Investigation of maternal psychopathological symptoms, dream anxiety and insomnia in preeclampsia.
OBJECTIVE
The aim of the current study was to investigate the psychopathological symptoms, psycho-emotional state, dream anxiety, and insomnia in healthy, mild and severe preeclamptic postpartum women and their relation to the severity of preeclampsia (PE).


METHODS
This observational study included 45 healthy, 41 mild preeclamptic and 44 severe preeclamptic postpartum women. The 90-item Symptom Checklist Revised, Hospital Anxiety and Depression Scale, Insomnia Severity Index, and Van Dream Anxiety Scale (VDAS) were used to evaluate the psychopathological symptoms, psycho-emotional state, insomnia, and dream anxiety of the participants after delivery.


RESULTS
Severe preeclamptic women had higher VDAS scores than mild preeclamptic and healthy postpartum women (p: 0.001). The psychopathological symptoms were more frequent in preeclamptic women than in healthy controls (p: 0.001). Severe preeclamptic women had the highest scores in Hospital Anxiety-Depression Scale and Insomnia Severity Index (p: 0.001, p: 0.001, respectively).


CONCLUSIONS
Preeclampsia negatively affects the psycho-emotional state, psychopathological symptoms and sleep patterns. Further, disturbed dreaming was more frequent in PE and also, all of these conditions became worse with the severity of PE. We speculated that the obstetricians should offer their preeclamptic patients an appropriate mental health care at bedside and postpartum period as needed.
a Faculty of Medicine , Department of Obstetrics and Gynecology, Yuzuncu Yil University , Van , Turkey.
Orkun
O
Cetin
b Faculty of Medicine , Department of Psychiatry, Yuzuncu Yil University , Van , Turkey , and.
Pınar
P
Guzel Ozdemir
c Department of Obstetrics and Gynecology , Ankara Education and Research Hospital , Ankara , Turkey.
Zehra
Z
Kurdoglu
a Faculty of Medicine , Department of Obstetrics and Gynecology, Yuzuncu Yil University , Van , Turkey.
Hanım Guler
HG
Sahin
D000328:Adult; D001007:Anxiety; D016022:Case-Control Studies; D004325:Dreams / Q000523:psychology*; D005260:Female; D006801:Humans; D011225:Pre-Eclampsia / Q000523:psychology*; D011247:Pregnancy; D012720:Severity of Illness Index; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology*; D055815:Young Adult
Dream anxiety; insomnia; preeclampsia; pregnancy; psychopathological symptoms