Exploring Anxiety Levels and Pregnancy Experiences Among Women with Neurological Disorders: A Cross-Sectional Study

Main Article Content

Meryem Kocaslan Toran
Nur Yılmaz
Dilara Kabay
Handenur Bilgi
Teslime Dalcı

Abstract

Objective: In addition to pregnancy-specific anxiety, women experience additional anxiety related to diseases or complications that occur during pregnancy. It is reported that approximately 23% of women experience generalized anxiety disorders during pregnancy, with an increased frequency of anxiety disorders, particularly in the third trimester.


Material and Methods: This cross-sectional study obtained data from pregnant women who met the inclusion criteria. The data was collected through face-to-face interviews using a Demographic Information Form, State-Trait Anxiety Inventory, and Pregnancy Experience Scale (PES). The sociodemographic, clinical, and obstetric characteristics of the participants were gathered and documented through a Demographic Information Form developed by the researchers. The study was completed with a total of 358 pregnant participants.


Results: The average age of the pregnant women participating in the study was 29.01 ± 5.37 years. When evaluating educational status, it was observed that 41.1% had completed high school. Regarding gestational weeks, 78.2% of the women were in the third trimester. Analysis of neurological conditions among pregnant women indicated that 74% reported experiencing migraines and headaches. The mean score for "state anxiety" was calculated as 40.33 ± 8.10, while for "trait anxiety," it was 37.79 ± 8.50. Exploring the average scores of the Pregnancy Experiences Scale (PES), the mean score for "positive frequency" was 27.28 ± 7.08, and for "negative frequency," it was 17.39 ± 5.55.


Conclusion: Notably, among pregnant women with neurological disorders, the levels of state and trait anxiety displayed notable correlations with the frequency and intensity of both positive and negative pregnancy-related experiences. Recognizing and diagnosing mood and anxiety disorders early in pregnancy, particularly in the context of neurological conditions, holds significance in mitigating potential adverse impacts on both maternal and fetal well-being. Stressing the importance of appropriate interventions and care measures is pivotal in reducing these potential effects.

Downloads

Download data is not yet available.

Article Details

How to Cite
Kocaslan Toran, M., Yılmaz, N., Kabay, D., Bilgi, H., & Dalcı, T. (2023). Exploring Anxiety Levels and Pregnancy Experiences Among Women with Neurological Disorders: A Cross-Sectional Study. Medical Science and Discovery, 10(8), 552–556. https://doi.org/10.36472/msd.v10i8.1004
Section
Research Article
Received 2023-07-24
Accepted 2023-08-16
Published 2023-08-18

References

Domínguez-Solís E, Lima-Serrano M, Lima-Rodríguez JS. Non-pharmacological interventions to reduce anxiety in pregnancy, labour and postpartum: A systematic review. Midwifery. 2021 Nov; 102:103126. doi: 10.1016/j.midw.2021.103126. Epub 2021 Aug 14. PMID: 34464836.

Li H, Bowen A, Bowen R, Muhajarine N, Balbuena L. Mood instability, depression, and anxiety in pregnancy and adverse neonatal outcomes. BMC Pregnancy Childbirth. 2021 Aug 25;21(1):583. doi: 10.1186/s12884-021-04021-y. PMID: 34429072; PMCID: PMC8385792.

Ravaldi C, Wilson A, Ricca V, Homer C, Vannacci A. Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy. Women Birth. 2021 Jul;34(4):335-343. doi: 10.1016/j.wombi.2020.07.002. Epub 2020 Jul 13. PMID: 32684343; PMCID: PMC7357495.

Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry. 2017 May;210(5):315-323. doi: 10.1192/bjp.bp.116.187179. Epub 2017 Mar 16. PMID: 28302701.

Toscano M, Thornburg LL. Neurological diseases in pregnancy. Curr Opin Obstet Gynecol. 2019 Apr;31(2):97-109. doi: 10.1097/GCO.0000000000000525. PMID: 30730343.

Taşkın L. Obstetrics and women’s health nursing. Ankara, Akademisyen Kitapevi (2016): 647-669.

Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women Birth. 2015 Sep;28(3):179-93. doi: 10.1016/j.wombi.2015.02.003. Epub 2015 Mar 9. PMID: 25765470.

Malik A, Park S, Mumtaz S, Rowther A, Zulfiqar S, Perin J, Zaidi A, Atif N, Rahman A, Surkan PJ. Perceived Social Support and Women's Empowerment and Their Associations with Pregnancy Experiences in Anxious Women: A Study from Urban Pakistan. Matern Child Health J. 2023 May;27(5):916-925. doi: 10.1007/s10995-023-03588-6. Epub 2023 Feb 6. PMID: 36746839; PMCID: PMC10121818.

Yu M, Qiu T, Liu C, Cui Q, Wu H. The mediating role of perceived social support between anxiety symptoms and life satisfaction in pregnant women: a cross-sectional study. Health Qual Life Outcomes. 2020 Jul 10;18(1):223. doi: 10.1186/s12955-020-01479-w. PMID: 32650793; PMCID: PMC7348126.

Brockington I, Butterworth R, Glangeaud-Freudenthal N. An international position paper on mother-infant (perinatal) mental health, with guidelines for clinical practice. Arch Womens Ment Health. 2017 Feb;20(1):113-120. doi: 10.1007/s00737-016-0684-7. Epub 2016 Nov 8. Erratum in: Arch Womens Ment Health. 2017 Feb;20(1):121. PMID: 27826750; PMCID: PMC5237446.

Ahmadpour P, Moosavi S, Mohammad-Alizadeh-Charandabi S, Jahanfar S, Mirghafourvand M. Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial. BMC Pregnancy Childbirth. 2022 Nov 22;22(1):862. doi: 10.1186/s12884-022-05199-5. PMID: 36419027; PMCID: PMC9682672.

Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: a systematic review [published correction appears in Am J Obstet Gynecol. 2011 Sep;205(3):236]. Am J Obstet Gynecol. 2010;202(1):5-14. doi: 10.1016/j.ajog.2009.09.007

Spielberger CD, Gorsuch RL, Lushene PR, Vagg PR, Jacobs AG. 1983. Manual for the State-Trait Anxiety Inventory (Form Y). Consulting Psychologists Press, Inc.: Palo Alto.

Öner, Necla, and William Ayhan LeCompte. Durumluluk-süreklilik kaygı envanteri: el kitabı. Boğaziçi Üniversitesi Eğitim Fakültesi, 1998.

DiPietro, J. A., Ghera, M. M., Costigan, K., & Hawkins, M. (2004). Measuring the ups and downs of pregnancy stress. Journal of psychosomatic obstetrics and gynaecology, 25(3-4), 189–201. https://doi.org/10.1080/01674820400017830

Esmeray N, Yanıkkerem E, Baydur H. (2017). Gebelik Deneyimleri Ölçeği’nin Türkçe Geçerlilik Güvenilirlik Çalışması, Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 33(2):68-87.

Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR. Prevalence of depression during pregnancy: systematic review [published correction appears in Obstet Gynecol. 2004 Jun;103(6):1344]. Obstet Gynecol. 2004;103(4):698-709. doi: 10.1097/01.AOG.0000116689.75396.5f

Bilello, L. A., Greige, T., Singleton, J. M., Burke, R. C., & Edlow, J. A. (2021). Retrospective Review of Pregnant Patients Presenting for Evaluation of Acute Neurologic Complaints. Annals of emergency medicine, 77(2), 210–220. https://doi.org/10.1016/j.annemergmed.2020.02.014

Zafarmand S, Javanmardi H, Ameri M, Maneshi M, Mansouri-Mehrabadi S, Zolghadrasli Y, Moazzam M, Aramesh A, Borhani-Haghighi A. Evaluation of the Neurological Complaints during Pregnancy and Postpartum. Galen Med J. 2019 Dec 31;8:e1616. doi: 10.31661/gmj.v8i0.1616. PMID: 34466537; PMCID: PMC8343816.

Coad, F., Mohan, A. R., & Nelson-Piercy, C. (2017). Neurological disease in pregnancy. Obstetrics, Gynaecology & Reproductive Medicine, 27(5), 137-143.

Littleton HL, Breitkopf CR, Berenson AB. Correlates of anxiety symptoms during pregnancy and association with perinatal outcomes: a meta-analysis. Am J Obstet Gynecol. 2007 May;196(5):424-32. doi: 10.1016/j.ajog.2007.03.042. PMID: 17466693.

Boekhorst MGBM, Beerthuizen A, Endendijk JJ, van Broekhoven KEM, van Baar A, Bergink V, Pop VJM. Different trajectories of depressive symptoms during pregnancy. J Affect Disord. 2019 Apr 1; 248:139-146. doi: 10.1016/j.jad.2019.01.021. Epub 2019 Jan 26. PMID: 30731281.