Perinatal Depression and Anxiety in Women with and without Human Immunodeficiency Virus Infection

Aaron, Erika; Bonacquisti, Alexa; Geller, Pamela A.; Polansky, Marcia

doi:10.1016/j.whi.2015.04.003

Cited by 20 publications

(14 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Third trimester Aaron et al (2015) 46 Bjork et al (2015) 47 Cheng et al (2015) 48 Dubber et al (2015) 49 Ibanex et al (2015) 50 Pazzagl et al (2015) 51 Pisoni et al (2016) 52 Vilela et al (2015) 37 Broekman et al (2014) 13 Ferreira et al (2014) 53 Garthus-Niegel et al (2014) 3 Huizink et al (2014) 29 Meijer et al (2014) 30 Jokic-Bergic et al (2014) 54 Tan et al (2014) 55 Verreault et al (2014) 56 Bindt et al (2013) 57 George et al (2013) 7 Makara-Studzinska et al (2013) 31 Roos et al (2013) 40 Figueiredo & Conde (2011) 32 Mohammad et al (2011) 58 Hall et al (2009) 5 DiPietro et al (2008) 59 Keeton et al (2008) 60 Lee et al (2007) 34 Shi et al (2007) 43 Bene et al (2005) 12 Heron et al (2004) 44 Rondo et al (2003) 35 Ross et al (2003) 61 Teixeira et al (1999) 62 Crandon et al (1979) 63 Subtotal (I 2 = 99%, P = 0.000) 2 and online Fig. DS1).…”

Section: Second Trimestermentioning

confidence: 99%

“…In total, 17 studies were rated as having low risk of detection bias, 85 as having moderate risk, and none as having high risk. For attrition bias, 77 studies were rated as low risk, 17 as moderate risk and 8 as high risk.Meta-analytic pooling of the estimates yielded the prevalence of self-reported anxiety symptoms to be 18.2% (95% CI 13.6-22.8, 10 studies, n = 10 577)6,12,[28][29][30][31][32][33][34][35] for the first trimester, 19.1% (95% CI 15.9-22.4, 17 studies, n = 24 499)10,12,29,31,32,[34][35][36][37][38][39][40][41][42][43][44][45] for the second trimester and 24.6% (95% CI 21.2-28.0, 33 studies, n = 116 720)3,5,7,12,13,[29][30][31][32]34,35,37,40,43,44,[46][47][48][49][50]…”

mentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis

2017

View full text Add to dashboard Cite

Maternal anxiety negatively influences child outcomes. Reliable estimates have not been established because of varying published prevalence rates.To establish summary estimates for the prevalence of maternal anxiety in the antenatal and postnatal periods.We searched multiple databases including MEDLINE, Embase, and PsycINFO to identify studies published up to January 2016 with data on the prevalence of antenatal or postnatal anxiety. Data were extracted from published reports and any missing information was requested from investigators. Estimates were pooled using random-effects meta-analyses.We reviewed 23 468 abstracts, retrieved 783 articles and included 102 studies incorporating 221 974 women from 34 countries. The prevalence for self-reported anxiety symptoms was 18.2% (95% CI 13.6-22.8) in the first trimester, 19.1% (95% CI 15.9-22.4) in the second trimester and 24.6% (95% CI 21.2-28.0) in the third trimester. The overall prevalence for a clinical diagnosis of any anxiety disorder was 15.2% (95% CI 9.0-21.4) and 4.1% (95% CI 1.9-6.2) for a generalised anxiety disorder. Postnatally, the prevalence for anxiety symptoms overall at 1-24 weeks was 15.0% (95% CI 13.7-16.4). The prevalence for any anxiety disorder over the same period was 9.9% (95% CI 6.1-13.8), and 5.7% (95% CI 2.3-9.2) for a generalised anxiety disorder. Rates were higher in low- to middle-income countries.Results suggest perinatal anxiety is highly prevalent and merits clinical attention. Research is warranted to develop evidence-based interventions.

show abstract

Section: Second Trimestermentioning

confidence: 99%

mentioning

confidence: 99%

Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis

2017

View full text Add to dashboard Cite

show abstract

“…Women with HIV have higher anxiety symptoms during pregnancy due to maternal fears related to perinatal transmission of HIV. 52 All three of the participants with HIV openly discussed the intense fear of their child having HIV.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of pregnancy-related anxiety among women in Tanzania

et al. 2017

View full text Add to dashboard Cite

ObjectivesTo explore and understand the experiences and priorities of pregnant women living with fears and worries related to fetal/infant and maternal health, the birthing process and ability to parent the infant (ie, pregnancy-related anxiety (PRA)) in Mwanza, Tanzania.DesignDescriptive phenomenological approach.SettingTwo clinics in the Ilemela and Nyamagana districts of Mwanza.ParticipantsPregnant and postpartum women who obtained high scores on a PRA scale during pregnancy in a larger quantitative study were contacted to participate in an interview (10 women, aged 18–34 years; 3 HIV positive).MeasuresSemi-structured interviews were undertaken, with guiding questions related to the women's experience during pregnancy. The Colaizzi method was used with transcripts that had been translated and back translated from Swahili to English and then hand-coded by the interviewer, with independent review by another researcher to verify the analysis.ResultsPRA, as experienced by women in Mwanza, was a state of worry and concern, often causing physical symptoms, and disrupting personal sense of peace. While some themes in the women's experiences reflected the domains examined in the PRA scale used to identify potential participants, others such as lack of knowledge, partner relationship, interactions with the healthcare system, spirituality and fear of HIV/AIDS were otherwise missing. Their prominence in the participants’ stories broadens our understanding of PRA.ConclusionsThe realities and viewpoints of women in low-income and middle-income countries (LMIC) experiencing PRA are still relatively unknown. The findings from this study provided much-needed insight into the perspectives and priorities of women in Mwanza who have experienced PRA and further support the need to explore this phenomenon in other LMIC. The additional domains identified reinforce the need for a PRA tool that accurately and adequately capture the complexities of PRA for women in this region.

show abstract

“…There are significant negative consequences of prenatal and postpartum depression for both mother and infant [18–22]. Prenatal depression is associated with prolonged labor, spontaneous abortion, increased maternal morbidity and mortality [23–25], and delivery of preterm and low birth weight infants [26].…”

Section: Introductionmentioning

confidence: 99%

“…Postpartum depression is linked to poor mother-infant bonding [27] as well as adverse infant outcomes, such as cognitive and developmental delays [28]. In addition, among HIV-infected women, perinatal depression has been found to contribute to poor adherence to HIV treatment [29,30], faster disease progression with lower survival rates, and risk of MTCT of HIV [16, 18]. Finally, its negative impact on breastfeeding duration and exclusivity is considerable, often resulting in early breastfeeding cessation among all breastfeeding women [31,32].…”

Section: Introductionmentioning

confidence: 99%

Perinatal Depression Among HIV-Infected Women in KwaZulu-Natal South Africa: Prenatal Depression Predicts Lower Rates of Exclusive Breastfeeding

et al. 2016

View full text Add to dashboard Cite

Exclusive breastfeeding (EBF) provides infants with optimal nutrition, and together with appropriate antiretroviral therapy has also been shown to decrease mother-to-child transmission of HIV from 45% to less than 1%. However, rates of EBF are particularly low in South Africa, where rates of HIV are some of the highest in the world. Although perinatal depression has been identified as a potential barrier to EBF, little is known about its impact on EBF among HIV-infected women. A cohort study was conducted as part of a pilot RCT examining the effect of an Information, Motivation and Behavioral skills-based intervention promoting EBF among South African women living with HIV in their third trimester (28–42 weeks) of pregnancy. At baseline and follow-up, participants were interviewed on depression symptoms (PHQ-9), and breastfeeding intentions and behavior. Multivariate logistic regressions were conducted to determine predictors of EBF at six-weeks postpartum. A total of 68 women were enrolled and 58 women completed both baseline and follow-up assessments. Most (80.9%) of the sample reported at least some symptoms of depression prenatally. Rates of depression were lower postpartum (47.1%). In multivariate models, higher prenatal depression scores significantly predicted lower likelihood of EBF at six-weeks postpartum after adjusting for demographics, condition, and intentions (AOR=0.68, p<0.05). Postpartum depression was not a significant predictor of EBF rates (AOR=0.99, p=0.96). These findings demonstrate the negative impact of prenatal depression on breastfeeding behavior. Future interventions focused on depression are warranted to identify those at risk for sub-optimal EBF. Improving maternal psychosocial well-being could be a new frontier to improving infant and young child feeding and reducing pre/postnatal transmission.

show abstract

Perinatal Depression and Anxiety in Women with and without Human Immunodeficiency Virus Infection

Cited by 20 publications

References 51 publications

Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis

Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis

A qualitative study of pregnancy-related anxiety among women in Tanzania

Perinatal Depression Among HIV-Infected Women in KwaZulu-Natal South Africa: Prenatal Depression Predicts Lower Rates of Exclusive Breastfeeding

Contact Info

Product

Resources

About