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Cited by 20Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareMaternal and Perinatal Health Interventions

Psychosocial adaptation and depressive manifestations in high-risk pregnant women: implications for clinical practice

Fiskin, Gamze, Kaydirak, Meltem Mecdi, Oskay, Umran Yesiltepe·2017·Worldviews on Evidence-Based Nursing
DOI 10.1111/wvn.12186
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Abstract

BACKGROUND: High-risk pregnancy research has focused primarily on psychological well-being. AIMS: The aim is to determine psychosocial adaptation and depression levels of pregnant women who were admitted to hospital with diagnosis of high-risk pregnancy. METHODS: This study was descriptive. Sampling was composed of 122 high-risk pregnant women who were hospitalized in the perinatology service of Istanbul University Medical School, Department of Obstetrics and Gynecology between January 1, 2014, and May 31, 2014, and met the study criteria. The Pregnant Introduction Form, Psychosocial Adjustment of Illness Scale-Self Report, and CES Depression Scale were used. RESULTS: Of high-risk pregnant women, 47% were found to have a poor level of psychosocial adaptation and 57% presented with depressive symptoms. There were statistically significant difference found between the levels of psychosocial adaptation and status of depressive manifestations. The difference between the average scores increased as the adaptation levels weaken and the pregnant women with a poor level of psychosocial adaptation showed more depressive manifestations. CONCLUSIONS: The results of this study indicate that, depending on the high-risk pregnancy status, pregnant women experience difficulty in adaptation to their current status and pregnant women with a poor level of psychosocial adaptation showed more depressive manifestations. LINKING EVIDENCE TO ACTION: Nurses should deliver care in high-risk pregnancies with the awareness of physiological needs as well the psychosocial needs of pregnant women, and information meetings should be held in order to increase the psychosocial support of their families and decrease their tendency toward depression. Nursing initiatives should be developed with further studies for the psychosocial adaptation of high-risk pregnancy and reduction of the depressive manifestations.

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Crossref · 10.1111/wvn.12186

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  • Selection bias was possible in 7 studies that did not report participation rate and in 1 study with less than 50% participation.

    “Selection bias was possible in 7 studies43,49,51,52,55–57 which did not report the participation rate of eligible subjects and one study44 which reported < 50% participation rate.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [52]

  • Loss to follow-up greater than 20% was reported in 5 studies that measured exposure over time, introducing possible systematic differences.

    “Finally, of those investigators who did measure exposure over time, loss to follow-up was reported as > 20% in 5 studies44,47,50–52, introducing the possibility of systematic differences in drop-outs impacting interpretation of longitudinal results.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [52]

  • Study quality assessment showed 4 studies in the top quartile, 13 in the third quartile, and 1 in the second quartile.

    “Study quality assessment using the NIH quality assessment tool demonstrated 4 studies42,43,46,49 in the top quartile (rating ≥ 75%), 13 studies45,47,48,50–59 in the third quartile (with rating ≥ 50–74%), and a single study44 in the second quartile (rating < 50%) (Table 2).”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [52]

  • Timing of survey administration relative to exposure was not reported in the majority of studies.

    “Timing of survey administration relative to exposure was not reported in the majority of studies44–46,50–52,56–58.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [52]

  • Fifteen studies did not measure effect of exposure over time, limiting conclusions about changes in prevalence over hospitalization.

    “Fifteen investigators44,46–59 did not measure effect of exposure over time, limiting the conclusions which can be draw regarding changes in prevalence of anxiety or depression over the duration of hospitalization.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [52]

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Authors
Fiskin, G., Kaydirak, M. M., & Oskay, U. Y.
Affiliations
  • Research Assistant, Istanbul University Florence Nightingale Faculty of Nursing, Department of Women's Health and Diseases Nursing Istanbul University Sisli Istanbul Turkey
  • Associate Professor, Istanbul University Florence Nightingale Faculty of Nursing, Department of Women's Health and Diseases Nursing Istanbul University Sisli Istanbul Turkey
Venue
Worldviews on Evidence-Based Nursing
Publisher
Wiley
Published
2016-12-08
Volume
14
Issue
1
Pages
55-64
ISSN
  • 1545-102X (ISSN-L)
  • 1741-6787
DOI
10.1111/wvn.12186
OpenAlex
W2561462501
Cited by
20
References
25
Citations by year
2025: 2 · 2023: 4 · 2022: 7 · 2021: 3 · 2020: 2 · 2019: 2
FWCI
0.66
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Worldviews on Evidence-Based Nursing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
high-risk pregnancy, psychosocial adjustment, depressive symptoms, maternal depression, pregnant women, psychosocial support, nursing care, psychosocial needs, family support
MeSH terms
Adaptation, Psychological, Adult, Depression, Female, Humans, Middle Aged, Pregnancy, Surveys and Questionnaires, Turkey, Pregnancy, High-Risk

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