Exacerbation and severity of allergic symptoms during pregnancy and their impact on mental health

Background:. Pregnant women with allergies face difficulties, as they tend to avoid medication for symptom control during pregnancy. Moreover, some women experience exacerbations during this period. These difficulties can affect their mental health. Objective:. This study aimed to investigate the fa...

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Main Authors: Kaori Yonezawa, PhD, Megumi Haruna, PhD, Kiwako Yamamoto-Hanada, MD, PhD, Yukihiro Ohya, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2022-03-01
Series:International Journal of Women's Dermatology
Online Access:http://journals.lww.com/10.1097/JW9.0000000000000002
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author Kaori Yonezawa, PhD
Megumi Haruna, PhD
Kiwako Yamamoto-Hanada, MD, PhD
Yukihiro Ohya, MD, PhD
author_facet Kaori Yonezawa, PhD
Megumi Haruna, PhD
Kiwako Yamamoto-Hanada, MD, PhD
Yukihiro Ohya, MD, PhD
author_sort Kaori Yonezawa, PhD
collection DOAJ
description Background:. Pregnant women with allergies face difficulties, as they tend to avoid medication for symptom control during pregnancy. Moreover, some women experience exacerbations during this period. These difficulties can affect their mental health. Objective:. This study aimed to investigate the factors influencing allergy exacerbations during pregnancy and examine the effects of allergy symptoms on the mental health of pregnant women. Methods:. A cross-sectional study was conducted through web-based research in March 2020, amid the COVID-19 pandemic. Pregnant women were collected from 3 groups (target: 150 participants in each group): atopic dermatitis (AD), allergic rhinitis, and without allergies. We evaluated mental health using Kessler Psychological Distress Scale (K6) and health-related quality of life using the Short Form-8 questionnaire. Results:. Overall, 202 (49.1%) of 411 pregnant women had depressive symptoms, and 45 (10.9%) had severe depressive symptoms. Women with allergies had significantly worse mental health than those without allergies. Among 119 AD patients, 36 (30.3%) experienced exacerbations during pregnancy. Of them, 11 (30.6%) did not consult a practitioner and endured the exacerbation. A significant association was observed between severe prepregnancy symptoms, job situation, coping with symptoms of AD during pregnancy, and AD exacerbation. Among 210 rhinitis patients, 17.1% experienced rhinitis exacerbation during pregnancy. The presence of rhinitis symptoms in winter and the second trimester was significantly associated with exacerbation. Conclusion:. This study revealed higher rates of depressive symptoms among pregnant women with allergies. The psychological well-being of pregnant women with AD or allergic rhinitis should be considered.
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spelling doaj.art-36054d30ab8248cbbdf86aff4a6991a72022-12-22T00:29:00ZengWolters KluwerInternational Journal of Women's Dermatology2352-64752022-03-0181e00210.1097/JW9.0000000000000002202203000-00004Exacerbation and severity of allergic symptoms during pregnancy and their impact on mental healthKaori Yonezawa, PhD0Megumi Haruna, PhD1Kiwako Yamamoto-Hanada, MD, PhD2Yukihiro Ohya, MD, PhD3a Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japana Department of Midwifery and Women’s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japanc Allergy Center, National Center for Child Health and Development, Tokyo, Japanc Allergy Center, National Center for Child Health and Development, Tokyo, JapanBackground:. Pregnant women with allergies face difficulties, as they tend to avoid medication for symptom control during pregnancy. Moreover, some women experience exacerbations during this period. These difficulties can affect their mental health. Objective:. This study aimed to investigate the factors influencing allergy exacerbations during pregnancy and examine the effects of allergy symptoms on the mental health of pregnant women. Methods:. A cross-sectional study was conducted through web-based research in March 2020, amid the COVID-19 pandemic. Pregnant women were collected from 3 groups (target: 150 participants in each group): atopic dermatitis (AD), allergic rhinitis, and without allergies. We evaluated mental health using Kessler Psychological Distress Scale (K6) and health-related quality of life using the Short Form-8 questionnaire. Results:. Overall, 202 (49.1%) of 411 pregnant women had depressive symptoms, and 45 (10.9%) had severe depressive symptoms. Women with allergies had significantly worse mental health than those without allergies. Among 119 AD patients, 36 (30.3%) experienced exacerbations during pregnancy. Of them, 11 (30.6%) did not consult a practitioner and endured the exacerbation. A significant association was observed between severe prepregnancy symptoms, job situation, coping with symptoms of AD during pregnancy, and AD exacerbation. Among 210 rhinitis patients, 17.1% experienced rhinitis exacerbation during pregnancy. The presence of rhinitis symptoms in winter and the second trimester was significantly associated with exacerbation. Conclusion:. This study revealed higher rates of depressive symptoms among pregnant women with allergies. The psychological well-being of pregnant women with AD or allergic rhinitis should be considered.http://journals.lww.com/10.1097/JW9.0000000000000002
spellingShingle Kaori Yonezawa, PhD
Megumi Haruna, PhD
Kiwako Yamamoto-Hanada, MD, PhD
Yukihiro Ohya, MD, PhD
Exacerbation and severity of allergic symptoms during pregnancy and their impact on mental health
International Journal of Women's Dermatology
title Exacerbation and severity of allergic symptoms during pregnancy and their impact on mental health
title_full Exacerbation and severity of allergic symptoms during pregnancy and their impact on mental health
title_fullStr Exacerbation and severity of allergic symptoms during pregnancy and their impact on mental health
title_full_unstemmed Exacerbation and severity of allergic symptoms during pregnancy and their impact on mental health
title_short Exacerbation and severity of allergic symptoms during pregnancy and their impact on mental health
title_sort exacerbation and severity of allergic symptoms during pregnancy and their impact on mental health
url http://journals.lww.com/10.1097/JW9.0000000000000002
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