Depression, anxiety, self-efficacy, and self-esteem in high-risk pregnancy.

Autor:	Scabia A; Careggi University Hospital, Florence, Italy - a_scabia@hotmail.com., Donati MA; Department of Developmental and Social Psychology, Sapienza University, Rome, Italy., Primi C; Department of Health and Science, University of Florence, Florence, Italy., Lunardi C; Section of Psychology, Department of Neuroscience, Psychology, Pharmacology and Child Health (NEUROFARBA), University of Florence, Florence, Italy., Lino G; Careggi University Hospital, Florence, Italy., Dettore D; Department of Health and Science, University of Florence, Florence, Italy., Vannuccini S; Department of Clinical and Experimental Biomedical Sciences, Careggi University Hospital, University of Florence, Florence, Italy.; Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy., Mecacci F; Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy.
Jazyk:	angličtina
Zdroj:	Minerva obstetrics and gynecology [Minerva Obstet Gynecol] 2024 Feb; Vol. 76 (1), pp. 14-20. Date of Electronic Publication: 2022 Jul 13.
DOI:	10.23736/S2724-606X.22.05116-8
Abstrakt:	Background: The aim of the study was to evaluate the levels of depression, state and trait anxiety, self-efficacy, and self-esteem among women with high-risk pregnancy due to previous adverse pregnancy outcomes (PAPOs) or prepregnancy diseases (PPD), before and after delivery, compared to controls. Methods: An observational longitudinal study on psychological dimensions was conducted on 86 women attending a university referral center for high-risk pregnancy, by administering the Edinburgh Postnatal Depression Scale, the State and Trait Anxiety Inventory, the General Self-Efficacy Scale, and the Self-esteem Scale. A pretest (in the third trimester of pregnancy) and a follow-up measurement session (one month after the delivery) were applied. PAPOs group, PPD group and controls were compared. Results: The PAPOs group had higher levels of depression compared to the other groups, with above-threshold levels. However, a more relevant decrease in depression was found in the PAPOs group after delivery. Levels of self-efficacy and self-esteem were unexpectedly high during and after pregnancy in all the groups. Conclusions: A PAPO represents a risk factor for depression development during pregnancy, whereas a PPD seems to be less relevant in influencing affective dimensions. Surprisingly, all pregnant women, independently of the obstetric risk, showed high levels of self-efficacy and self-esteem.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu