The impact of invasive prenatal testing on anxiety and sleep quality in pregnant women with a screen-positive result for aneuploidy

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dc.contributor.authorAkbas M.
dc.contributor.authorKoyuncu F.M.
dc.contributor.authorBülbül Y.
dc.contributor.authorArtunc-Ulkumen B.
dc.contributor.authorÇetin A.
dc.date.accessioned2024-07-22T08:06:57Z
dc.date.available2024-07-22T08:06:57Z
dc.date.issued2021
dc.description.abstractPurpose: Prenatal anxiety has negative effects on pregnancy and neonate. Both screening tests and invasive diagnostic tests are associated with elevated anxiety level. But a normal fetal karyotype result could improve the anxiety level in high-risk patients. We hypothesized that patients who prefer follow-up without karyotyping may experience increased anxiety and sleep impairment until delivery. Our aim was to determine the effect of invasive diagnostic test decision on anxiety and sleep quality in women with a positive screening result. Methods: 132 women were included for the study and three groups were described. The invasive group consisted of women who underwent invasive procedure after a screen-positive test result, the follow-up group consisted of women who preferred non-invasive follow-up after a screen-positive result and the control group consisted of women with screen-negative test results. Participants were evaluated with the State-Trait Anxiety Inventory (STAI) and the Pittsburgh Sleep Quality Index (PSQI) after genetic counseling. They were asked for completing the same questionnaires in the third trimester to establish the course of anxiety and sleep quality throughout pregnancy. Results: STAI scores were significantly higher in both screen-positive groups than in the control group in the first evaluation (p < 0.001). STAI scores decreased in the invasive group and controls while PSQI scores did not significantly change during the course of the pregnancy. However, the anxiety level and sleep quality were worsened over time in the follow-up group. Conclusion: Screen-positive women who preferred to follow up had higher anxiety level and worse sleep quality in the later stages of pregnancy. We concluded that invasive prenatal diagnostic tests could improve anxiety and sleep quality in pregnant women with a screen-positive result for aneuploidy. © 2020 Informa UK Limited, trading as Taylor & Francis Group.
dc.identifier.DOI-ID10.1080/0167482X.2019.1708320
dc.identifier.issn0167482X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/13767
dc.language.isoEnglish
dc.publisherTaylor and Francis Ltd.
dc.subjectAneuploidy
dc.subjectAnxiety
dc.subjectDiagnostic Tests, Routine
dc.subjectFemale
dc.subjectHumans
dc.subjectPregnancy
dc.subjectPregnant Women
dc.subjectPrenatal Diagnosis
dc.subjectSleep
dc.subjectadult
dc.subjectaneuploidy
dc.subjectanxiety disorder
dc.subjectArticle
dc.subjectcomparative study
dc.subjectcontrolled study
dc.subjectdiagnostic test
dc.subjectdiagnostic test accuracy study
dc.subjectDown syndrome
dc.subjectfemale
dc.subjectfollow up
dc.subjectgenetic counseling
dc.subjectgestational age
dc.subjectgroup dynamics
dc.subjecthigh risk patient
dc.subjecthuman
dc.subjectimminent abortion
dc.subjectkaryotyping
dc.subjectmajor clinical study
dc.subjectmaternal age
dc.subjectnoninvasive prenatal testing
dc.subjectoverall response rate
dc.subjectperinatology
dc.subjectPittsburgh Sleep Quality Index
dc.subjectpregnant woman
dc.subjectself report
dc.subjectsleep quality
dc.subjectState Trait Anxiety Inventory
dc.subjectstatistically significant result
dc.subjectthird trimester pregnancy
dc.subjecttrisomy 21
dc.subjectaneuploidy
dc.subjectanxiety
dc.subjectdiagnosis
dc.subjectdiagnostic test
dc.subjectpregnancy
dc.subjectprenatal diagnosis
dc.subjectsleep
dc.titleThe impact of invasive prenatal testing on anxiety and sleep quality in pregnant women with a screen-positive result for aneuploidy
dc.typeArticle

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