Psychological status of primigravida women women with preeclampsia

Abstract

DOI: 10.52705/2788-6190-2026-03-8
УДК 618.3:616-008.6:159.9:618.7:618.2-084:616.89-008.4

The objective: to determine the psychological status of primigravida women with preeclampsia (PE) in order to develop approaches for psychological status correction and reduce the incidence of obstetric and perinatal complications.
Materials and methods. The psychological status of 201 primigravida patients was assessed. Group I included 101 pregnant women with PE: subgroup IA comprised 36 pregnant women with early-onset PE, and subgroup IB included 65 pregnant women with late-onset PE. The control group (CG) consisted of 40 pregnant women with a physiological course of the current pregnancy. The participants completed a set of standardized questionnaires and assessment tools, including the Spielberger–Hanin State-Trait Anxiety Inventory, the Holmes–Rahe Stressful Life Events Scale, the Well-Being, Activity, and Mood (WAM) questionnaire, the Edinburgh Postnatal Depression Scale (EPDS), and the SF-36 Health Survey for quality-of-life assessment.
Results. A high level of state (situational) anxiety was significantly more frequent among pregnant women with PE than among those in the CG, and borderline scores on the Edinburgh Postnatal Depression Scale were also more frequently observed. Quality-of life assessment revealed significantly lower scores for role-emotional functioning and social functioning, as well as role-physical functioning and vitality. Well-being and mood scores were also significantly lower in Group I.
Conclusions. The psychological status of pregnant women with PE is characterized by statistically significant deviations not only compared with the CG but also from the normative values established by standardized assessment instruments. These findings indicate the need to investigate the relationship between psychological factors and the incidence of complications during pregnancy, childbirth, and the postpartum period, as well as neonatal outcomes in these women. Further research is also warranted to identify potential approaches to correcting psychological status in order to reduce the incidence of obstetric and perinatal complications.