Analysis of influencing factors and stage changes of anxiety and depression in patients with recurrent spontaneous abortion
Objective To explore the associated factors and stage changes of anxiety and depression in patients with recurrent spontaneous abortion(RSA)and put forward the prevention and control countermeasures of anxiety and depression in RSA patients.Methods A total of 613 non-pregnant women of gestational age in Shengjing Hospital of China Medical University from October 2019 to October 2021 were selected as the study subjects.According to the number of abortions,they were divided into RSA group(495 cases),history of miscarriage once group(81 cases)and control group(37 cases).The anxiety and depression of the enrolled population were prospectively followed up by an electronic questionnaire.Univariate and multivariate Logistic regression analysis were used to explore the associated factors of anxiety and depression in RSA patients.Results At the first stage(the first visit),the level of state anxiety,trait anxiety,and depression in RSA group were significantly higher than those in history of miscarriage once group and control group.In the second stage(identifying the cause),the level of state anxiety and trait anxiety in RSA group decreased significantly(P<0.05).Multivariate Logistic regression showed that duration since last miscarriage<6 months and sleep disturbance were associated with state anxiety,trait anxiety,and depression.In addition,the number of pregnancy loss≥4 was associated with state anxiety;a history of pregnancy loss>14 weeks and low education level were associated with trait anxiety;low monthly household income and the number of pregnancy loss≥4 were associated with depression.Conclusion RSA patients are more likely to develop negative emotions such as anxiety and depression,which may be closely related to education level,monthly household income,duration since last miscarriage,the number of pregnancy loss,history of pregnancy loss>14 weeks and sleep quality.Moreover,the anxiety state of RSA patients varies in different stages of treatment,so identifying the etiology is conducive to alleviating adverse emotions.We should pay close attention to the mental disorders of RSA patients in different stages of treatment and provide appropriate social support to relieve excessive anxiety,depression and other negative emotions.