scholarly journals SYSTEMIC CLINICAL AND PSYCHOLOGICAL RISK FACTORS OF THREATENED MISCARRIAGE IN WOMEN WITH EXTRAGENITAL PATHOLOGY

2020 ◽  
Vol 13 (2) ◽  
pp. 46-61
Author(s):  
Anna Leonidovna Uliyanich ◽  
Lyubov Aglyamovna Agarkova ◽  
Svetlana Borisovna Leshchinskaya ◽  
Irina Georgievna Kutsenko ◽  
Galina Aleksandrovna Mikheenko
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Social Status ◽  
Pregnancy Termination ◽  
Unwanted Pregnancy ◽  
Psychological Resources ◽  
Psychological Risk Factors ◽  
Healthy Pregnancy ◽  
Threatened Miscarriage ◽  
Psychological Risk

Background: The present study focuses on the problem of pregnancy maintaining in women with specific somatic conditions (an extragenital pathology). Aim: The paper aims to establish systemic clinical and psychological risk factors for the development of pregnancy termination in women with extragenital pathology, as well as determine the psychological markers of pregnancy termination and the psychological resources for maintaining a healthy pregnancy. Materials and methods: The data were obtained from the medical records of pregnant women, sociodemographic questionnaires and psychodiagnostic tests. The descriptive, comparative, correlational and discriminant methods were used for statistical analysis. 100 women participated in the study, 50 of them had the risk of pregnancy termination. Results: The risk factors of threatened miscarriage in women with extragenital pathology were identified: unconditional faith in God and transfer of the responsibility for pregnancy and childbirth; an unwanted pregnancy; negative attitude to all pregnancy-related restrictions; the dominant motive for pregnancy maintenance characterized by the wish to achieve a new social status; high self-worth; heightened self-esteem and lack of self-value and child significance; rigidity, tendency to behave and think stereotypically. The markers of pregnancy termination development were revealed: women’s desire to satisfy their needs for finding the meaning of life and for new social status achievement. The resources for healthy pregnancy were identified: the acceptance of pregnancy with all its physiological and social changes; value of the child and interest in his/her intrauterine manifestations; responsibility taking and vital activity. Higher activity indicators were associated with more favorable psychoemotional status (lower frustration and anxiety and higher positive emotions) and higher probability of pregnancy maintenance. Conclusion: The study contributes to the development of comprehensive programs of medical and psychological support for pregnant women with somatic pathologies as well as to the practice of pre-pregnancy counseling.

Prevalence and Significance of Social and Psychological Risk Factors During Pregnancy

1992 ◽  
Vol 8 (S1) ◽  
pp. 123-128 ◽  
Author(s):  
Gunilla Sydsjö
Keyword(s):  
Risk Factors ◽  
Child Development ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Psychosocial Problems ◽  
Psychological Risk Factors ◽  
Obstetrical Complications ◽  
Psychological Risk

AbstractModerate psychosocial problems identified during early pregnancy in 78 women were found to predispose for various “complications” during gestation, but not for prematurity or obstetrical complications during delivery. However, from a normal postnatal status the children of these mothers demonstrated a significantly unfavorable somatic, as well as psychomotoric development, until the age of 4. Pregnant women with certain psychosocial problems must be early identified and property attended to in order to preclude an adverse child development.

scholarly journals Sociodemographic and Psychological Risk Factors for Anxiety and Depression: Findings from the Covid-19 Health and Adherence Research in Scotland on Mental Health (CHARIS-MH) Cross-sectional Survey

2021 ◽  
Author(s):  
Gill Hubbard ◽  
Chantal den Daas ◽  
Marie Johnston ◽  
Diane Dixon
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Social Support ◽  
Illness Representations ◽  
Gender Effects ◽  
Anxiety And Depression ◽  
Perceived Threat ◽  
Cross Sectional ◽  
Psychological Risk Factors ◽  
Psychological Risk

Abstract Background Investigations about mental health report prevalence rates with fewer studies investigating psychological and social factors influencing mental health during the Covid-19 pandemic. Study aims: (1) identify sociodemographic groups of the adult population at risk of anxiety and depression and (2) determine if the following social and psychological risk factors for poor mental health moderated these direct sociodemographic effects: loneliness, social support, threat perception, illness representations. Methods Cross-sectional nationally representative telephone survey in Scotland in June 2020. If available, validated instruments were used, for example, Patient Health Questionnaire (PHQ-4) to measure anxiety and depression. Simple linear regressions followed by examination of moderation effect. Results A total of 1006 participants; median age 53 years, 61.4% female, from all levels of area deprivation (i.e., 3.8% in the most deprived decile and 15.6% in the most affluent decile). Analyses show associations of anxiety and depression with sociodemographic (age, gender, deprivation), social (social support, loneliness) and psychological factors (perceived threat and illness representations). Mental health was poorer in younger adults, women and people living in the most deprived areas. Age effects were exacerbated by loneliness and illness representations, gender effects by loneliness and illness representations and deprivation effects by loneliness, social support, illness representations and perceived threat. In each case, the moderating variables amplified the detrimental effects of the sociodemographic factors. Conclusions These findings confirm the results of pre-Covid-19 pandemic studies about associations between sociodemographics and mental health. Loneliness, lack of social support and thoughts about Covid-19 exacerbated these effects and offer pointers for pre-emptive action.

Papillomaviral infection and cervical diseases in pregnant women. Risk factors of social status, reproductive and contraceptive behavior

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. 74-79
Author(s):  
Tamara N. Bebneva ◽  
Galina B. Dikke
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Social Status ◽  
Significant Risk ◽  
Hpv Infection ◽  
Low Risk ◽  
Contraceptive Behavior ◽  
Regular Screening ◽  
History Of ◽  
Cervical Diseases

Aim. To determine the risk factors for human papillomavirus of high carcinogenic risk (HPV HCR) and cervical diseases (CD) in pregnant women associated with the social status, reproductive and contraceptive behavior. Materials and methods. Design: open-label comparative non-interventional cohort study in parallel groups. The total number of patients 330 people, of whom 148 women were negative for HPV and 182 women were positive. They were divided into 4 groups depending on the presence or absence of CD. Methods: analysis of anamnesis data, general clinical, test Kvant-21 to determine HPV, cytological examination, extended colposcopy. Results. The most significant risk factors for HPV HRS infection were identified: history of mycoplasma infection (OR 5.9) and BV (OR 5.3), alcohol consumption (OR 4.0). A history of STIs (trichomoniasis and chlamydial infection), as well as more than 3 sexual partners (OR 2.7) were also significant. The most significant risk factors for CD in HPV-infected women were: age over 35 years (OR 3.8), a history of bacterial vaginosis (OR 3.0), and lack of regular screening (OR 2.4). The coitarche earlier than 16 years old (OR 2.2) also mattered. There were also found factors indicating a low risk of HPV infection the use of condoms (OR 0.3), and a low risk of CD was indicated by age under 25 years (OR 0.2) and regular screening (OR 0.3). Conclusion. HPV infection with HRS and the prevalence of CMC in pregnant women against the background of HPV infection is associated mainly with social risk factors, to a lesser extent with factors of reproductive and contraceptive behavior.

Chronic low back pain and the transdiagnostic process: How do cognitive and emotional dysregulations contribute to the intensity of risk factors and pain?

2017 ◽  
Vol 17 (1) ◽  
pp. 309-315 ◽  
Author(s):  
Margaux Le Borgne ◽  
Abdel Halim Boudoukha ◽  
Audrey Petit ◽  
Yves Roquelaure
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Multiple Regression ◽  
Chronic Low Back Pain ◽  
Emotional Regulation ◽  
Low Back ◽  
Psychological Risk Factors ◽  
Somatosensory Amplification ◽  
Psychological Risk

AbstractBackground and aimsBased on a transdiagnostic approach, this study assesses the impact of cognitive and emotional processes (difficulties in emotional regulation, impulsiveness, rumination and somatosensory amplification) on the psychological risk factors of chronic low-back pain.MethodsThe study was carried out with 256 patients with chronic low-back pain. All the variables were assessed through a booklet of 10 validated questionnaires. Multiple regression analysis and moderation analysis were performed.ResultsPredictors included in multiple regression models explain 3%-42% (adjusted R2) of the variance in psychological risk factors. Moreover, analyses reveal a significant moderator effect of somatosensory amplification on the link between fear-avoidance beliefs linked to work and pain intensity (F(3;250) = 12.33; p = .00), of somatosensory amplification and brooding on the link between depression and functional repercussions (FR) on everyday life (F(3;252) = 13.36; p = .000; F(1;252) = 12.42; p = .00), of the reflection dimension of rumination on the link between the helplessness dimension of catastrophizing and FRs on sociability (F(3;252) = 37.02; p = .00). There is also a moderation analysis with a significant trend concerning the lack of emotional awareness and the difficulties in controlling impulsive behaviours.ConclusionsOur results indicate an important role of some dimensions of difficulties in emotional regulation, somatosensory amplification and rumination in the increase in negative affects and dysfunctional beliefs, and in the links between those psychological risk factors and pain/disability.ImplicationsThis study identifies some cognitive and emotional dysregulations substantially involved in work-related chronic pain. This contribute to put in place psychotherapeutic protocols to tackle these deficits and dysregulations in a relevant way.

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