Screening For Anxiety Among Antenatal Women Attending a Taluk Hospital in Rural India
Keywords:
Antenatal anxiety, PASS scale, Rural IndiaAbstract
Background: Antenatal anxiety can adversely affect pregnancy outcome, have an impact on maternal competence in childcare. Lot of emphasis has been given on antenatal depression but studies ad- dressing the anxiety issues are few. Objectives were to study the prevalence of anxiety, using the Perinatal Anxiety Screening Scale (PASS) and to identify the risk factors associated with anxiety among antenatal women attending the Anekal Taluk Hospital, Bangalore.
Method: This was a cross sectional study, done at Anekal between April and May 2014 among 146 antenatal women by convenience sampling.
Results: The mean [SD] age of the study population was 22.52 ± 3.04 years. Majority (89.73%) were housewives and 43.2% were in the third trimester of pregnancy. Of the 146 antenatal women, 22.6% of women screened positive for anxiety. Anxiety was signif- icantly associated with primigravida, low parity and previous abortions. Multivariate regression analysis showed significant as- sociation of anxiety with period of gestation and gravidity.
Conclusion: The findings of the study highlight the importance of routine screening for antenatal anxiety in primary health care.
References
Andersson L, Sundström-Poromaa I, Wulff M, Åström M, Bixo M. Implications of antenatal depression and anxiety for obstetric outcome. Obstet Gynecol. 2004; 104(3):467-76.
Lee AM, Lam SK, Lau SMSM. Prevalence, course, and risk factors for antenatal anxiety and depression. Obstet Gyne- col. 2007 Nov;110(5):1102-12.
Matthey S, Barnett B, Howie P, Kavanagh DJ. Diagnosing postpartum depression in mothers and fathers: whatever happened to anxiety?J Affect Disord. 2003 ; 74(2):139-47.
Glasheen C, Richardson GA, Fabio A. Systematic review of the effects of postnatal maternal anxiety on children. Arch Womens Mental Health. 2010 Feb; 13(1):61-74.
BergmanK, SarkarP, GloverV, O'ConnorTG.Maternal pre- natal cortisol and infant Cognitive development: modera- tion by infant-mother attachment. Biol Psychiatry. 2010 Jun 1;67(11):1026-32. doi: 10.1016/j.biopsych.2010.01.002. Epub 2010 Feb 25.
O'Connor TG, Heron J, Golding J, Beveridge M, Glover V.Maternal antenatal anxiety and children's behav- ioural/emotional problems at 4 years. Report from the Avon Longitudinal Study of Parents and Children.Br J Psychiatry. 2002 Jun; 180:502-8.
Johnson RC, Slade P. Obstetric complications and anxiety during pregnancy: is there a relationship?J Psychosom Ob- stet Gynaecol. 2003 Mar; 24 (1):1-14.
Heron J, O'Connor TG, Evans J, Golding J, Glover V; ALSPAC Study Team. The course of anxiety and depres- sion through pregnancy and the postpartum in a commu- nity sample.J Affect Disord. 2004 May;80(1):65-73.
Sutter-Dallay AL, Giaconne-Marcesche V, Glatigny-Dallay E, Verdoux H. Women with anxiety disorders during pregnancy are at increased risk of intense postnatal de- pressive symptoms: a prospective survey of the MATQUID cohort.Eur Psychiatry. 2004 Dec; 19(8):459-63.
Milgrom J, Gemmill AW, Bilszta JL, Hayes B, Barnett B, Brooks J, Ericksen J, Ellwood D, Buist A. Antenatal risk fac- tors for postnatal depression: a large prospective study.J Affect Disord. 2008 May; 108(1-2):147-57. Epub 2007 Dec 18.
Mina S, Balhara YPS, Verma R, Mathur S. Anxiety and De- pression amongst the urban females of Delhi in Ante-par- tum and Post-partum period. Delhi Psychiatry Journal. 2012;15:2.
Somerville, S., Dedman, K., Hagan, R., Oxnam, E., Wet- tinger, M., Byrne, S., Coo, S., Doherty, D., Page, A.C. (2014). The Perinatal Anxiety Screening Scale: develop- ment and preliminary validation. Archives of Women’s Mental Health,DOI: 10.1007/s00737-014-0425-8
Leigh B, Milgrom J. Risk factors for antenatal depression, postnatal depression and parenting stress. BMC Psychia- try. 2008 Apr 16;8:24. doi: 10.1186/1471-244X-8-24.
Giardinelli L, Innocenti A, Benni L, Stefanini MC, Lino G, Lunardi C, Svelto V, Afshar S, Bovani R, Castellini G, Faravelli C. Depression and anxiety in perinatal period: prevalence and risk factors in an Italian sample. Arch Womens Ment Health. 2012 Feb;15(1):21-30. doi: 10.1007/s00737-011-0249-8. Epub 2011 Dec 29.
Fadzil A, Balakrishnan K, Razali R, Sidi H, Malapan T, Japaraj RP, Midin M, Nik Jaafar NR, Das S, Manaf MR. Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia. Asia Pac Psychiatry. 2013 Apr;5 Suppl 1:7-13. doi: 10.1111/appy.12036.
Qiao YX, Wang J, Li J, Ablat A. The prevalence and related risk factors of anxiety and depression symptoms among Chinese pregnant women in Shanghai. Aust N Z J Obstet Gynaecol. 2009 Apr;49(2):185-90. doi: 10.1111/j.1479- 828X.2009.00966.x.
Nasreen HE, Kabir ZN, Forsell Y, Edhborg M. Prevalence and associated factors of depressive and anxiety symp- toms during pregnancy: a population based study in rural Bangladesh. BMC Womens Health. 2011 Jun 2;11:22. doi: 10.1186/1472-6874-11-22.
Karmaliani R, Asad N, Bann CM, Moss N, Mcclure EM, Pasha O, Wright LL, Goldenberg RL. Prevalence of anxi- ety, depression and associated factors among pregnant women of Hyderabad, Pakistan. Int J Soc Psychiatry. 2009 Sep;55(5):414-24. doi: 10.1177/0020764008094645. Epub 2009 Jul 10.
Ali NS, Azam IS, Ali BS, Tabbusum G, Moin SS. Frequency and associated factors for anxiety and depression in preg- nant women: a hospital-based cross-sectional study. Scien- tificWorldJournal. 2012;2012:653098. doi: 10.1100/2012/653098. Epub 2012 May 2.
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