Symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage: a cross-sectional study

This study was conducted between March 2020 and February 2021 to analyze anxiety and depression symptoms in 64 women with gestational trophoblastic disease (GTD) and 99 women who had miscarried. The Hospital Anxiety and Depression Scale (HADS) was applied by telephone three months after pregnancy lo...

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Main Authors: Paula Jaeger Tenório, Leila Katz, Melania Maria Ramos Amorim
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
Subjects:
Online Access:http://dx.doi.org/10.1080/0167482X.2023.2210747
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author Paula Jaeger Tenório
Leila Katz
Melania Maria Ramos Amorim
author_facet Paula Jaeger Tenório
Leila Katz
Melania Maria Ramos Amorim
author_sort Paula Jaeger Tenório
collection DOAJ
description This study was conducted between March 2020 and February 2021 to analyze anxiety and depression symptoms in 64 women with gestational trophoblastic disease (GTD) and 99 women who had miscarried. The Hospital Anxiety and Depression Scale (HADS) was applied by telephone three months after pregnancy loss. Multivariate analysis was performed using hierarchical logistic regression to evaluate associations between variables. Probable anxiety (HADS-A ≥ 8) and depression (HADS-D ≥ 8) were found in 53.1% and 43.8% of the GTD group and 49.5% and 39.4% of the miscarriage group, with no difference between the groups. Severe symptoms of anxiety (HADS-A 15-21) and depression (HADS-D 15-21) were found, respectively, in 12.5% and 4.7% of the GTD group and in 9.1% and 4.0% of the miscarriage group, also with no difference between the groups. Lack of partner support proved a risk factor for anxiety and depression, while poor education increased the risk of depression symptoms 3.43-fold following pregnancy loss. In conclusion, three months after pregnancy loss the frequency of anxiety and depression symptoms was similarly high in both groups, with poor education and lack of partner support being significant risk factors for the subsequent development of psychiatric morbidity.
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spelling doaj.art-d8c48d6d2f884575978128052d024bef2023-09-14T12:44:02ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422023-12-0144110.1080/0167482X.2023.22107472210747Symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage: a cross-sectional studyPaula Jaeger Tenório0Leila Katz1Melania Maria Ramos Amorim2Department of Comprehensive Health, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)Department of Comprehensive Health, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)Department of Comprehensive Health, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)This study was conducted between March 2020 and February 2021 to analyze anxiety and depression symptoms in 64 women with gestational trophoblastic disease (GTD) and 99 women who had miscarried. The Hospital Anxiety and Depression Scale (HADS) was applied by telephone three months after pregnancy loss. Multivariate analysis was performed using hierarchical logistic regression to evaluate associations between variables. Probable anxiety (HADS-A ≥ 8) and depression (HADS-D ≥ 8) were found in 53.1% and 43.8% of the GTD group and 49.5% and 39.4% of the miscarriage group, with no difference between the groups. Severe symptoms of anxiety (HADS-A 15-21) and depression (HADS-D 15-21) were found, respectively, in 12.5% and 4.7% of the GTD group and in 9.1% and 4.0% of the miscarriage group, also with no difference between the groups. Lack of partner support proved a risk factor for anxiety and depression, while poor education increased the risk of depression symptoms 3.43-fold following pregnancy loss. In conclusion, three months after pregnancy loss the frequency of anxiety and depression symptoms was similarly high in both groups, with poor education and lack of partner support being significant risk factors for the subsequent development of psychiatric morbidity.http://dx.doi.org/10.1080/0167482X.2023.2210747gestational trophoblastic diseasemiscarriageanxietyabortiondepression
spellingShingle Paula Jaeger Tenório
Leila Katz
Melania Maria Ramos Amorim
Symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage: a cross-sectional study
Journal of Psychosomatic Obstetrics and Gynecology
gestational trophoblastic disease
miscarriage
anxiety
abortion
depression
title Symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage: a cross-sectional study
title_full Symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage: a cross-sectional study
title_fullStr Symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage: a cross-sectional study
title_full_unstemmed Symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage: a cross-sectional study
title_short Symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage: a cross-sectional study
title_sort symptoms of anxiety and depression in women with gestational trophoblastic disease compared to women who had a miscarriage a cross sectional study
topic gestational trophoblastic disease
miscarriage
anxiety
abortion
depression
url http://dx.doi.org/10.1080/0167482X.2023.2210747
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AT leilakatz symptomsofanxietyanddepressioninwomenwithgestationaltrophoblasticdiseasecomparedtowomenwhohadamiscarriageacrosssectionalstudy
AT melaniamariaramosamorim symptomsofanxietyanddepressioninwomenwithgestationaltrophoblasticdiseasecomparedtowomenwhohadamiscarriageacrosssectionalstudy