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The psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study
OBJECTIVE: To evaluate the short‐term psychological consequences of gestational trophoblastic disease (GTD). DESIGN: A prospective observational multicentre cohort study. SETTING: Nationwide in the Netherlands. POPULATION: GTD patients. METHODS: Online questionnaires directly after diagnosis. MAIN O...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9292450/ https://www.ncbi.nlm.nih.gov/pubmed/34314567 http://dx.doi.org/10.1111/1471-0528.16849 |
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author | Blok, LJ Frijstein, MM Eysbouts, YK Custers, JAE Sweep, FCGJ Lok, CAR Ottevanger, PB |
author_facet | Blok, LJ Frijstein, MM Eysbouts, YK Custers, JAE Sweep, FCGJ Lok, CAR Ottevanger, PB |
author_sort | Blok, LJ |
collection | PubMed |
description | OBJECTIVE: To evaluate the short‐term psychological consequences of gestational trophoblastic disease (GTD). DESIGN: A prospective observational multicentre cohort study. SETTING: Nationwide in the Netherlands. POPULATION: GTD patients. METHODS: Online questionnaires directly after diagnosis. MAIN OUTCOME MEASURES: Hospital Anxiety and Depression Scale (HADS), Distress Thermometer (DT), Impact of Event Scale (IES) and Reproductive Concerns Scale (RCS). RESULTS: Sixty GTD patients were included between 2017 and 2020. Anxious feelings (47%) were more commonly expressed than depressive feelings (27%). Patients experienced moderate to severe adaptation problems in 88%. Patients who already had children were less concerned about their reproductivity than were patients without children (mean score 10.4 versus 15.0, P = 0.031), and patients with children experienced lower distress levels (IES mean score 25.7 versus 34.7, P = 0.020). In addition, patients with previous pregnancy loss scored lower for distress compared with patients without pregnancy loss (IES mean score 21.1 versus 34.2, P = 0.002). DISCUSSION: We recommend that physicians monitor physical complaints and the course of psychological wellbeing over time in order to provide personalised supportive care in time for patients who have high levels of distress at baseline. CONCLUSIONS: GTD patients experience increased levels of distress, anxiety and depression, suggesting the diagnosis has a substantial effect on the psychological wellbeing of patients. The impact of GTD diagnosis on intrusion and avoidance seems to be ameliorated in patients who have children or who have experienced previous pregnancy loss. TWEETABLE ABSTRACT: Patients with gestational trophoblastic disease (GTD) experience short‐term psychological consequences such as distress, anxiety and depression, suggesting that the diagnosis GTD has a substantial effect on the psychological wellbeing of patients. Various patient characteristics affect the impact of GTD diagnosis. |
format | Online Article Text |
id | pubmed-9292450 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92924502022-07-20 The psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study Blok, LJ Frijstein, MM Eysbouts, YK Custers, JAE Sweep, FCGJ Lok, CAR Ottevanger, PB BJOG Research Articles OBJECTIVE: To evaluate the short‐term psychological consequences of gestational trophoblastic disease (GTD). DESIGN: A prospective observational multicentre cohort study. SETTING: Nationwide in the Netherlands. POPULATION: GTD patients. METHODS: Online questionnaires directly after diagnosis. MAIN OUTCOME MEASURES: Hospital Anxiety and Depression Scale (HADS), Distress Thermometer (DT), Impact of Event Scale (IES) and Reproductive Concerns Scale (RCS). RESULTS: Sixty GTD patients were included between 2017 and 2020. Anxious feelings (47%) were more commonly expressed than depressive feelings (27%). Patients experienced moderate to severe adaptation problems in 88%. Patients who already had children were less concerned about their reproductivity than were patients without children (mean score 10.4 versus 15.0, P = 0.031), and patients with children experienced lower distress levels (IES mean score 25.7 versus 34.7, P = 0.020). In addition, patients with previous pregnancy loss scored lower for distress compared with patients without pregnancy loss (IES mean score 21.1 versus 34.2, P = 0.002). DISCUSSION: We recommend that physicians monitor physical complaints and the course of psychological wellbeing over time in order to provide personalised supportive care in time for patients who have high levels of distress at baseline. CONCLUSIONS: GTD patients experience increased levels of distress, anxiety and depression, suggesting the diagnosis has a substantial effect on the psychological wellbeing of patients. The impact of GTD diagnosis on intrusion and avoidance seems to be ameliorated in patients who have children or who have experienced previous pregnancy loss. TWEETABLE ABSTRACT: Patients with gestational trophoblastic disease (GTD) experience short‐term psychological consequences such as distress, anxiety and depression, suggesting that the diagnosis GTD has a substantial effect on the psychological wellbeing of patients. Various patient characteristics affect the impact of GTD diagnosis. John Wiley and Sons Inc. 2021-08-10 2022-02 /pmc/articles/PMC9292450/ /pubmed/34314567 http://dx.doi.org/10.1111/1471-0528.16849 Text en © 2021 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Research Articles Blok, LJ Frijstein, MM Eysbouts, YK Custers, JAE Sweep, FCGJ Lok, CAR Ottevanger, PB The psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study |
title | The psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study |
title_full | The psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study |
title_fullStr | The psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study |
title_full_unstemmed | The psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study |
title_short | The psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study |
title_sort | psychological impact of gestational trophoblastic disease: a prospective observational multicentre cohort study |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9292450/ https://www.ncbi.nlm.nih.gov/pubmed/34314567 http://dx.doi.org/10.1111/1471-0528.16849 |
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