en شیوع اختلالات روانشناختی در زنان باردار سالم و پرخطر: یک مطالعه مقطعی Reproductive Psycology Original Article Original Article <div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">اختلالات روانشناختی رایج در دوران بارداری می</span></span><span lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">تواند تأثیرات مضر آشکاری بر مادر و کودک داشته باشد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف از انجام مطالعه حاضر، بررسی شیوع اختلالات روانشناختی در زنان باردار سالم و پرخطر بود.</span></span><b><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial",sans-serif"></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مواد و روش &shy;ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مطالعه مقطعی حاضر بر روی 400 زن باردار سالم و پرخطر مراجعه</span></span><span lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">کننده به بیمارستان افضلی&shy;پور شهر کرمان در سال 97-96 انجام شد. همه زنان باردار به روش سرشماری وارد مطالعه شدند. ابزار جمع&nbsp;</span></span><span lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">آوری داده</span></span><span lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">ها پرسشنامه </span></span><span dir="LTR" style="font-size:10.0pt">SCL-90 (Symptom checklist)</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> بود. </span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">میانگین سن زنان باردار 8/6</span></span><span lang="FA" style="font-size:10.0pt"> &plusmn; </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">1/29 سال بود. 6/7%، دیابت </span></span><span dir="LTR" style="font-size:10.0pt">GDM</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، 9/%5 فشار خون بالا بارداری، 6/6%، سابقه </span></span><span dir="LTR" style="font-size:10.0pt">IVF</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> و 5/17%، سابقه یک نوبت سقط داشتند. 2/61 و 5/65 درصد زنان پرخطر، به</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">ترتیب، افسردگی و اضطراب مرزی داشتند. میان زنان سالم و پر</span></span><span lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">خطر از لحاظ ابتلا به افسردگی (019/0</span></span> <span lang="FA" style="font-size:10.0pt">=</span><span dir="LTR" style="font-size:10.0pt">p</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">)، اضطراب (049/0</span></span> <span lang="FA" style="font-size:10.0pt">=</span><span dir="LTR" style="font-size:10.0pt">p</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) و پرخاشگری (013/0</span></span> <span lang="FA" style="font-size:10.0pt">=</span><span dir="LTR" style="font-size:10.0pt">p</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">)، اختلاف معنی</span></span><span lang="FA" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">داری وجود داشت و فراوانی این متغیرها در زنان پرخطر بیشتر از زنان سالم بود.</span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه&shy; گیری:</span></span></b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> بروز اختلالات روانی در زنان باردار پرخطر در ابعاد افسردگی، پرخاشگری و اضطراب نسبت به گروه باردار سالم به</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">طور معنی</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">دار بالاتر بود. با توجه به شیوع بالای این اختلالات در زنان باردار پرخطر، ایجاد برنامه</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های آموزشی در طی حاملگی برای زنان پر</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">خطر و اطرافیان آنها، انجام مشاوره</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های روانشناختی، آموزش همسر و اطرافیان در جهت حمایت مادر و حفظ بهداشت روان در خانواده، شناسایی زنان پرخطر تحت استرس و آموزش چگونگی تعدیل و مقابله با استرس</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های دوران بارداری از</span></span> <span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">جمله مواردی است که باید در برنامه</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span cambria="" style="font-family:">&shy;</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های ارتقاء بهداشت روان زنان باردار پرخطر گنجانیده شود.</span></span></div> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b>Background: </b>Common psychological disorders during pregnancy can have obvious harmful effects on both mother and fetus.<br> <b>Objective: </b>This study aimed to investigate the prevalence of psychological symptoms in low and high-risk pregnant women.<br> <b>Materials and Methods:</b> This cross-sectional study was conducted on 400 low-risk and high-risk pregnant women in Afzalipour hospital, Kerman, Iran from December 2017-2018. Participants were selected by census method, and the data collection tool was a 90-item questionnaire named Symptom Checklist-90.<br> <b>Results:</b> The mean age of pregnant women was 29.1 &plusmn; 6.8 yr. 7.6% had gestational diabetes mellitus, 5.9% had pregnancy hypertension, 6.6% had a history of in vitro fertilization, and 17.5% had a history of one miscarriage. 61.2 and 65.5% of high-risk women had depression and anxiety, respectively. A significant difference was observed between low-risk and high-risk women in terms of depression (p = 0.019), anxiety (p = 0.049), and aggression (p = 0.013), and the frequency of these variables was higher in high-risk women than in low-risk women.<br> <b>Conclusion:</b> According to age, education, and gestational period, the differences between 2 groups (low-risk and high-risk) were significant. Compared with low-risk women, high-risk pregnant women reported a higher prevalence of psychological symptoms in 10 factors. High-risk pregnant women had a significantly higher prevalence of somatization symptoms, obsessive-compulsive symptoms, depression symptoms, anxiety symptoms, hostility symptoms, and paranoid ideation than low-risk women. Therefore, educational programs during pregnancy for high-risk women can be useful.</span></span></span> اختلالات روانی, زنان باردار, بارداری پرخطر. Psychiatric disorders, Pregnant women, High-risk pregnancy. 295 302 http://ijrm.ir/browse.php?a_code=A-10-2009-2&slc_lang=en&sid=1 Maryam Dalili mdalili@kmu.ac.ir 0000-0003-1550-6031 Yes Department of Obstetrics and Gynecology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran. Ali Mehdizadeh mehdizadeh93@gmail.com 0000-0002-3846-9029 No Kerman University of Medical Sciences, Kerman, Iran. Maryam Nodinnejad nodinnezhad.m73@gmail.com 0009-0005-3781-781X No Kerman University of Medical Sciences, Kerman, Iran. Fatemeh Karami Robati f.karami@kmu.ac.ir 0000-0002-0193-664X No Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran.