Objective: Nausea and vomiting are the first symptoms of pregnancy, and hyperemesis gravidarum is more severe form. The aim of the study was to investigate socio-demographic and clinical features, eating attitudes, depression and anxiety levels of this diagnosis in which etiology remains unclarified.
Method: Fifty one hyperemesis gravidarum patients hospitalized in obstetrics and gynecology clinic of Okmeydanı Training and Research Hospital between October 2012-May 2013 were included in the study. Forty one pregnant women with no hyperemesis gravidarum diagnosis who applied to obstetrics and gynecology outpatient clinic were taken as control group. Socio-demographic data, features about family and marriage, medical and psychiatric history, family history and features about pregnancy have been collected with face to face interview. Beck Depression Inventory, Beck Anxiety Inventory and Eating Attitudes Test were applied to cases.
Results: Socio-demographic data showed no difference between hyperemesis gravidarum and control groups. No significant difference in medical and psychiatric history and features about pregnancy was found between two groups. Family history of psychiatric disorder was found significantly higher in hyperemesis gravidarum group. Depression and anxiety levels were significantly higher in hyperemesis gravidarum group compared to control group. A significant difference was detected in eating attitudes of two groups.
Discussion: Depression and anxiety levels were higher in pregnant women diagnosed with hyperemesis gravidarum compared to control group, and eating attitudes were more negative. There was no difference between hyperemesis gravidarum and control group in socio-demographic data and features about pregnancy, but family history of psychiatric disorder was associated with hyperemesis gravidarum. Psychiatry consultation might be useful in treatment and follow-up of hyperemesis gravidarum cases.
Key words: Anxiety, depression, eating attitudes, hyperemesis gravidarum
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