PREVALENCE OF PERSONALITY TYPE «D» IN PATIENTS IN THE THIRD TRIMESTER OF PREGNANCY
Main Article Content
Abstract
Objective – to study the frequency of occurrence of personality type D in pregnant women in the third trimester and assess its relationship with obstetric complications.
Materials and methods. The study was conducted at the L.A. Reshetova Perinatal center of the Kemerovo regional clinical hospital named after S.V. Belyaev. The study included 94 pregnant women who were hospitalized in the Department of pregnancy pathology in a third-level hospital. The exclusion criterion was the condition pre-eclampsia.
The Type D scale questionnaire (DS-14) was used to determine the type D personality type. The questionnaire consisted of two subscales containing 7 questions each: negative affectivity (NA) and social suppression (SI). The answer to each question was evaluated on a 5-point scale (from 0 to 4). At values of ≥ 10 points for each of the subscales, the presence of personality type d was diagnosed.
Results. When analyzing the survey data, type D was detected in 44 patients, which was 47.0 %. The average age of patients with type D was 29.8 ± .2 years, and patients without type D – 31.2 ± 4.4 years (p = 0.22). Despite the absence of differences in the groups for extragenital pathology and pregnancy complications, the group of women with type D personality is characterized by an increased tendency to experience anxiety, sadness, anxiety and other negative emotions. It is these patients who are much more emotionally difficult, endure the period before childbirth, and are more worried about their condition.
Conclusion. Despite the fact that anxiety in pregnant women is a temporary condition that they cope with independently or together with their family, a long, constant stay in a depressed state can lead to depression and negatively affect the course of pregnancy and fetal development. Detection of anxiety, increased anxiety, and negative emotional state in pregnant women before childbirth is an important aspect of the work of prenatal diagnostics specialists and psychologists to prevent the development of depression in women.
Keywords
Article Details
Information about financing and conflict of interests
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
How to Cite
References
Mazo GZ, Nikiforova YuS, Ganzenko MA. Therapy of depression during pregnancy: finding a solution in conditions of uncertainty. Modern Therapy of Mental Disorders. 2015; 3: 8-13. Russian (Мазо Г.З., Никифорова Ю.С., Ганзенко М.А. Терапия депрессии при беременности: поиск решения в условиях неопределенности //Современная терапия психических расстройств. 2015. № 3. С. 8-13)
Aleshina EA. Cognitive disorders, anxiety and depression in pregnant women: a modern view of the problem. Perinatology. 2016; 2: 22-27. Russian (Алешина Е.А. Когнитивные нарушения, тревога и депрессия у беременных: современный взгляд на проблему //Перинатология. 2016. № 2. С. 22-27)
Kostenko IV, Olenko ES, Vedishchev SI, Rogozhina IE, Kodochigova AI, Subbotina VG. Types of accentuations of character and condition of affective sphere at women with gestosis of second half of pregnancy. Tambov University Reports. Series Natural and Technical Sciences. 2013; 18(4-1): 1302-1304. Russian (Костенко И.В., Оленко Е.С., Ведищев С.И., Рогожина И.Е., Кодочигова А.И., Субботина В.Г. Типы акцентуаций характера и состояние аффективной сферы у женщин с гестозом второй половины беременности //Вестник Тамбовского университета. Серия: Естественные и технические науки. 2013. Т. 18, № 4-1. С. 1302-1304)
Josefsson A, Angelsioo L., Berg G, Ekstrom CM, Gunnervik C et al. Obstetric, somatic and demographic risk factors for postpartum depressive symptoms. Obstet Gynecol. 2002; 99: 223-228
Nagananda MS, Sengupta A, Rehman SMK, Santhosh J, Anand S. Identifying Prospective Biomarkers for Cognitive Impairments during Pregnancy – Review of Current Status and Some Preliminary Results et al. Gynecol Obstetric. 2012; S: 8. DOI: 10.4172/2161-0932.S8-001
Glover V, O'Connor TG. Effects of antenatal maternal stress or anxiety: from fetus to child. In: Hopkins B, Johnson SP, editors. Prenatal development of postnatal functions. Westport CT: Praeger, 2005. P. 221-245
O'Connor TG, Heron J, Golding J, Glover V. Maternal antenatal anxiety and behavioural/emotional problems in children: a test of a programming hypothesis. Journal of Child Psychology and Psychiatry. 2003; 44(7): 1025-1036
Filippova GG, Pechnikova EYu. From perinatal psychotherapy to reproductive psychology: modern trends in the development of modality. Psychotherapy. 2014; 1: 36-41. Russian (Филиппова Г.Г., Печникова Е.Ю. От перинатальной психотерапии – к репродуктивной психологии: современные тенденции развития модальности //Психотерапия. 2014. № 1. С. 36-41)
Elgina SI, Zolotorevskaya OS, Razumova VO, Kratovsky AYu. Medico-social characteristics of a woman before terminating pregnancy in early terms. Mother and Baby in Kuzbass. 2018; 2: 44-47. Russian (Елгина С.И., Золоторевская О.С., Разумова В.О., Кратовский А.Ю. Медико-социальная характеристика женщин перед прерыванием беременности в ранние сроки //Мать и Дитя в Кузбассе. 2018. № 2. С. 44-47)
Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005; 67(1): 89-97
Denollet J, Schiffer AA, Spek V. A general propensity to psychological distress affects cardiovascular outcomes: evidence from research on the type D (distressed) personality profile. Circ Cardiovasc Qual Outcomes. 2010; 3(5): 546-557
Mols F, Denollet J. Type D personality in the general population: a systematic review of health status, mechanisms of disease, and workrelated problems. Health Qual Life Outcomes. 2010; 8(1): 9
Hausteiner C, Klupsch D, Emeny R et al. KORA Investigators Clustering of negative affectivity and social inhibition in the community: prevalence of type D personality as a cardiovascular risk marker. Psychosom Med. 2010; 72(2): 163-171
Sumin AN, Sumina LYu, Barbarash NA. Personality Type in healthy individuals: prevalence and features of psychological status. Medicine in Kuzbass. 2011; 10(4): 45-49. Russian (Сумин А.Н., Сумина Л.Ю., Барбараш Н.А. Тип личности у здоровых лиц: распространенность и особенности психологического статуса //Медицина в Кузбассе. 2011. T. 10, № 4. С. 45-49)
Pelle AJ, Schiffer AA, Smith OR et al. Inadequate consultation behavior modulates the relationship between Type D personality and impaired health status in chronic heart failure. Int J Cardiol. 2010; 142(1): 65-71
Zubavina KV, Nazarov SB, Malyshkina AI, Akimov AA, Khuraseva AB. Age features of physiological indicators that determine biological age in the dynamics of physiological pregnancy. Obstetrics. Gynecology. Reproduction. 2018; 12(2): 5-11. Russian (Зубавина К.В., Назаров С.Б., Малышкина А.И., Акимова А.А., Хурасева А.Б. Возрастные особенности физиологических показателей, определяющих биологический возраст, в динамике физиологической беременности //Акушерство. Гинекология. Репродукция. 2018. Т. 12, № 2. С. 5-11)