couns and Psychother Res

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Background There is evidence of the beneficial effects of writing therapy in relation to a range of disorders. This is the first study to evaluate those effects in the field of pregnancy sickness. Aim To analyse the experiences of women using writing therapy to address issues associated with pregnancy sickness. Method Ten women with an age range of 32–48 years participated in this research study. All had been hospitalised at least once with severe pregnancy sickness symptoms in the form of hyperemesis gravidarum. Participants were invited to write reflectively about their former pregnancy sickness, at home, and then take part in a qualitative, semi‐structured telephone interview of approximately one hour to talk about how they experienced this writing process. Findings Thematic analysis identified several themes relating to the beneficial effects and uses of writing therapy and women's relational need to be heard and supported. Discussion This study supports previous findings about the beneficial effects of writing therapy and contributes new knowledge to the field of pregnancy sickness vis‐à‐vis the importance of emotional expression, emotional care and emotional recovery. The findings have important implications for healthcare professional practice.

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Hyperemesis Gravidarum

2018

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Nausea and vomiting of pregnancy affect the majority of pregnancies, while the most severe version, hyperemesis gravidarum (HG), affects a much smaller subset of women. Despite the prevalence of nausea and vomiting of pregnancy and the severe consequences of HG, the pathophysiology of these conditions is not fully understood. Currently, it is thought that a combination of hormonal factors accounts for their development. Multiple treatments have been described for nausea and vomiting of pregnancy and HG with varying levels of success. In this paper we describe the epidemiology of nausea and vomiting of pregnancy and HG, the recommended workup, their proposed etiologic factors, treatments, and their potential impact on mother and baby.

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Anxiety and depression in hyperemesis gravidarum: prevalence, risk factors and correlation with clinical severity

Cited by 78 publications

References 22 publications

Psychiatric symptoms, perceived social support, coping styles, and dyadic adjustment in pregnant women with hyperemesis gravidarum

Psychiatric symptoms, perceived social support, coping styles, and dyadic adjustment in pregnant women with hyperemesis gravidarum

Women's experiences of the therapeutic value of writing about pregnancy sickness

Hyperemesis Gravidarum

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