[Psychosocial aspects of preeclampsia]

Abstract

Distress conditions during pregnancy may contribute to the development of preeclampsia by altering functions of the neuroendocrine and immune systems, e.g. activation of the hypothalamic-pituitary-adrenal axis and increase in plasma proinflammatory cytokines. Preeclampsia may also precipitate mental health problems due to long-term hospitalization or unpredictable and uncontrollable events such as preterm labor and newborn complications. Besides, preeclampsia may induce persistent neurocognitive complaints with a negative impact on patients' quality of life. As growing evidence indicates that poor maternal mental health has an adverse effect on pregnancy outcome and fetal development, psychosocial interventions may be beneficial for women with preeclampsia.

Keywords: depression; depresszió; hypothalamic-pituitary-adrenal axis; hypothalamus-hypophysis-mellékvesekéreg tengely; praeeclampsia; preeclampsia; pregnancy; psychotherapy; pszichoterápia; terhesség.