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Archivos de Medicina (Manizales)

2022, Number 1

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Arch Med 2022; 22 (1)

Perceived psychological stress and associated factors in low-risk pregnant women in prenatal control

Monterrosa-Castro Á, González-Sequeda A, Romero-Martínez S

Language: Spanish
References: 45
Page: 109-120
PDF size: 260.15 Kb.


ABSTRACT

Objective: to estimate the frequency of perceived psychological stress (PPS) and identify associated factors in low obstetric risk pregnancies. Materials and methods: a cross-sectional study that is part of the “biopsychosocial health in low-risk pregnant women in prenatal control” research project. 683 pregnant women who attend prenatal control at Santa Cruz of Bocagrande clinic in Cartagena, Colombia were studied. Form of sociodemographic characteristics, obstetric history, and perceived psychological stress questionnaire of 10 items (PSS-10) was applied. Anonymous and voluntary participation, statistical analysis was performed with Epi-Info 7.2. Unadjusted bivariate logistic regression between PPS and qualitative variables was carried out. The correlation coefficient between PSS-10 and quantitative variables was estimated. P‹0.05: Statistically significant. Results: age 28.3±6.3; years studied 12.5±2.7; nutritional status: normal 30.4% [IC95%:27.0-34.0], overweight 17.7% [IC95%:14.9-20.8], obesity 33.0% [IC95%:29.5-36.7]. More than 60% never/almost never faced their things or solved their problems. PPS in 350 participants (51.2%) was found. Energy drinks consumption OR:7.4 [IC95%:1.6-32.5], economic problems OR:2.9[IC95%:2.0-4.3, partner problems OR:1.9[IC95%:1.0-3.4], anxiety OR:2.0[IC95%:1.3-2.9] and fatigue OR:1.7[IC95%:1.2-2.4], were associated with PPS. Also work as an employee OR:0.5[IC95%:0.3-0.7] and be professional OR:0.5[IC95%:0.3-0.7]. Hypertension arterial, diabetes, hypothyroidism, and gestational diabetes, were not associated with PPS. The correlation between PSS-10 with maternal age was: rho: -0.11[IC95%:- 0.21to-0.06], with years studied rho: -0.12[IC95%:-0.19to-0.51]. No correlation was observed between PPE with gestational age, pregnancies, miscarriage, vaginal deliveries or cesarean sections (p›0.05). Conclusion: PPS was present in half of the pregnant population and many psychosocial factors unlike obstetric and biomedical ones explored were significantly associated.


REFERENCES

  1. Engidaw NA, Mekonnen AG, Amogne FK. Perceived stress and its associated factors among pregnant womenin Bale zone Hospitals, Southeast Ethiopia: a cross-sectional study. BMC Res Notes. 2019;12(1):356.DOI: https://doi.org/10.1186/s13104-019-4383-0

  2. Rondó PH, Ferreira RF, Nogueira F, Ribeiro MC, Lobert H, Artes R. Maternal psychological stress and distressas predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr.2003;57(2):266-272. DOI: https://doi.org/10.1038/sj.ejcn.1601526

  3. Pinto-Dussán MC, Aguilar-Mejía OM, Gómez-Rojas JD. Psychological Maternal Stress as a Possible PrenatalRisk Factor for the Development of Cognitive Problems: Neuropsychological Characterization of aColombian Sample. Universitas Psychologica. 2010:9(3):749-759.

  4. Karamoozian M, Askarizadeh G. Impact of Prenatal Cognitive-Behavioral Stress Management Interventionon Maternal Anxiety and Depression and Newborns’ Apgar Scores. Iranian Journal of Neonatology IJN, 2015;6(2): 14-23. DOI: https://doi.org/10.22038/ijn.2015.4485

  5. Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceivedstress during pregnancy on preterm birth: A systematic review. Women Birth. 2015;28(3):179-193.DOI: https://doi.org/10.1016/j.wombi.2015.02.003

  6. García-León MÁ, Caparrós-González RA, Romero-González B, González-Perez R, Peralta-Ramírez I. Resilienceas a protective factor in pregnancy and puerperium: Its relationship with the psychological state, andwith Hair Cortisol Concentrations. Midwifery. 2019;75:138-145. DOI: https://doi.org/10.1016/j.midw.2019.05.006

  7. Dedovic K, Duchesne A, Andrews J, Engert V, Pruessner JC. The brain and the stress axis: the neural correlatesof cortisol regulation in response to stress. Neuroimage. 2009;47(3):864-871.DOI: https://doi.org/10.1016/j.neuroimage.2009.05.074

  8. Duval F, González F, Rabia H. Neurobiology of stress. Rev Chil Neuro-Psiquiat. 2010;48(4):307-318.

  9. Borders AE, Wolfe K, Qadir S, Kim KY, Holl J, Grobman W. Racial/ethnic differences in self-reported andbiologic measures of chronic stress in pregnancy. J Perinatol. 2015;35(8):580-584.DOI: https://doi.org/10.1038/jp.2015.18

  10. González N, Fuenmayor P, Espinoza M, Villasana K, Ferreira F. Evaluación de estrés percibido y niveles dealfa-amilasa salival en mujeres embarazadas (del Municipio Libertador del Estado Mérida). Rev ObstetGinecol Venez 2015;75(4):242-249.

  11. Eichler J, Schmidt R, Hiemisch A, Kiess W, Hilbert A. Gestational weight gain, physical activity, sleep problems,substance use, and food intake as proximal risk factors of stress and depressive symptomsduring pregnancy. BMC Pregnancy Childbirth. 2019;19(1):175. DOI: https://doi.org/10.1186/s12884-019-2328-1

  12. Rallis S, Skouteris H, McCabe M, Milgrom J. A prospective examination of depression, anxiety and stressthroughout pregnancy. Women Birth. 2014;27(4):e36-e42. DOI: https://doi.org/10.1016/j.wombi.2014.08.002

  13. Pais M, Pai MV. Stress among pregnant women: A systematic review. Journal of Clinical and DiagnosticResearch. 2018;12(5):LE01-LE04. DOI: https://doi.org/10.7860/JCDR/2018/30774.11561

  14. Boakye-Yiadom A, Shittu SO, Dutt JB, Dapare PPM, Alhassan A. Perceived stress and anxiety among Ghanaianpregnant women. J Med Biomed Sci. 2015;4(2):29–37 DOI: http://dx.doi.org/10.4314/jmbs.v4i2.5

  15. Yokokura AVCP, Silva AAMD, Fernandes JKB, Del-Ben CM, Figueiredo FP, Barbieri MA, et al. Perceived StressScale: confirmatory factor analysis of the PSS14 and PSS10 versions in two samples of pregnant womenfrom the BRISA cohort. Cad Saude Publica. 2017;33(12):e00184615.DOI: https://doi.org/10.1590/0102-311X00184615

  16. Chaaya M, Osman H, Naassan G, Mahfoud Z. Validation of the Arabic version of the Cohen Perceived StressScale (PSS-10) among pregnant and postpartum women. BMC Psychiatry. 2010;10:111.DOI: https://doi.org/10.1186/1471-244X-10-111

  17. Kingston D, Austin MP, Hegadoren K, McDonald S, Lasiuk G, McDonald S, et al. Study protocol for a randomized,controlled, superiority trial comparing the clinical and cost- effectiveness of integrated onlinemental health assessment-referral-care in pregnancy to usual prenatal care on prenatal and postnatalmental health and infant health and development: the Integrated Maternal Psychosocial Assessment toCare Trial (IMPACT). Trials. 2014;15:72. DOI: https://doi.org/10.1186/1745-6215-15-72

  18. Ministerio Salud Colombia. Resolución Nª 008430 DE 1993. Por la cual se establecen las normas científicas,técnicas y administrativas para la investigación en salud. Bogotá. Internet. [Acceso: Noviembre-29-2020] Disponibleen: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF

  19. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav.1983;24(4):385-396.

  20. Remor E. Psychometric properties of a European Spanish version of the Perceived Stress Scale (PSS). SpanJ Psychol. 2006;9(1):86-93. DOI: https://doi.org/10.1017/s1138741600006004

  21. Benediktsson I, McDonald S, Tough S. Examining the Psychometric Properties of Three StandardizedScreening Tools in a Pregnant and Parenting Population. Matern Child Health J. 2017;21(2):253-259.DOI: https://doi.org/10.1007/s10995-016-2128-4

  22. Rosso P. A new chart to monitor weight gain during pregnancy. Am J Clin Nutr. 1985;41(3):644-652.DOI: https://doi.org/10.1093/ajcn/41.3.644

  23. Mardones F, Rosso P, Marshall G, Villarroel L, Bastías G. Comparación de dos indicadores de la relaciónpeso-talla en la embarazada. Acta Pediátrica Española. 1999;57:501-506.

  24. Ministerio de Salud. República de Colombia. Guía de práctica clínica basada en la evidencia Para el uso decomponentes sanguíneos. Guía No. GPC-2016-62. 2016. Internet. [Acceso: Noviembre-29-2020] Disponibleen: http://gpc.minsalud.gov.co/gpc_sites/Repositorio/Otros_conv/GPC_para_uso_componentes_sanguineos/GPC_uso_Componentes_sangu%C3%ADneos.pd

  25. Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J.2012;24(3):69-71.

  26. World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience.6 November 2016. Internet. [Acceso: Noviembre-29-2020] Disponible en:https://www.who.int/publications/i/item/9789241549912

  27. Miranda C, Castillo IY. Factores de necesidad asociados al uso adecuado del control prenatal. Rev Cuid.2016; 7(2): 1345-51. DOI: http://dx.doi.org/10.15649/cuidarte.v7i2.340

  28. Fernández-Mateos LM, Sánchez-Cabaco A. Psicopatología y gestación: influencia de la depresión en lavinculación afectiva. International Journal of Developmental and Educational Psychology. 2006;2(1):451-462

  29. Whitehead NS, Brogan DJ, Blackmore-Prince C, Hill HA. Correlates of experiencing life events just beforeor during pregnancy. J Psychosom Obstet Gynaecol. 2003;24(2):77-86.DOI: https://doi.org/10.3109/01674820309042805

  30. Ortiz-Acha MRC, Cruces-Dioses F. Ansiedad, depresión y estrés como factores de riesgo de Amenazade parto pretérmino en el Hospital de Apoyo II-Sullana en los años 2019 - 2020 [Tesis] Internet. [Acceso:Noviembre-29-2020] Disponible en: http://repositorio.upao.edu.pe/bitstream/upaorep/6132/1/RE_MEDP_ORTIZ.ACHA.MARIO.RAUL_ANSIEDAD.DEPRESI%c3%93N.ESTR%c3%89S.FACTORES.RIESGO.AMENAZA.PARTO.PRETERMINO.HOSPITAL.APOYOII.SULLANA.A%c3%91OS.2019-2020.pdf

  31. Luna D, Castañeda-Hernández DV, Guadarrama-Arteaga AL, Figuerola-Escoto RS, García-Arista A, Ixtla-PérezMB, et al. Psychometric properties of the Hospital Anxiety and Depression Scale in Mexican pregnantwomen. Salud Mental. 2020;43(3):137-146. DOI: https://doi.org/10.17711/SM.0185-3325.2020.019

  32. Marcus SM, Flynn HA, Blow FC, Barry KL. Depressive symptoms among pregnant women screened in obstetricssettings. J Womens Health (Larchmt). 2003;12(4):373-380. DOI: https://doi.org/10.1089/154099903765448880

  33. Ahmed AE, Albalawi AN, Alshehri AA, AlBlaihed RM, Alsalamah MA. Stress and its predictors in pregnantwomen: a study in Saudi Arabia. Psychol Res Behav Manag. 2017;10:97-102.DOI: https://doi.org/10.2147/PRBM.S131474

  34. Pantha S, Hayes B, Yadav BK, Sharma P, Shrestha A, Gartoulla P. Prevalence of stress among pregnantwomen attending antenatal care in a tertiary maternity hospital in Kathmandu. J Women’s Health Care.2014;3(5): 1000183. DOI: https://doi.org/10.4172/2167-0420.1000183

  35. Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. Psychosocial stress during pregnancy. Am J Obstet Gynecol.2010;202(1):61.e1-61.e617. DOI: https://doi.org/10.1016/j.ajog.2009.07.041

  36. Shishehgar S, Dolatian M, Majd HA, Bakhtiary M. Perceived pregnancy stress and quality of life amongstIranian women. Glob J Health Sci. 2014;6(4):270-277. DOI: https://doi.org/10.5539/gjhs.v6n4p270

  37. Al-Basher GI, Aljabal H, Almeer RS, Allam AA, Mahmoud AM. Perinatal exposure to energy drink inducesoxidative damage in the liver, kidney and brain, and behavioral alterations in mice offspring. BiomedPharmacother. 2018;102:798-811. DOI: https://doi.org/10.1016/j.biopha.2018.03.139

  38. Richards G, Smith AP. A Review of Energy Drinks and Mental Health, with a Focus on Stress, Anxiety, andDepression. J Caffeine Res. 2016;6(2):49-63. DOI: https://doi.org/10.1089/jcr.2015.0033

  39. Alvarenga P & Frizzo-Bitencourt G. Stressful Life Events and Women’s Mental Health During Pregnancy andPostpartum Period. Paidéia. 2017;27(66):1-9. https://doi.org/10.1590/1982-43272766201707

  40. Quezada-Berumen LC, González-Ramírez M. El papel de los estresores y las condiciones de estado civil paraexplicar la depresión y el estrés en adolescentes gestantes. Psicología desde el Caribe. 2012;29(1):19-46.

  41. Fulgencio-Juárez M, Rivera-Heredia ME, Colunga-Rodríguez C, Villaseñor- Cabrera TJ, Oropeza-Tena R. Relaciónentre violencia de pareja y salud general en mujeres embarazadas con educación superior. Enseñanza eInvestigación en Psicología. 2017;22(2):165-173.

  42. Blasco-Alonso M, Monedero-Mora C, Alcalde-Torres J, Criado-Santaella C, Criado-Enciso F, Abehsera-BensabatM. Stress, anxiety and depression among pregnant women managed in the Gynecological PsychosomaticUnit of the Maternity Hospital of Malaga (Spain). Prog Obstet Ginecol. 2008;51(6):334-341.DOI: https://doi.org/10.1016/S0304-5013(08)71096-3

  43. Firouzbakht M, Nikpour M, Khefri S, Jamali B, Kazeminavaee F, Didehdar M. The Effectiveness of PrenatalIntervention on Pain and Anxiety during the Process of Childbirth-Northern Iran: Clinical Trial Study. AnnMed Health Sci Res. 2015;5(5):348-352. DOI: https://doi.org/10.4103/2141-9248.165260

  44. Firouzbakht M, Nikpour M, Salmalian H, Ledari FM, Khafri S. The effect of perinatal education on Iranianmothers’ stress and labor pain. Glob J Health Sci. 2013;6(1):61-68. DOI: https://doi.org/10.5539/gjhs.v6n1p61

  45. Kubo A, Ferrara A, Brown SD, Ehrlich SF, Tsai AL, Quesenberry CP, et al. Perceived psychosocial stress andgestational weight gain among women with gestational diabetes. PLoS One. 2017;12(3):e0174290.DOI: https://doi.org/10.1371/journal.pone.0174290 Final del formulario




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