Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates

Objective: To evaluate the temporal and case-controlled correlations of anxiety, depression and stress with hyperemesis gravidarum Study Design: We performed a longitudinal cohort study of women with hyperemesis gravidarum using the Depression, Anxiety and Stress Scale (DASS-21) to evaluate psycholo...

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Main Authors:	Tan, P.C., Zaidi, S.N., Azmi, N., Omar, S.Z., Khong, S.Y.
Format:	Article
Published:	Public Library of Science 2014
Subjects:	R Medicine RG Gynecology and obstetrics
Online Access:	http://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0092036&representation=PDF http://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0092036&representation=PDF http://eprints.um.edu.my/10824/1/Tan%2D2014%2DDepression%2C_Anxiety.pdf

id	um-10824
recordtype	eprints
spelling	um-108242017-07-05T01:20:41Z Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates Tan, P.C. Zaidi, S.N. Azmi, N. Omar, S.Z. Khong, S.Y. R Medicine RG Gynecology and obstetrics Objective: To evaluate the temporal and case-controlled correlations of anxiety, depression and stress with hyperemesis gravidarum Study Design: We performed a longitudinal cohort study of women with hyperemesis gravidarum using the Depression, Anxiety and Stress Scale (DASS-21) to evaluate psychological distress at hospitalization and in the third trimester of pregnancy (from 28 weeks gestation). Third pregnancy trimester controls were recruited from routine antenatal clinic attendees who were matched to gestational age at the second DASS-21 assessment in the HG cohort. Results: The prevalences of nausea and vomiting, depression, anxiety and stress caseness in newly hospitalised hyperemesis gravidarum women were 100 and 100, 19, 69 and 21 which by the third trimester had fallen to 15.7 and 9.9, 4, 19 and 3 and in third trimester controls were 15.9 and 14.2, 14, 61 and 20 respectively. Within the hyperemesis gravidarum cohort, nausea, vomiting depression, anxiety and stress reduced significantly by an absolute 84.3 (95 CI 76.2-89.8), 90.1 (82.8-94.2), 14.9 (7.2-23.0), 49.6 (38.6-58.7) and 18.2 (10.4-26.4) respectively between hospitalization for hyperemesis gravidarum and at the third trimester. In the third trimester, when comparing the hyperemesis gravidarum cohort to controls, the risk of nausea or vomiting was similar but depression, anxiety and stress were significantly lower: adjusted odds ratio AOR 0.10 (95 CI 0.03-0.5), 0.11 (0.05-0.23) and 0.08 (0.02-0.33) respectively. Conclusion: Our study revealed a reassuring pattern of a strong rebound from depression, anxiety and stress in women with hyperemesis gravidarum such that by the third pregnancy trimester the level of psychological distress was even lower than in controls. This observation imply that much of the psychological distress in acute hyperemesis gravidarum is self-limiting and probably in the causal pathway of hyperemesis gravidarum. Care in women with hyperemesis gravidarum should focus on the relief of nausea and vomiting. Public Library of Science 2014 Article PeerReviewed application/pdf http://eprints.um.edu.my/10824/1/Tan%2D2014%2DDepression%2C_Anxiety.pdf http://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0092036&representation=PDF Tan, P.C.; Zaidi, S.N.; Azmi, N.; Omar, S.Z.; Khong, S.Y. (2014) Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates. PLoS ONE <http://eprints.um.edu.my/view/publication/PLoS_ONE.html>, 9 (3). ISSN 1932-6203 http://eprints.um.edu.my/10824/
repository_type	Digital Repository
institution_category	Local University
institution	University Malaya
building	UM Research Repository
collection	Online Access
topic	R Medicine RG Gynecology and obstetrics
spellingShingle	R Medicine RG Gynecology and obstetrics Tan, P.C. Zaidi, S.N. Azmi, N. Omar, S.Z. Khong, S.Y. Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates
description	Objective: To evaluate the temporal and case-controlled correlations of anxiety, depression and stress with hyperemesis gravidarum Study Design: We performed a longitudinal cohort study of women with hyperemesis gravidarum using the Depression, Anxiety and Stress Scale (DASS-21) to evaluate psychological distress at hospitalization and in the third trimester of pregnancy (from 28 weeks gestation). Third pregnancy trimester controls were recruited from routine antenatal clinic attendees who were matched to gestational age at the second DASS-21 assessment in the HG cohort. Results: The prevalences of nausea and vomiting, depression, anxiety and stress caseness in newly hospitalised hyperemesis gravidarum women were 100 and 100, 19, 69 and 21 which by the third trimester had fallen to 15.7 and 9.9, 4, 19 and 3 and in third trimester controls were 15.9 and 14.2, 14, 61 and 20 respectively. Within the hyperemesis gravidarum cohort, nausea, vomiting depression, anxiety and stress reduced significantly by an absolute 84.3 (95 CI 76.2-89.8), 90.1 (82.8-94.2), 14.9 (7.2-23.0), 49.6 (38.6-58.7) and 18.2 (10.4-26.4) respectively between hospitalization for hyperemesis gravidarum and at the third trimester. In the third trimester, when comparing the hyperemesis gravidarum cohort to controls, the risk of nausea or vomiting was similar but depression, anxiety and stress were significantly lower: adjusted odds ratio AOR 0.10 (95 CI 0.03-0.5), 0.11 (0.05-0.23) and 0.08 (0.02-0.33) respectively. Conclusion: Our study revealed a reassuring pattern of a strong rebound from depression, anxiety and stress in women with hyperemesis gravidarum such that by the third pregnancy trimester the level of psychological distress was even lower than in controls. This observation imply that much of the psychological distress in acute hyperemesis gravidarum is self-limiting and probably in the causal pathway of hyperemesis gravidarum. Care in women with hyperemesis gravidarum should focus on the relief of nausea and vomiting.
format	Article
author	Tan, P.C. Zaidi, S.N. Azmi, N. Omar, S.Z. Khong, S.Y.
author_facet	Tan, P.C. Zaidi, S.N. Azmi, N. Omar, S.Z. Khong, S.Y.
author_sort	Tan, P.C.
title	Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates
title_short	Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates
title_full	Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates
title_fullStr	Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates
title_full_unstemmed	Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates
title_sort	depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates
publisher	Public Library of Science
publishDate	2014
url	http://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0092036&representation=PDF http://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0092036&representation=PDF http://eprints.um.edu.my/10824/1/Tan%2D2014%2DDepression%2C_Anxiety.pdf
first_indexed	2018-09-06T05:53:27Z
last_indexed	2018-09-06T05:53:27Z
_version_	1610836300844236800

Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates

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