The prevalence of suicidal behavior and ideation during pregnancy and postpartum period, its variation in the COVID-19 pandemic, and the related factors: A systematic review and meta-analysis of observational studies

Bacground Pregnancy and postpartum are sensitive periods for mental health problems due to increased stressors and demands, and the prevalence of intentional self-harming behaviors such as suicidal behavior and ideation may increase. Changes in the provision of prenatal care services and utilization of health services and adverse living conditions during the COVID-19 epidemic may also trigger or exacerbate mental illnesses. Aims To investigate the prevalence of suicidal behavior and ideation encountered during pregnancy and postpartum period, its change in the COVID-19 pandemic, and the related factors. Methods A systematic review and meta-analysis of observational studies was conducted. A search was conducted in April 2021 and updated in April 2023 on Web of Science, PubMed, PsycINFO, EBSCO, Turk Medline, Turkish Clinics, and ULAKBIM databases. Two authors independently conducted the search, selection of articles, data extraction, and quality assessment procedures, and an experienced researcher controlled all these steps. Joanna Briggs Institute's Critical Appraisal Checklists were used to assess the quality of the studies. Results The meta-analysis included 38 studies and the total sample size of the studies was 9 044 991. In this meta-analysis, the prevalence of suicidal behavior in women during pregnancy and postpartum periods was 5.1 % (95 % CI, 0.01–1.53), suicidal ideation 7.2 % (95 % CI, 0.03–0.18), suicide attampt 1 % (95 % CI, 0.00–0.07) and suicidal plan 7.8 % (95 % CI, 0.06–0.11). Rate of suicidal behavior, ideation/thought increased and attempts in the pandemic process (2.5% vs 19.7 %; 6.3% vs 11.3 %; 3.6% vs 1.4 %, respectively). Prevalences of suicidal behavior, ideation, attempts, and plan in the postpartum period was higher than during pregnancy (1.1% vs 23.4 %; 6.1% vs 9.2 %; 0.5% vs 0.7 %; 7.5% vs 8.8 %, respectively). ... (AU)

Validity and Reliability Study of Mental Health Recovery Measure's Turkish Version. / Ruh Sagligi Iyilesme Ölçegi'nin Türkçe Formunun Geçerlik ve Güvenirlik Çalismasi.

OBJECTIVE: The present study aims to translate into Turkish and investigate the validity and reliability of the Mental Health Recovery Measure (MHRM). METHOD: The sample consisted of 343 outpatients - and in-patients under treatment for a variety of psychiatric diagnoses at a state hospital and a university research hospital. The MHRM along with the Subjective Recovery Assessment Scale (SRAS), Psychological Well Being Scale (PWBS), Emotional Eating Scale (EES), and The Internalized Stigma of Mental Illness Scale (ISMI). RESULTS: The mean MHRM total score was estimated at 31.66 (sd=10.02). Exploratory factor analysis revealed one single robust factor explaining 64% of the variance of the total scores. Alpha internal consistency coefficient was calculated as 0.94 and corrected item-total correlation coefficients were entirely above 0.60. The MHRM scores showed positive and strong correlations with the PWBS (r=0.695; p<0.001) and SRAS (r=0.732; p<0.001), negative and strong correlation with the ISMI (r=-0.696; p<0.001) and no correlation with the EES scores (r=-0.021; p=0.703). CONCLUSION: Our data provides initial evidence supporting the validity and reliability of the Turkish MHRM in evaluating the tendency for recovery of mental health consumers for clinical and research purposes. Further studies addressing psychometric properties of the scale are warranted.

Validity and Reliability of the Turkish Version of the Emotional Eater Questionnaire (EEQ-TR). / Duygusal Yeme Ölçegi'nin Türkçe Çevirisinin Geçerlik ve Güvenirlik Çalismasi.

OBJECTIVE: In this study, we aimed to translate the Emotional Eater Questionnaire (EEQ) to Turkish and investigate the reliability and validity of the Turkish version. METHOD: The participants, consisting of 749 undergraduate students majoring at nursing or midwifery, completed on the EEQ and the Oxford Happiness Scale (OHS), the Beck Depression Inventory (BDI), the Orthorexia Nervosa-11 Scale (ORTO-11), the Zarit Caregiver Burden Scale (ZCBS) and the Eating Attitude Test (EAT). RESULTS: An internal consistency coefficient of 0.84 was computed for the entire scale which, similarly to the original scale, demonstrated a three-factor structure, namely, "Disinhibition", "Type of food" and "Guilt". All corrected item-total correlations were above 0.34. The EEQ score showed negative correlations with the OHS score at a low level (r=-0.15, p<0.001), and the EAT score at a moderate level(r=-0.33, p<0.001); and positive correlations with the BDI score (r=0.16, p<0.001) at a low level and the ZCBS score at a moderate level (r=0.36, p<0.01). The variance analysis demonstrated significant differences in the EEQ scores of the normal-weight, overweight and obese students [F(2.712) =11.17, p<0.001, η2 = 0.03]. CONCLUSION: EEQ Turkish version seems to have sufficient internal consistency which supported its reliability as well as the construct validity. Our data provided additional support for the validity of the EEQ for assessing the emotional overeating tendency among the Turkish university students.