Prevalence and clinical picture of nonpsychotic mental disorders in women in late pregnancy

Prevalence and clinical picture of nonpsychotic mental disorders in women in late pregnancy

 

Authors

 

T.A. Kozhevnikova

Federal State Budgetary Educational Institution of Higher Education “Krasnoyarsk State Pedagogical University

named after V.P. Astafiev” of the Ministry of Education of the Russian Federation, Krasnoyarsk, Russian Federation

O.V. Kostareva

Federal State Budgetary Educational Institution of Higher Education “Krasnoyarsk State Medical University named after Prof. V.F. Voyno-Yasenetsky” of the Ministry of Health of the Russian Federation, Krasnoyarsk, Russian Federation

V.V. Kostarev

Federal State Budgetary Educational Institution of Higher Education “Krasnoyarsk State Agrarian University”

of the Ministry of Education of the Russian Federation, Krasnoyarsk, Russian Federation

 

https://doi.org/10.26617/1810-3111-2023-2(119)-49-59

 

Journal: Siberian Herald of Psychiatry and Addiction Psychiatry. 2023; 2 (119):  49-59.

 

Abstract

Background. The present study examines the prevalence and clinical presentation of non-psychotic mental disorders (NPMD) in uncomplicated pregnancies and their impact on the course of pregnancy. Objective: to identify psychological predictors of mental health problems when women experience pregnancy in the second trimester. Materials and Methods. The work was performed based on the Krasnoyarsk Interdistrict Maternity Hospital No. 5 with the participation of pregnant women (n=60) with an uncomplicated pregnancy of 20-40 weeks. Inclusion criteria: no history of severe chronic somatic (diabetes mellitus, arterial hypertension, autoimmune diseases) and mental (schizophrenia, bipolar affective disorder, epilepsy) pathology, malformations of the reproductive sphere, uterine scar after surgical interventions, severe pathology of reproductive sphere, consent to participation. Psychometric methods were used: clinical interview, observation, standardized interview using a specially designed questionnaire. For the differential assessment of neurotic and neurosis-like states in the groups of pregnant women, the questionnaire of neurotic disorders (QND) was used. For statistical data processing, the STATISTIKA software package was used. The results were considered statistically significant at p<0.05. During the study, pregnant women were divided into three groups (20 persons each) according to the duration of pregnancy: group A (20 weeks), group B (30 weeks), group C (40 weeks). Results. During pregnancy, all women were characterized by increased emotional sensitivity, impressionability, vulnerability, anxiety. The state of psycho-emotional tension with anxiety of different levels was found in 40% of women. Compared with pregnant women of groups A and C, women from group B were more irritable, anxious and socially distant, had a greater need for solitude, and were less self-confident. The level of neuroticism increased with increasing gestational age, the highest level of neuroticism was found in group B with a period of 30 weeks, which was associated with a deterioration in general well-being and a large number of psychopathological manifestations caused by subjective experiences (anxiety, excitability, hypochondria, phobic disorders, obsessive thoughts and actions). Conclusion. The findings can be used to develop a system of psychological prevention with the inclusion of psychotherapy methods, especially in women with a period of 30 weeks of pregnancy, characterized by the highest level of neuroticism. Preliminary results of the study suggest that in pregnant women there is a disturbance of the multimodal mental state, which is caused by the experience of pregnancy symptoms and is a risk factor for the deterioration of mental health with the formation of NPMD.

 

Keywords: pregnancy, nonpsychotic mental disorders, neurotic disorders, vegetovascular dystonia, psychological testing, women, maladjustment, psychological and psychotherapeutic support of pregnancy.

 

Article (pdf)

 

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Materials  

For citation: Kozhevnikova T.A., Kostareva O.V., Kostarev V.V. Prevalence and clinical picture of nonpsychotic mental disorders in women in late pregnancy. Siberian Herald of Psychiatry and Addiction Psychiatry. 2023; 2(119): 49-59. https://doi.org/10.26617/1810-3111-2023-2(119)-49-59

 

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