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Psychiatric Variables in <i>Cytomegalovirus</i>or <i>Toxoplasma gondii</i>—Infected Pregnants: Prospects for Cure with a Program of “Counseling about Behavioral Change”

引用

Open Journal of Preventive Medicine 2015年第7期5卷 315-320页

作者： Concetta De Pasquale Maria Anna Coniglio Maria Luisa Pistorio Nunzio Massimo Scalisi Federica Scalia Carmela Maria Costanzo marina marranzano Guido Scalia Department of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia” University of Catania Catania Italy Vascular Surgery and Organ Transplant Unit Department of Surgery Transplantation and Advanced technologies University Hospital of Catania Catania Italy Clinical Virology Unit Department of Biomedical Sciences University Hospital of Catania Catania Italy

TORCH complex, one of the potential infections that may occur during pregnancy, may contribute also to prenatal pregnant women’s anxiety and depression. The aim of this study was to explore the presence of psychiatric symptoms, in relation with infection of TORCH agents, specifically the Toxoplasma gondii (T. gondii) and Cytomegalovirus (CMV). The study was conducted on 58 pregnant women recruited from the Clinical Virology Unit, A.O.U. Policlinico-Vittorio Emanuele, P.O. “Gaspare Rodolico”, from September 2012 to March 2014. Psychiatric symptoms were evaluated through the Symptom Checklist-90 Revised (SCL-90 R) in pregnant women with CMV or T. gondii infection. Moreover, pregnant women were invited to participate in a program of “Counseling about behavioral change”, an effective psychotherapeutic training for the development of new motivational strategies to the infection acceptance, the greater self-confidence and greater adherence to treatment. The age of the subjects was positively correlated with Depression (r = 0.119, p ? 0.178, p ? 0.231, r = ? 0.320, p ? 0.208, p ? 0.105, p ? 0.236, p < 0.05). Finally, we can notice an improvement of the variables Anxiety and Somatization in the whole sample after the attendance at the counseling psychotherapic program. Our study suggests the presence of anxiety and somatization in pregnant women with infection, expression of a phase of emotional fragility with the concern of transmitting a serious disease in the unborn child. The program “Counseling about behavioral change” allowed us to create an atmosphere of trust and to understand the usefulness of “empathic listening”. Giving correct and accurate information about the disease reassures the patient and prevents the realization of negative thoughts and further concern and discomfort.

关键词： Pregnancy Psychiatric Symptoms Somatization Toxoplasma gondii Cytomegalovirus

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