Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Relationship Between Depression, Anxiety, Stress Level, COVID-19 Fear with Socio-Demographic Characteristics of Pregnant Women: Descriptive Research
Gebelerin Sosyodemografik Özellikleri Depresyon Anksiyete Stres Düzeyinin COVID-19 Korkusu ile İlişkisi: Tanımlayıcı Çalışma
Yılmaz SARIBOĞAa, Özkan SİRb, Sinan ATAŞc, Burcu DEMİR GÖKMENd
aClinic of Gynecology, Van Training and Research Hospital, Van, Türkiye
bDepartment of Nursing, Van Yüzüncü Yıl University Faculty of Health Sciences, Van, Türkiye
cClinic of Psychiatry, Van Training and Research Hospital, Van, Türkiye
dDepartment of Nursing, Ağrı İbrahim Çeçen University Faculty of Health Sciences, Ağrı, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(1):228-35
doi: 10.5336/nurses.2022-91034
Article Language: EN
Full Text
ABSTRACT
Objective: This study was conducted to see the fear of coronavirus disease-2019 (COVID-19) and depression, anxiety and stress with socio-demographic characteristics of pregnant women. Material and Methods: The descriptive study was conducted with 209 pregnant women who met the research criteria and applied to the pregnant service of a training and research hospital between July 01, 2021- September 15, 2021. The data of the study were collected with the 'Participant Information Form', 'COVID-19 Fear Scale', and 'Depression, Anxiety and Stress Scale.' The analysis of the data was made in the SPSS-25 package program, and the level of significance was accepted as p<0.05. Results: Average age of pregnant women was 27.70±5.51, the mean week of gestation was 27.31±9.92, 37.8% were between 24-28 years old, 37.8% had less than their income, 22% had less than their income. It was determined that she graduated from secondary school. It was determined that there was a significant difference between the number of pregnancies, the number of children and the fear of COVID-19, the age and planned pregnancy and depression, and the income level and stress (p<0.05). A positive and significant correlation was found between the total score on the fear of coronavirus scale and the total anxiety scores in pregnant women (p<0.05). Conclusion: It can be said that the anxiety level of pregnant women increases as the fear of COVID-19 increases. In the face with the anxiety, it is recommended that the expectant mother receives nursing support.

Keywords: Pregnant women; COVID-19 virus; depression; anxiety; psychological stress
ÖZET
Amaç: Bu çalışmanın amacı, gebelerin sosyodemografik özelliklerinin koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] korkusu ile depresyon, anksiyete ve stres arasındaki ilişkiyi belirlemektir. Gereç ve Yöntemler: Tanımlayıcı olarak yapılan araştırma, 01 Temmuz 2021-15 Eylül 2021 tarihleri arasında bir eğitim ve araştırma hastanesinin gebe servisine başvuran, araştırma kriterlerine uyan 209 gebe ile yürütülmüştür. Araştırmanın verileri, 'Katılımcı Bilgi Formu', 'COVID-19 Korkusu Ölçeği', 'Depresyon, Anksiyete ve Stres Ölçeği' ile toplanmıştır. Verilerin analizi SPSS-25 paket programında yapılmış olup, anlamlılık düzeyi p<0,05 olarak kabul edilmiştir.Bulgular: Gebelerin yaş ortalamasının 27,70±5,51 yıl, gebelik haftasının ortalaması 27,31±9,92, %37,8'inin 24-28 yaş aralığında, %37,8'inin gelirinin giderinden az, %22'sinin ortaokul düzeyde eğitim aldığı tespit edilmiştir. Katılımcıların gebelik sayısı, çocuk sayısı ile COVID-19 korkusu arasında, yaş ve planlı gebelik ile depresyon arasında, gelir düzeyi ile stres arasında anlamlı bir fark olduğu belirlenmiştir (p<0,05). Gebelerde COVID-19 Korkusu Ölçeği toplam puanı ile anksiyete toplam puanları arasında pozitif yönde anlamlı bir ilişki olduğu bulunmuştur (p<0,05). Sonuç: Gebelerin COVID-19 korkusu artıkça anksiyete seviyesi de artmıştır. Aksiyete ile yüz yüze kalan anne adayının gebelikte hemşirelik desteği alması önerilir.

Anahtar Kelimeler: Gebe kadınlar; COVID-19 virüsü; depresyon; anksiyete; psikolojik stres
REFERENCES:
  1. Aktaş HA, Aboalhasan Y, Aygün T, Başol G, Kale A. COVID-19 ve gebelik [COVID-19 and Pregnancy]. Southern Clinics of Istanbul Eurasia. 2020;31(Suppl):69-73. [Crossref] 
  2. World Health Organization [Internet]. © 2022 WHO. Weekly epidemiological update on COVID-19 - 20 July 2021 Edition 49 2021 [Erişim tarihi: 10.11.2022] Available from: [Link] 
  3. T.C. Sağlık Bakanlığı [İnternet]. © 2022 T.C. Sağlık Bakanlığı. Genel Koronavirüs Tablosu 2021. [Erişim tarihi: 10.11.2022] Erişim linki: [Link] 
  4. Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2020;113(5):311-2. [Crossref]  [PubMed]  [PMC] 
  5. da Silva AG, Miranda DM, Diaz AP, Teles ALS, Malloy-Diniz LF, Palha AP. Mental health: why it still matters in the midst of a pandemic. Braz J Psychiatr. 2020;42(3). [Crossref]  [PubMed]  [PMC] 
  6. Bahrami N, Bahrami S. Corelation between depression during pregnancy and delivery and newborn anthropometric indices. Koomesh. 2013;15(1):39-45. [Link] 
  7. Esra Ü, Atik DA, Gözüyeşil E. COVID-19 pandemisi ve kadınlar [COVID-19 pandemic and women]. Haliç Üniversitesi Sağlık Bilimleri Dergisi. 2021;4(1):1-8. [Crossref] 
  8. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. [Crossref]  [PubMed]  [PMC] 
  9. Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141-8. [Crossref]  [PubMed]  [PMC] 
  10. Breastfeeding and caring for newborns if you have COVID-19. [Cited: 20.06.2022]. Available from: [Link] 
  11. Chen D, Yang H, Cao Y, Cheng W, Duan T, Fan C, et al. Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID-19) infection. Int J Gynaecol Obstet. 2020;149(2):130-6. [Crossref]  [PubMed]  [PMC] 
  12. Eroğlu M, Çıtak-Tunç G, Kılınç FE. Gebelik stresi ile COVID-19 korkusu arasındaki ilişkinin incelenmesi [Investigation of the relationship between the pregnancy stress and fear of COVID-19]. Toplum ve Sosyal Hizmet. 2021;125-39. [Crossref] 
  13. Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public-A systematic review and meta-analysis. Psychiatry Res. 2020;291:113190. [Crossref]  [PubMed]  [PMC] 
  14. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict. 2022;20(3):1537-45. [Crossref]  [PubMed]  [PMC] 
  15. Ladikli N, Bahadır E, Yumuşak FN, Akkuzu H, Karaman G, Türkkan Z. KOVİD-19 Korkusu Ölçeği'nin Türkçe güvenirlik ve geçerlik çalışması [The reliability and validity of Turkish version of coronavirus anxiety scale]. International Journal of Social Science. 2020;3(2):71-80. [Link] 
  16. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43. [Crossref]  [PubMed] 
  17. Sarıçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. 2018. [Crossref] 
  18. Lin CY. Social reaction toward the 2019 novel coronavirus (COVID-19). Social Health and Behavior. 2020;3(1):1-2. [Crossref] 
  19. Maharlouei N, Keshavarz P, Salemi N, Lankarani KB. Depression and anxiety among pregnant mothers in the initial stage of the coronavirus disease (COVID-19) pandemic in the southwest of Iran. Reprod Health. 2021;18(1):111. [Crossref]  [PubMed]  [PMC] 
  20. Uzun A, Öztürk GZ, Bozkurt Z, Çavuşoğlu M. Investigating of fear of COVID-19 after pregnancy and association with breastfeeding. Journal of Ideas in Health. 2021;4(1):327-33. [Crossref] 
  21. Salehi L, Rahimzadeh M, Molaei E, Zaheri H, Esmaelzadeh-Saeieh S. The relationship among fear and anxiety of COVID-19, pregnancy experience, and mental health disorder in pregnant women: a structural equation model. Brain Behav. 2020;10(11):e01835. [Crossref]  [PubMed]  [PMC] 
  22. Naghizadeh S, Mirghafourvand M. Relationship of fear of COVID-19 and pregnancy-related quality of life during the COVID-19 pandemic. Arch Psychiatr Nurs. 2021;35(4):364-8. [Crossref]  [PubMed]  [PMC] 
  23. Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. J Matern Fetal Neonatal Med. 2022;35(2):205-11. [Crossref]  [PubMed] 
  24. 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):848-55. [Crossref]  [PubMed] 
  25. Effati-Daryani F, Zarei S, Mohammadi A, Hemmati E, Ghasemi Yngyknd S, Mirghafourvand M. Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19. BMC Psychol. 2020;8(1):99. [Crossref]  [PubMed]  [PMC] 
  26. Muraca GM, Joseph KS. The association between maternal age and depression. J Obstet Gynaecol Can. 2014;36(9):803-10. [Crossref]  [PubMed] 
  27. Çuvadar A, Özcan H, Arıkan MGG, Sinan A. Covid-19 tanılı gebede postpartum kaygı düzeyi: iki olgu sunumu [Level of postpartum anxiety in a pregnant women diagnosed with COVID-19: presentations of two cases]. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi. 2020;3(3):297-301. [Crossref] 
  28. Yüksel A, Dabanlı Z, Bahadır Yılmaz E. Gebelerde bilinçli farkındalık ile depresyon, anksiyete ve stres düzeyleri arasındaki ilişkinin belirlenmesi [Determining of the relationship between conscious awareness, depression, anxiety and stress in pregnancy]. Journal of Academic Research in Nursing. 2020;6(2):195-202. [Crossref] 
  29. Yücel P, Çayır Y, Yücel M. Birinci trimester gebelerde depresyon ve anksiyete bozukluğu [Depression and anxiety among first trimester pregnancies]. Klinik Psikiyatri. 2013;16:83-7. [Link] 
  30. Dündar T, Özsoy S, Hilmiye A, Toptaş B. Obstetrik özelliklerin gebelikte distres üzerine etkisi [Effect on distress in pregnancy of obstetric properties]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2019;22(1):17-24. [Link] 
  31. Çelik Sis A, Atasever İ. Gebelerde algılanan stres düzeylerinin ve etkileyen faktörlerin belirlenmesi [Determination of the level of perceived stress and affecting factors in pregnant women]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020;23(2):267-76. [Crossref] 
  32. Dule A. Psychological distress among Ethiopian pregnant women during COVID-19: negative correlation with self-efficacy. Psychol Res Behav Manag. 2021;14:1001-10. [Crossref]  [PubMed]  [PMC] 
  33. Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord. 2020;277:5-13. [Crossref]  [PubMed]  [PMC] 
  34. Dığrak E, Koçoğlu D. Meslek ve hobi edindirme kursuna katılan ve katılmayan kadınların ruh sağlığı durumlarının karşılaştırılması [The comparison of psychological states of women participating and non-participanting in vocational and hobby course]. Journal of Psychiatric Nursing. 2015;6(3). [Link] 
  35. Koçak Z, Harmancı H. COVID-19 pandemi sürecinde ailede ruh sağlığı [Mental health in the family during the COVID-19 pandemic process]. Karatay Sosyal Araştırmalar Dergisi. 2020(5):183-207. [Link] 

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