Document Detail

Acute maternal social dysfunction, health perception and psychological distress after ultrasonographic detection of a fetal structural anomaly.
MedLine Citation:
PMID:  20528866     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To predict acute psychological distress in pregnant women following detection of a fetal structural anomaly by ultrasonography, and to relate these findings to a comparison group. DESIGN: A prospective, observational study. SETTING: Tertiary referral centre for fetal medicine. POPULATION: One hundred and eighty pregnant women with a fetal structural anomaly detected by ultrasound (study group) and 111 with normal ultrasound findings (comparison group) were included within a week following sonographic examination after gestational age 12 weeks (inclusion period: May 2006 to February 2009). METHODS: Social dysfunction and health perception were assessed by the corresponding subscales of the General Health Questionnaire (GHQ-28). Psychological distress was assessed using the Impact of Events Scale (IES-22), Edinburgh Postnatal Depression Scale (EPDS) and the anxiety and depression subscales of the GHQ-28. Fetal anomalies were classified according to severity and diagnostic or prognostic ambiguity at the time of assessment. MAIN OUTCOME MEASURES: Social dysfunction, health perception and psychological distress (intrusion, avoidance, arousal, anxiety, depression). RESULTS: The least severe anomalies with no diagnostic or prognostic ambiguity induced the lowest levels of IES intrusive distress (P = 0.025). Women included after 22 weeks of gestation (24%) reported significantly higher GHQ distress than women included earlier in pregnancy (P = 0.003). The study group had significantly higher levels of psychosocial distress than the comparison group on all psychometric endpoints. CONCLUSIONS: Psychological distress was predicted by gestational age at the time of assessment, severity of the fetal anomaly, and ambiguity concerning diagnosis or prognosis.
A Kaasen; A Helbig; U F Malt; T Naes; H Skari; G Haugen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-28
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  117     ISSN:  1471-0528     ISO Abbreviation:  BJOG     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-07     Completed Date:  2010-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  1127-38     Citation Subset:  AIM; IM    
Department of Obstetrics, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
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MeSH Terms
Anxiety / etiology
Attitude to Health*
Depressive Disorder / etiology
Fetus / abnormalities*
Interpersonal Relations
Mothers / psychology*
Pregnancy Complications / psychology*
Prospective Studies
Self Concept
Social Isolation
Stress, Psychological / etiology*
Ultrasonography, Prenatal / psychology*
Young Adult

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