Prevalence of anxiety symptoms and depression in the third gestational trimester

Ferreira, Caroline Ronchini; Orsini, Mayara Carolina; Vieira, Camilla Ribeiro; Paffaro, Andrea Mollica do Amarante; Silva, Roberta Ribeiro

doi:10.1007/s00404-014-3508-x

Cited by 26 publications

(25 citation statements)

References 18 publications

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“…On the contrary, for the other two groups, anxiety tends to increase progressively with advancing gestational age. The anxiety level found in our population is high, and is comparable to the rate of anxiety in singleton pregnancy where a prevalence from 30% [ 41 ] to 50% [ 42 ] have already been described. Nevertheless, the evolution of anxiety in our three groups differ from the U-shaped curve described in singleton pregnancies with higher levels at the beginning and end of pregnancy [ 41 ].…”

Section: Discussionsupporting

confidence: 81%

Impact of Monochorionicity and Twin to Twin Transfusion Syndrome on Prenatal Attachment, Post Traumatic Stress Disorder, Anxiety and Depressive Symptoms

et al. 2016

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Monochronioric (MC) twin pregnancies are considered as high-risk pregnancies with potential complications requiring in-utero interventions. We aimed to assess prenatal attachment, anxiety, post-traumatic stress disorder (PTSD) and depressive symptoms in MC pregnancies complicated with Twin-To-Twin-transfusion syndrome (TTTS) in comparison to uncomplicated monochorionic (UMC) and dichorionic pregnancies (DC). Auto-questionnaires were filled out at diagnosis of TTTS and at successive milestones. Prenatal attachment, PTSD, anxiety and perinatal depression were evaluated respectively by the Prenatal Attachment Inventory (PAI) completed for each twin, the Post-traumatic Checklist Scale (PCLS), the State-Trait Anxiety Inventory (STAI) and the Edinburgh Perinatal Depression Scale (EPDS). There was no significant difference in the PAI scores between the two twins. In the DC and UMC groups, PAI scores increased throughout pregnancy, whilst it didn’t for TTTS group. TTTS and DC had a similar prenatal attachment while MC mothers expressed a significantly higher attachment to their fetuses and expressed it earlier. At the announcement of TTTS, 72% of the patients present a score over the threshold at the EPDS Scale, with a higher score for TTTS than for DC (p = 0.005), and UMC (p = 0.007) at the same GA. 30% of mothers in TTTS group have PTSD during pregnancy. 50% of TTTS- patients present an anxiety score over the threshold (STAI-Scale), with a score significantly higher in TTTS than in UMC (p<0.001) or DC (p<0.001). The proportion of subject with a STAI–State over the threshold is also significantly higher in TTTS than in DC at 20 GW (p = 0.01) and at 26 GW (p<0.05). The STAI-state scores in UMC and DC increase progressively during pregnancy while they decrease significantly in TTTS. TTTS announcement constitutes a traumatic event during a pregnancy with an important risk of PTSD, high level of anxiety and an alteration of the prenatal attachment. These results should guide the psychological support provided to these patients.

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Section: Discussionsupporting

confidence: 81%

Impact of Monochorionicity and Twin to Twin Transfusion Syndrome on Prenatal Attachment, Post Traumatic Stress Disorder, Anxiety and Depressive Symptoms

et al. 2016

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“…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%

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

2017

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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.

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“…The prevalence of anxiety disorder in pregnancy is found to be high. [ 7 8 ] Terrible experiences of labor due to unexpected medical interventions, severe pain, and sometimes fear of death could cause severe fear and anxiety in mothers. [ 9 ] The rate of antenatal anxiety disorder has been reported to be 12.5%.…”

Section: Introductionmentioning

confidence: 99%

Depression and anxiety in pregnancy and postpartum in women with mild and severe preeclampsia

Abedian¹,

Soltani²,

Mokhber³

et al. 2015

Iranian J Nursing Midwifery Res

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Background:Risk for anxiety and depression is increased in women with high-risk pregnancy. The aim of this study was to evaluate anxiety and depression in women with mild and severe preeclampsia at admission and 6 weeks postpartum.Materials and Methods:In this cohort study, 122 preeclamptic women who were admitted to the Public hospital and Tamin Ejtemaee hospital of Mashhad were included. Selection was done by convenience sampling method. Beck Depression Inventory II (BDI-II) and Spielberger State-Trait Anxiety Inventory (STAI) were completed at admission and 6 weeks after delivery. Data were analyzed by SPSS 16 using Chi-square, Fisher's exact test, Mann-Whitney U test, and Repeated measurement.Results:The mean depression score was 4.81 ± 4.09 at admission and 11.17 ± 5.5 at 6 weeks postpartum. The mean of trait anxiety was 42.5 ± 10.5 at admission and 32.3 ± 6.5 at 6 weeks postpartum, and the mean of state anxiety score at admission was 43.09 ± 9.5 and at 6 weeks postpartum was 31.99 ± 5.9. There was a significant difference between the scores of depression (F = 3.8, P < 0.001), state anxiety (F = 1.52, P < 0.001), and trait anxiety (F = 1.5, P < 0.001) at admission and 6 weeks postpartum. No significant differences were found between severity of preeclampsia and the scores of depression, state anxiety, and trait anxiety at admission and 6 weeks postpartum.Conclusions:The mean score of state and trait anxiety decreased significantly in preeclamptic women from admission to 6 weeks postpartum, but the mean score of depression increased. Severity of preeclampsia was not an independent risk factor of depression and anxiety.

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Prevalence of anxiety symptoms and depression in the third gestational trimester

Abstract: The prevalence of anxiety and depression among pregnant women were both high and only trait anxiety was explained by treatment for chronic diseases and the usage of continuous prescription drugs.

Cited by 26 publications

References 18 publications

Impact of Monochorionicity and Twin to Twin Transfusion Syndrome on Prenatal Attachment, Post Traumatic Stress Disorder, Anxiety and Depressive Symptoms

Impact of Monochorionicity and Twin to Twin Transfusion Syndrome on Prenatal Attachment, Post Traumatic Stress Disorder, Anxiety and Depressive Symptoms

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

Depression and anxiety in pregnancy and postpartum in women with mild and severe preeclampsia

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