پیامدهای نامطلوب سقط¬های مکرر خود به خودی در سلامت روان (مطالعه مروری)
الموضوعات :هدی زرج 1 , منیژه فیروزی 2 , سمانه صومعلو 3
1 - (نویسنده مسئول)، دانشجوی دکتری روانشناسی سلامت، دانشگاه تهران، تهران، ایران، tell: 09011849401 rahaes41@gmail.com
2 - دانشیار، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران aar1985@gmail.com
3 - گروه روانشناسی، دانشگاه تهران، تهران، ایران samanesomeelo@gmail.com
الکلمات المفتاحية: استرس, اضطراب, افسردگی, سقط, سقط خودبه‌خودی مکرر, سلامت روان,
ملخص المقالة :
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.
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