Cargando…
Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial
Objective: This study aims to extend the understanding of the psychological impact of the first-trimester pre-eclampsia (PE) screening on women identified as high risk for preterm PE. We examined the differences between low- vs. high-risk women throughout pregnancy in: symptoms of distress (anxiety,...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094560/ https://www.ncbi.nlm.nih.gov/pubmed/37048032 http://dx.doi.org/10.3390/ijerph20075418 |
_version_ | 1785023871303286784 |
---|---|
author | Nikčević, Ana V. Sacchi, Chiara Marino, Claudia O’Gorman, Neil Poon, Liona C. Nicolaides, Kypros H. |
author_facet | Nikčević, Ana V. Sacchi, Chiara Marino, Claudia O’Gorman, Neil Poon, Liona C. Nicolaides, Kypros H. |
author_sort | Nikčević, Ana V. |
collection | PubMed |
description | Objective: This study aims to extend the understanding of the psychological impact of the first-trimester pre-eclampsia (PE) screening on women identified as high risk for preterm PE. We examined the differences between low- vs. high-risk women throughout pregnancy in: symptoms of distress (anxiety, depression, physical and mental health, and worry), health behaviour changes, the experience of pregnancy, and attitudes towards PE screening. Methods: This study was nested within the ASPRE trial. Pregnant women were screened for preterm-PE risk status in the first trimester; the assessments were carried out before the screening, in the second and in the third trimester (n = 155 low-risk women and N = 82 high-risk women in the second trimester). Results: The high-risk-for-PE women exhibited more depressive symptoms compared to the low-risk women in the second but not in the third trimester. No differences were observed between the two groups in other distress symptoms or in the women’s evaluation of their experience of pregnancy. The high-risk group reported greater health behaviour changes compared to the low-risk group, but this was moderated by depression levels. Conclusions: Overall, pregnant women reported positive attitudes towards first-trimester PE screening, despite transient depressive symptoms. This study offers supportive evidence concerning the appropriateness of PE screening in ethical terms. |
format | Online Article Text |
id | pubmed-10094560 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100945602023-04-13 Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial Nikčević, Ana V. Sacchi, Chiara Marino, Claudia O’Gorman, Neil Poon, Liona C. Nicolaides, Kypros H. Int J Environ Res Public Health Article Objective: This study aims to extend the understanding of the psychological impact of the first-trimester pre-eclampsia (PE) screening on women identified as high risk for preterm PE. We examined the differences between low- vs. high-risk women throughout pregnancy in: symptoms of distress (anxiety, depression, physical and mental health, and worry), health behaviour changes, the experience of pregnancy, and attitudes towards PE screening. Methods: This study was nested within the ASPRE trial. Pregnant women were screened for preterm-PE risk status in the first trimester; the assessments were carried out before the screening, in the second and in the third trimester (n = 155 low-risk women and N = 82 high-risk women in the second trimester). Results: The high-risk-for-PE women exhibited more depressive symptoms compared to the low-risk women in the second but not in the third trimester. No differences were observed between the two groups in other distress symptoms or in the women’s evaluation of their experience of pregnancy. The high-risk group reported greater health behaviour changes compared to the low-risk group, but this was moderated by depression levels. Conclusions: Overall, pregnant women reported positive attitudes towards first-trimester PE screening, despite transient depressive symptoms. This study offers supportive evidence concerning the appropriateness of PE screening in ethical terms. MDPI 2023-04-06 /pmc/articles/PMC10094560/ /pubmed/37048032 http://dx.doi.org/10.3390/ijerph20075418 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Nikčević, Ana V. Sacchi, Chiara Marino, Claudia O’Gorman, Neil Poon, Liona C. Nicolaides, Kypros H. Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial |
title | Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial |
title_full | Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial |
title_fullStr | Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial |
title_full_unstemmed | Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial |
title_short | Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial |
title_sort | psychological impact and women’s evaluation of the first-trimester pre-eclampsia screening and prevention: aspre trial |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10094560/ https://www.ncbi.nlm.nih.gov/pubmed/37048032 http://dx.doi.org/10.3390/ijerph20075418 |
work_keys_str_mv | AT nikcevicanav psychologicalimpactandwomensevaluationofthefirsttrimesterpreeclampsiascreeningandpreventionaspretrial AT sacchichiara psychologicalimpactandwomensevaluationofthefirsttrimesterpreeclampsiascreeningandpreventionaspretrial AT marinoclaudia psychologicalimpactandwomensevaluationofthefirsttrimesterpreeclampsiascreeningandpreventionaspretrial AT ogormanneil psychologicalimpactandwomensevaluationofthefirsttrimesterpreeclampsiascreeningandpreventionaspretrial AT poonlionac psychologicalimpactandwomensevaluationofthefirsttrimesterpreeclampsiascreeningandpreventionaspretrial AT nicolaideskyprosh psychologicalimpactandwomensevaluationofthefirsttrimesterpreeclampsiascreeningandpreventionaspretrial |