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Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

Prenatal Diagnosis Preferences of Turkish Women and the Association of their Choices with Temperament

Author(s): Ozlem Banu Tulmac* and Visal Buturak

Volume 18, Issue 1, 2022

Published on: 22 January, 2021

Article ID: e061221190625 Pages: 8

DOI: 10.2174/1573404817666210122151815

Price: $65

Abstract

Objectives: The purpose of this study is to explain which choices Turkish women prefer for prenatal diagnosis more frequently and to find out if there is an association between temperament and decisions through the prenatal diagnostic steps or consistency of decision.

Materials and Methods: This is a cross-sectional study on pregnant women who were admitted to our outpatient clinic based on the responses to a self-administered questionnaire at the time of combined test or triple test as the first prenatal screening test. 198 pregnant women completed self-administered questionnaires comprising 131 questions including Temperament Evaluation of Memphis, Pisa, Paris, and San Diego questionnaire (TEMPS-A).

Results: Overall, 88.4% of women were willing to learn if there was an anomaly, whereas 4.5% did not, and 7.5% were uncertain. Of the included patients, 87.9% would decide on the screening tests to be performed, 23.2% had a positive attitude on diagnostic tests, and only 13.1% were in favour of termination. No association was found between the temperament scores and positive, negative, and indecisive attitudes of the patients. In addition, there was no relation between being decisive and indecisive, and the temperament scores except for cyclothymic scores. Indecisive attitude to termination was associated with higher cyclothymic scores (5 (1–13) for decisive patients, 7 (0–17) for indecisive patients, p=0.035).

Conclusion: We found that affective temperaments measured by the TEMPS-A are not related to the attitudes about prenatal screening or diagnostic tests or termination. Indecisive attitude to termination was associated with higher cyclothymic scores.

Keywords: prenatal screening, temperament, TEMPS-A, Turkish women, preferences, attitute

Graphical Abstract
[1]
Reid B, Sinclair M, Barr O, Dobbs F, Crealey G. A meta-synthesis of pregnant women’s decision-making processes with regard to antenatal screening for Down syndrome. Soc Sci Med 2009; 69(11): 1561-73.
[http://dx.doi.org/10.1016/j.socscimed.2009.09.006] [PMID: 19783085]
[2]
Rihmer Z, Akiskal KK, Rihmer A, Akiskal HS. Current research on affective temperaments. Curr Opin Psychiatry 2010; 23(1): 12-8.
[http://dx.doi.org/10.1097/YCO.0b013e32833299d4] [PMID: 19809321]
[3]
Tomassini A, Struglia F, Stratta P, et al. Affective temperaments and residual symptoms in patients with mood and anxiety disorders. Int J Psychiatry Clin Pract 2009; 13(1): 31-5.
[http://dx.doi.org/10.1080/13651500802369482] [PMID: 24946120]
[4]
Akiskal HS, Akiskal K. Cyclothymic, hyperthymic, and depressive temperaments as subaffective variants of mood disorders. American Psychiatr Press Rev of Psychiatry 1992; 11: 43-62.
[5]
Akiskal HS, Akiskal KK, Haykal RF, Manning JS, Connor PD. TEMPS-A: progress towards validation of a self-rated clinical version of the temperament evaluation of the memphis, Pisa, Paris, and San Diego autoquestionnaire. J Affect Disord 2005; 85(1-2): 3-16.
[http://dx.doi.org/10.1016/j.jad.2004.12.001] [PMID: 15780671]
[6]
Jaracz M, Paciorek P, Buciński A, Borkowska A. Affective temperament and executive functions in emergency medicine professionals. J Affect Disord 2014; 168: 192-6.
[http://dx.doi.org/10.1016/j.jad.2014.07.004] [PMID: 25063957]
[7]
Spreen O, Strauss E. A compendium of neuropsychological tests: Administration, norms, and commentary, In: 2nd ed, New York: Oxford University Press 1998.
[8]
Schoonen HM, van Agt HM, Essink-Bot ML, Wildschut HI, Steegers EA, de Koning HJ. Informed decision-making in prenatal screening for Down’s syndrome: what knowledge is relevant? Patient Educ Couns 2011; 84(2): 265-70.
[http://dx.doi.org/10.1016/j.pec.2010.07.037] [PMID: 20800415]
[9]
Derneği TP. Down sendromu tarama ve tani testi hasta bilgilendirme ve onam belgesi. Perinatoloji Dergis 2005; 13(4): 244.
[10]
Akiskal HS, Mendlowicz MV. TEMPS-A: validation of a short version of a self-rated instrument designed to measure variations in temperament. J Affect Disord 2005; 85(1-2): 45-52.
[http://dx.doi.org/10.1016/j.jad.2003.10.012] [PMID: 15780675]
[11]
Vahip S, Kesebir S, Alkan M, Yazici O, Akiskal KK, Akiskal HS. Affective temperaments in clinically-well subjects in Turkey: Initial psychometric data on the TEMPS-A. J Affect Disord 2005; 85(1-2): 113-25.
[http://dx.doi.org/10.1016/j.jad.2003.10.011] [PMID: 15780682]
[12]
Santalahti P, Hemminki E, Latikka AM, Ryynänen M. Women’s decision-making in prenatal screening. Soc Sci Med 1998; 46(8): 1067-76.
[http://dx.doi.org/10.1016/S0277-9536(97)10038-7] [PMID: 9579758]
[13]
Ekelund CK, Petersen OB, Skibsted L, Kjaergaard S, Vogel I, Tabor A. Danish Fetal Medicine Research Group. First-trimester screening for trisomy 21 in Denmark: implications for detection and birth rates of trisomy 18 and trisomy 13. Ultrasound Obstet Gynecol 2011; 38(2): 140-4.
[http://dx.doi.org/10.1002/uog.8929] [PMID: 21229566]
[14]
Petersson K, Lindkvist M, Persson M, Conner P, Åhman A, Mogren I. Prenatal diagnosis in Sweden 2011 to 2013: a register-based study. BMC Preg Childbirth 2016; 16(1): 365.
[http://dx.doi.org/10.1186/s12884-016-1165-8] [PMID: 27876014]
[15]
Bakker M, Birnie E, Pajkrt E, Bilardo CM, Snijders RJ. Low uptake of the combined test in the netherlands-which factors contribute? Prenat Diagn 2012; 32(13): 1305-12.
[http://dx.doi.org/10.1002/pd.4001] [PMID: 23138694]
[16]
Shantha N, Granger K, Arora P, Polson D. Women’s choice for Down’s screening-a comparative experience in three district general hospitals. Eur J Obstet Gynecol Reprod Biol 2009; 146(1): 61-4.
[http://dx.doi.org/10.1016/j.ejogrb.2009.05.009] [PMID: 19539420]
[17]
Fransen MP, Schoonen MH, Mackenbach JP, et al. Ethnic differences in participation in prenatal screening for Down syndrome: A register-based study. Prenat Diagn 2010; 30(10): 988-94.
[http://dx.doi.org/10.1002/pd.2603] [PMID: 20799374]
[18]
Lichtenbelt KD, Schuring-Blom GH, van der Burg N, et al. Factors determining uptake of invasive testing following first-trimester combined testing. Prenat Diagn 2013; 33(4): 328-33.
[http://dx.doi.org/10.1002/pd.4067] [PMID: 23417693]
[19]
de Graaf IM, Tijmstra T, Bleker OP, van Lith JM. Womens’ preference in Down syndrome screening. Prenat Diagn 2002; 22(7): 624-9. http://dx.doi.org/10.1002/pd.358 PMID: 12124700
[20]
Fransen MP, Wildschut HI, Mackenbach JP, Steegers EA, Galjaard RJ, Essink-Bot ML. Ethnic and socio-economic differences in uptake of prenatal diagnostic tests for Down’s syndrome. Eur J Obstet Gynecol Reprod Biol 2010; 151(2): 158-62.
[http://dx.doi.org/10.1016/j.ejogrb.2010.04.020] [PMID: 20546988]
[21]
Mansfield C, Hopfer S, Marteau TM. Termination rates after prenatal diagnosis of down syndrome, spina bifida, anencephaly, and turner and klinefelter syndromes: a systematic literature review. european concerted action: DADA (Decision-making after the diagnosis of a fetal abnormality). Prenat Diagn 1999; 19(9): 808-12.
[http://dx.doi.org/10.1002/(SICI)1097-0223(199909)19:9<808::AID-PD637>3.0.CO;2-B] [PMID: 10521836]
[22]
Gitsels-van der Wal JT, Manniën J, Ghaly MM, Verhoeven PS, Hutton EK, Reinders HS. The role of religion in decision-making on antenatal screening of congenital anomalies: a qualitative study amongst Muslim Turkish origin immigrants. Midwifery 2014; 30(3): 297-302.
[http://dx.doi.org/10.1016/j.midw.2013.04.001] [PMID: 23726134]
[23]
Yanikkerem E, Ay S, Ciftçi AY, Ustgorul S, Goker A. A survey of the awareness, use and attitudes of women towards Down syndrome screening. J Clin Nurs 2013; 22(11-12): 1748-58.
[http://dx.doi.org/10.1111/j.1365-2702.2012.04333.x] [PMID: 23030317]
[24]
Ataman E, Cogulu O, Durmaz A, et al. The rate of sex chromosome aneuploidies in prenatal diagnosis and subsequent decisions in Western Turkey. Genet Test Mol Biomarkers 2012; 16(2): 150-3.
[http://dx.doi.org/10.1089/gtmb.2011.0130] [PMID: 21977968]
[25]
Chiang HH, Chao YM, Yuh YS. Informed choice of pregnant women in prenatal screening tests for Down’s syndrome. J Med Ethics 2006; 32(5): 273-7.
[http://dx.doi.org/10.1136/jme.2005.012385] [PMID: 16648277]
[26]
García E, Timmermans DR, van Leeuwen E. The impact of ethical beliefs on decisions about prenatal screening tests: Searching for justification. Soc Sci Med 2008; 66(3): 753-64.
[http://dx.doi.org/10.1016/j.socscimed.2007.10.010] [PMID: 17996350]
[27]
Perugi G, Hantouche E, Vannucchi G, Pinto O. Cyclothymia reloaded: A reappraisal of the most misconceived affective disorder. J Affect Disord 2015; 183: 119-33.
[http://dx.doi.org/10.1016/j.jad.2015.05.004] [PMID: 26005206]
[28]
Yazici E, Terzi H, Bosgelmez S, Yazici AB, Zincir SB, Kale A. Affective temperaments in pregnancy. Gynecol Endocrinol 2014; 30(12): 894-8.
[http://dx.doi.org/10.3109/09513590.2014.943722] [PMID: 25060124]
[29]
Yazici E, Uslu Yuvaci H, Yazici AB, Cevrioglu AS, Erol A. Affective temperaments during pregnancy and postpartum period: A click to hyperthymic temperament. Gynecol Endocrinol 2018; 34(3): 265-9.
[http://dx.doi.org/10.1080/09513590.2017.1393509] [PMID: 29073788]
[30]
Sievert M, Zwir I, Cloninger KM, Lester N, Rozsa S, Cloninger CR. The influence of temperament and character profiles on specialty choice and well-being in medical residents. PeerJ 2016; 4: e2319.
[http://dx.doi.org/10.7717/peerj.2319] [PMID: 27651982]
[31]
Kesari D, Benjamin J, Podberezsky A, et al. Influence of demography and personality on patient choice of treatment in symptomatic benign prostate hyperplasia. Isr Med Assoc J 2015; 17(7): 433-6.
[PMID: 26357720]
[32]
Akiskal KK, Savino M, Akiskal HS. Temperament profiles in physicians, lawyers, managers, industrialists, architects, journalists, and artists: A study in psychiatric outpatients. J Affect Disord 2005; 85(1-2): 201-6.
[http://dx.doi.org/10.1016/j.jad.2004.08.003] [PMID: 15780690]

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