Мать и дитя в Кузбассе (Aug 2020)
PREVALENCE OF PERSONALITY TYPE «D» IN PATIENTS IN THE THIRD TRIMESTER OF PREGNANCY
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.
