Depression and anxiety in Singaporean high-risk pregnancies — prevalence and screening

Thiagayson, Pavaani; Krishnaswamy, Gita; Lim, May Li; Sung, So-Young; Haley, Charlotte; Fung, Daniel; Allen, John C.; Chen, Helen

doi:10.1016/j.genhosppsych.2012.11.006

Cited by 72 publications

(90 citation statements)

References 49 publications

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“…In study by Gourounti et al [10] it was noteworthy that almost 10% of the participants scored positively on the EPDS suicide screening question. However, in the studies by Byatt et al [13], by Thiagayson et al [18] and by Adouard et al [17], the prevalence of antenatal depression, assessed by the EPDS, was lower (27%, 18% and 25% respectively) and the rate of antenatal anxiety was almost 13%. In studies by Denis et al [16] and by Brandon et al [14] the prevalence of antenatal depression was higher (58% and 44.2% respectively).…”

Section: Prevalence Of Antenatal Anxiety and Depression In High-risk mentioning

confidence: 91%

“…Two of the 7 studies were prospective cohort studies [13,15], and six were cross-sectional studies [10,14,16,17,18]. Both of the prospective studies had assessment points both antenatally and postnatally [13,15].…”

Section: Methodsmentioning

confidence: 99%

“…Three of the 7 studies took place in United States of America [13,14,15] ; three studies were conducted in Europe [10,16,17] and one study conducted in Asia [18].…”

Section: Study Locationmentioning

confidence: 99%

“…The size of the samples ranged from 20 women to 367 couples, and the size of the control samples ranged from 55 to 200. The vast majority of studies included < 100 women [13,15,16,17], while three studies included more than 100 high-risk pregnant women [10,14,18]. Only one study in this review [15] provided a power calculation.…”

Section: Samplesmentioning

confidence: 99%

“…Only one study in this review [15] provided a power calculation. The majority of the studies included high-risk pregnant women with threatened preterm labour, preterm-premature rupture of membranes, preeclampsia, hypertension, [10,18], the Generalized Anxiety Disorder-7 [13], the Short Form Health Survey-12 [13] and the Hospital Anxiety Depression Scale [17]. One study used a questionnaire measuring the anxiety specifically related to the pregnancy (High Risk Pregnancy Scale) [16].…”

Section: Samplesmentioning

confidence: 99%

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Psychosocial stress in high risk pregnancy

Gourounti¹,

Karpathiotaki²,

Vaslamatzis³

2015

Int Arch Med

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Objective: A high risk pregnancy may introduce additional psychological stress on a pregnant woman. The aim of this study was to review systematically the available evidence of the psychological consequences, in terms of anxiety and depression, of high-risk pregnancy. Methods:A systematic search of the electronic databases was performed. This review considered only quantitative, primary studies in the English language, published during the period 2000-2015 and relevant to the objective. The population of interest was previously high-risk pregnant women. Outcome variables were general anxiety, depressive symptoms and pregnancy-specific anxiety. Seven studies met the inclusion and methodological criteria and were included in the review. Results:The review revealed that high-risk pregnant women had high levels of depression ranging from 18% to 58% and these rates decrease throughout the course of hospitalization and are similar between women hospitalized in a hospital/health centre and women bed-rested in home. The review identifies additionally the main psychosocial variables that were related to antenatal anxiety and depression in high-risk pregnancy.Discussion: Future studies should overcome specific limitations.Health care professionals should enhance the implementation of psychological screening and counselling to populations of high-risk pregnant women hospitalized in a hospital/health centre or bed-rested in home.

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Section: Prevalence Of Antenatal Anxiety and Depression In High-risk mentioning

confidence: 91%

Section: Methodsmentioning

confidence: 99%

“…Three of the 7 studies took place in United States of America [13,14,15] ; three studies were conducted in Europe [10,16,17] and one study conducted in Asia [18].…”

Section: Study Locationmentioning

confidence: 99%

Section: Samplesmentioning

confidence: 99%

Section: Samplesmentioning

confidence: 99%

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Psychosocial stress in high risk pregnancy

Gourounti¹,

Karpathiotaki²,

Vaslamatzis³

2015

Int Arch Med

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Greater caregiving risk, better infant memory performance?

et al. 2018

Self Cite

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Poor early life care often relates to cognitive difficulties. However, newer work suggests that in early-life, adversity may associate with enhanced or accelerated neurodevelopment. We examine associations between postnatal caregiving risks (i.e., higher self-reported postnatal-anxiety and lower observed maternal sensitivity) and infant relational memory (i.e., via deferred imitation and relational binding). Using subsamples of 67-181 infants (aged 433-477 post-conceptual days, or roughly five to seven months since birth) taking part in the GUSTO study, we found such postnatal caregiving risk significantly predictive of "better" performance on a relational binding task following a brief delay, after Bonferroni adjustments. Subsequent analyses suggest that the association between memory and these risks may specifically be apparent among infants spending at least 50% of their waking hours in the presence of their mothers. Our findings echo neuroimaging research concerning similar risk exposure and larger infant hippocampal volume, and likewise underscore the importance of considering developmental context in understanding early life experience. With this in mind, these findings caution against the use of cognitive outcomes as indices of experienced risk.

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Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological tools

Hamidia

Kheirkhah

Chehrazi

et al. 2022

Health Science Reports

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Purpose This study investigated the optimal cutoff points of three psychological tools for screening psychiatric disorders in women with high‐risk pregnancy. Design and Methods In this cross‐sectional study (N = 155), sensitivity/specificity of the Edinburgh Postnatal Depression Scale (EPDS), the Brief Symptom Inventory 53‐items (BSI‐53), and the BSI‐18 were computed with respect to having a psychiatric diagnosis based on the clinical interview. Results The usual cutoffs (≥13 for EPDS, T‐score of 63 for BSI‐53) demonstrated poor diagnostic accuracy. The optimal thresholds were computed for EPDS cutoff of 6.5, GSI = 0.47 for BSI‐53, and GSI = 0.5 for BSI‐18. Practice Implications The use of psychological tools among pregnant women with high‐risk pregnancy may need to be modified in order to accurately identify psychiatric disorders.

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Depression and anxiety in Singaporean high-risk pregnancies — prevalence and screening

Cited by 72 publications

References 49 publications

Psychosocial stress in high risk pregnancy

Psychosocial stress in high risk pregnancy

Greater caregiving risk, better infant memory performance?

Screening of psychiatric disorders in women with high‐risk pregnancy: Accuracy of three psychological tools

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