FEATURES OF DEPRESSIVE DISORDER IN WOMAN DURING PREGNANCY

Antonina Molotokas

Antonina Molotokas

Keywords: pregnancy, anxiety, depression, depressive disorder, research, postpartum period.

Abstract

Purpose of the article is to show features of depressive disorder during pregnancy and how it can be different according to various personal indicators. Pregnancy and depression often go hand in hand. This condition affects about every tenth pregnant woman. According to recent research, sudden surges and changes in the hormonal background that accompany the entire pregnancy can really affect brain biochemistry, which in turn can lead to real clinical depression. The procedure of research registered at the women's consultation and obstetric ward and pathology department of pregnancy in Maternity hospital No. 3 (Kyiv). It lasted for 5 months. The group of pregnant women consisted of 100 people aged 18 to 42 years. Among them were 35 women in 1 trimester of pregnancy, 40 women in 2 trimester of pregnancy, 25 women in 3 trimester of pregnancy. To identify the presence and severity of depression among pregnant women, we used the following methods: Hamilton Depression Scale, Behterev Depression Questionnaire (female version).
Anxiety and depression in women during pregnancy require early detection and correction due to their significant negative impact on pregnancy, childbirth, postpartum and further psychophysical development and social adaptation of children. Different indicators of age and trimester affect the level of expression of the depressive disorder. If woman had problems with conception or she was treated for infertility, the probability of her depression in her pregnancy increases by 10 times. Depression may be more likely to eclipse pregnancy and women who have suffered mental illness, anxiety, or depression before conception. This disorder may also occur in problematic relationships, as well as in situations where relatives have had a depression or mental illness, a woman has already had a miscarriage or her current pregnancy is a high-risk group. Depression during pregnancy has significant implications for pregnancy outcomes and maternal and child health. There is a need to identify which family, physical and mental health factors are associated with depression during pregnancy.

References

Bárbara Figueiredo, Ana Conde (2011). Anxiety and depression symptoms in women and men from early pregnancy to 3-months postpartum. Journal of affective disorders, No. 132, 146-157. Beck C.T. (1996). A meta-analysis of predictors of postpartum depression. PubMed, No. 45, 297-303. Eydemiller E.G., Dobryakov I.V., Nikolskaya I.M. (2003). Semeynyiy diagnoz i semeynaya psihoterapiya: ucheb. posobie. SPb: Rech. Evans J.(Ed.). (2001). Cohort study of depressed mood during pregnancy and after childbirth . BMJ, 323, 257. https://doi.org/10.1136/bmj.323.7307.257 Filippova, G.G. (Ed.). (1996). Razvitie materinskogo povedeniya v ontogeneze. Psihologiya segodnya. Ezhegodnik Rossiyskogo psihologicheskogo obschestva, 3, 133. Filippova, G.G. (Ed.). (2002). Psihologiya materinstva: ucheb. posobie. Moskva: Yzd-vo Ynstytuta Psykhoterapyy. Kolesnikov I. (2012). Nevroticheskie depressivnyie rasstroystva i semeynoe funktsionirovanie u beremennyih zhenschin. Retrieved from HTTP://MPRJ.RU/ARCHIV_GLOBAL/2012_5_16/NOMER/NOMER05.PHP McNeil T.F., Blennow G. A. (1988). Prospective study of postpartum psychoses in a highrisk group. Relationship of birth complication and neonatal abnormality. Acta Psychiatrica Scandinavica, 78, 613-617. Nechaeva, M.A. (2005). Psihologicheskie faktoryi ontogeneza materinskoy sferyi, vnutrenney kartinyi beremennosti i perinatalnogo razvitii. Chelyabinsk:YUrGU. O'Hara M.W., Zekoski E.M., Philipps L.H. (1990). Controlled prospective study of post-partum mood disorders: comparison of childbearing and nonchildbearing women. J Abnorm Psychology, 99, 3-15. Pushkareva T.M. (2005). Poslerodovaya depressiya: rasprostranennost, klinika, dinamika. Kyiv: Psihichne zdorov’ya. Pushkareva T.M. (2017). Algorytm skryningovoyi diagnostyky depresyvnyx ta tryvozhno-depresyvnyx rozladiv u zhinok pid chas vagitnosti ta pislya pologiv. Kyiv: Zdorov`e zhenschynu, 1, 62-66. Targum S.D. (1979). Dealing with psychosis during pregnancy. JAPhA, Vol. 9, 18-21. https://doi.org/10.1016/S0160-3450(15)32299-6 Zabolzaeva I.V., Kozlova M.A., Cherny`sheva L.V. (1998). Vliyanie psikhotravmiruyushhikh situaczij vo vremya beremennosti na dal`nejshee razvitie rebenka. SPb: Akademiya mediko-soczial`nogo upravleniya.