Dysthymic reactions of women undergoing chorionic villus sampling for prenatal diagnosis of hemoglobinopathies or karyotyping

dc.contributor.author	Λυκερίδου - Αβραμιώτη, Κατερίνα	el
dc.contributor.author	Δασκαλάκης, Γεώργιος	el
dc.contributor.author	Παπαδάτου, Δ.	el
dc.contributor.author	Βασλαματζής, Γρηγόριος	el
dc.contributor.author	Δάφνη, Ο.	el
dc.date.accessioned	2015-05-20T15:14:25Z
dc.date.issued	2015-05-20
dc.identifier.uri	http://hdl.handle.net/11400/10772
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	http://www.karger.com/Journal/Home/224239	en
dc.subject	Depression
dc.subject	Psychosocial needs
dc.subject	Pregnancy
dc.subject	Diagnosis
dc.subject	Risks
dc.subject	Prenatal screening
dc.subject	Κατάθλιψη
dc.subject	Ψυχοκοινωνικές ανάγκες
dc.subject	Εγκυμοσύνη
dc.subject	Διάγνωση
dc.subject	Κίνδυνοι
dc.subject	Κίνδυνοι
dc.subject	Προγεννετικός έλεγχος
dc.title	Dysthymic reactions of women undergoing chorionic villus sampling for prenatal diagnosis of hemoglobinopathies or karyotyping	en
heal.type	journalArticle
heal.classification	Midwifery
heal.classification	Psychology
heal.classification	Μαιευτική
heal.classification	Ψυχολογία
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh96006072
heal.classificationURI	http://zbw.eu/stw/descriptor/15790-5
heal.classificationURI	N/A-Μαιευτική
heal.classificationURI	N/A-Ψυχολογία
heal.contributorName	Αντσακλής, Άρις	el
heal.identifier.secondary	DOI:10.1159/000075140
heal.dateAvailable	10000-01-01
heal.language	en
heal.access	forever
heal.recordProvider	Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Μαιευτικής	el
heal.publicationDate	2004
heal.bibliographicCitation	Lykeridou, K., Daskalakis, G., Papadatou, D., Vaslamatzis, G., Dafni, O, et al. (2004) Dysthymic reactions of women undergoing chorionic villus sampling for prenatal diagnosis of hemoglobinopathies or karyotyping. "Fetal Diagnosis and Therapy", 19 (2), p. 149-154. Available from: http://www.karger.com/Article/Abstract/75140 [Accessed: 20/05/2015].	en
heal.abstract	Objectives: The aim of the study was to investigate the levels of anxiety and depression, as well as liability to depression, of women undergoing chorionic villus sampling (CVS) due to the risk of giving birth to a child suffering from hemoglobinopathy, or trisomy. Methods: The study population consisted of 309 women who attended the Fetal Medicine Unit of Alexandra Hospital, University of Athens, Athens, Greece for a first trimester chorionic villus sampling (CVS). One hundred and fifty-nine women (group A) underwent CVS due to increased possibility of carrying an embryo with β-thalassemia, while 150 women had the procedure because of an increased nuchal translucency measurement, or a positive first trimester biochemical screening (group B). Three hundred and nine women, matched by age and gestational age with those of the study group, who were not subjected to any diagnostic intervention formed the control group. We further investigated differences of dysthymic reactions among three subgroups of women at risk for hemoglobinopathy: (a) women undergoing their first pregnancy; (b) women who had been pregnant more than once but had not any children, and (c) women who had given birth to at least one healthy child, irrespective of previous terminations. Results: The incidence of clinically elevated levels of anxiety and depression was significantly higher in groups A and B compared to controls (p < 0.001), while no significant difference was found in mean anxiety and depression, as well as the liability to depression among the three groups. Clinically elevated levels of depression were found in 10.1 and 4.7% of the women of the hemoglobinopathy and karyotyping group, respectively. Especially women who had no children, due to previous pregnancy terminations presented significantly higher incidence of elevated depression compared to women who were pregnant for the first time, or women who had given birth to at least one healthy child in their life. Conclusions: The findings of this study highlight the necessity of training medical and nursing personnel to understand and respond to the psychological and social needs of women undergoing CVS due to increased risk for hemoglobinopathy, and especially to those who have no children and who have a history of pregnancy termination due to an affected fetus.	en
heal.publisher	Gratacós, E.	es
heal.journalName	Fetal Diagnosis and Therapy	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	false