پیامدهای نامطلوب سقط¬های مکرر خود به خودی در سلامت روان (مطالعه مروری)

محورهای موضوعی : سلامت زنان

هدی زرج ^{1 *} , منیژه فیروزی ² , سمانه صومعلو ³

1 - (نویسنده مسئول)، دانشجوی دکتری روانشناسی سلامت، دانشگاه تهران، تهران، ایران، tell: 09011849401 [e-mail]
2 - دانشیار، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران [e-mail]
3 - گروه روانشناسی، دانشگاه تهران، تهران، ایران [e-mail]

تاریخ دریافت : 1403/05/14 تاریخ پذیرش : 1403/06/21 تاریخ انتشار : 1403/07/01

کلید واژه: استرس, اضطراب, افسردگی, سقط, سقط خودبه‌خودی مکرر, سلامت روان,

چکیده مقاله :

چکیده مقدمه: سقط¬های مکرر خودبخودی یکی از مهم¬ترین مشکلات باروری در جهان و یکی از شایع ترین عوارض بارداری است که پیامدهای روانشناختی آسیب¬زایی را به همراه دارد. در این مقاله به بررسی پیامدهای نامطلوب سقط¬های مکرر خود به خودی در سلامت روان پرداخته شد. روش پژوهش: در این مطالعه مروری سیستماتیک، به منظور یافتن منابع و مطالعات مرتبط، در داده پایگاه¬های معتبر علمی مانند: PubMed, ProQuest, google, google Scholar, Scopus, Web of Science Cinhal در سال های 2015 تا 2024 با ترکیبی از کلمات کلیدی جستجویی جامع به زبان انگلیسی انجام شد. بر اساس معیارهای ورود و خروج و حذف مطالعات تکراری، متون هم راستا با اهداف این مطالعه، از مجموع 83 مقاله، 14 مقاله مورد بررسی به دست آمد. یافته¬ها: بررسی مقالات مرورشده در قالب 3 پیامد نامطلوب سقط¬های مکرر خود به خودی در سلامت روان گنجانده شد. پیامدها شامل افسردگی، استرس و اضطراب بود. همچنین نتایج نشان داد افسردگی قبل از بارداری، سابقه تولد نوزاد زنده در افسردگی، سطح تحصیلات، شاغل بودن و میزان اضطراب ناشی از سقط قبلی در اضطراب و وضعیت اجتماعی-اقتصادی پایین‌، سابقه بیماری روانشناختی و کمبود حمایت اجتماعی در استرس ناشی از سقط مکرر خود¬به¬خودی تاثیرگذار است. نتیجه¬گیری: لزوم مداخلات اصولی و پیشگیرانه روانشناختی بر مبناي پیامدهای ناشی از سقط مکرر¬خود به¬خودی از اهمیت فراوانی برخوردار است. بنابراین پیشنهاد می¬گردد، عوامل خطر بروز این پیامدها در مراکز بهداشتی بطور منظم و دوره¬اي پایش گردد. همچنین مطالعاتی در زمینه پیشگیري و مداخلات روانشناختی در افسردگی، اضطراب و استرس ناشی از سقط مکرر¬خود به¬خودی در زیرگروههاي مختلف جمعیتی مخصوصاً زنان باردار انجام گردد.

چکیده انگلیسی:

Abstract

Introduction: Frequent spontaneous abortions are one of the most important fertility problems in the world and one of the most common complications of pregnancy, which brings psychological consequences. In this article, the adverse consequences of frequent spontaneous abortions in mental health were examined.

Research method: In this systematic review, in order to find sources and related studies, in the data of reliable scientific databases such as: PubMed, ProQuest, Google, Google Scholar, Scopus, and Web of Science Cinhal in the years 2015 to 2024 with a combination of comprehensive search keywords were conducted in English. Based on the inclusion and exclusion criteria and exclusion of duplicate studies, 14 articles were found out of a total of 83 articles in line with the objectives of this study.

Findings: The reviewed articles were included in the form of 3 adverse consequences of frequent spontaneous abortions in mental health. Outcomes included depression, stress, and anxiety. Also, the results showed that depression before pregnancy, the history of live birth in depression, The level of education, being employed, and the level of anxiety caused by previous abortion are influential in anxiety and low socio-economic status, history of psychological illness and lack of social support in the stress caused by frequent spontaneous abortion.

Conclusion: The need for basic and preventive psychological interventions based on the consequences of frequent spontaneous abortions is very important. Therefore, it is suggested to monitor the risk factors of these consequences in health centers regularly and periodically. Also, studies in the field of prevention and psychological interventions in depression, anxiety and stress caused by frequent spontaneous abortion should be conducted in different population subgroups, especially pregnant women.

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