Prevalence of Common Mental Disorders among pregnant women—Evidence from population-based study in rural Haryana, India

Abstract

Background: Mental disorders during pregnancy is one of the major public health problem because of its effect on both mother and child. Objectives: The objective of the study was to assess the burden of common mental disorders (CMDs) among pregnant women in rural Haryana, North India. Methods: A community-based cross-sectional study was conducted in 28 villages of rural Haryana in 2016. Pregnant women in the study area with period of gestation 25–34 weeks were enrolled and assessed for presence of CMDs in two phases. Primary Care Evaluation of Mental Disorders—Patient Health Questionnaire was used for screening and Mini International Neuropsychiatric Interview (MINI) for diagnosis of CMDs. Results: A total of 457 pregnant women were included in the study. Mean age of pregnant women was 23.9 years (SD- 3.9). Prevalence of CMDs was 15.3% (95% CI, 12.0–18.6). Of these, major depression was 2.8% (95% CI, 1.4– 4.4), and Generalized Anxiety Disorder was 15.1% (95% CI, 11.8–18.4) as per MINI. On multivariate analysis, no statistically significant association was found between CMDs during pregnancy with any obstetric, sociodemographic determinants, and child health outcomes. Conclusion: High prevalence of CMDs, especially anxiety, observed among pregnant women in rural area necessitates the need for integration of screening of CMDs during routine antenatal care in India.

Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries

“…Given that generalized anxiety disorder was reported across 184 studies, we were able to further interrogate the prevalence of this disorder across important subgroups (Figure 3). While investigating generalized anxiety by country income status, we found a higher prevalence among studies performed in lower-middle–income countries (27.6%; 95% CI, 21.6%-33.9%; 59 studies; n = 25 109) compared with low-income countries (24.0%; 95% CI, 15.3%-33.8%; 11 studies; n = 4961). Upper-middle–income countries had the lowest prevalence (19.1%; 95% CI, 16.0%-22.4%; 110 studies; n = 138 496).…”

“…Generalized anxiety disorder (including anxiety not specified) was the most commonly reported anxiety disorder, examined by 184 of 203 studies (90.6%) . The pooled point prevalence for generalized anxiety disorder was 22.2% (95% CI, 19.4%-25.0%; n = 173 553).…”

“…Our search identified 10 617 studies; 1231 full texts were reviewed, and of these, 203 studies were included (Figure 1; eTable 2 in Supplement 1). Cumulatively, outcomes were reported for 212 318 perinatal women (from conception to 12 months post birth) from 33 LMICs. The prevalence estimates of 6 anxiety and related disorders were reported: generalized anxiety disorder, social anxiety disorder, posttraumatic stress disorder, obsessive-compulsive disorder, panic disorder, and adjustment disorder.…”

“…The majority of studies reported the prevalence of generalized anxiety antenatally (150 [81.5%]). Among these, the pooled point prevalence was 23.9% (95% CI, 20.5%-27.4%; n = 149 485).…”

Hubungan Komunikasi Dokter-Pasien Terhadap Tingkat Kecemasan Pada Ibu Hamil Di Poli Rawat Jalan Rumah Sakit Santo Vincentius Singkawang

“…Penelitian yang telah dilakukan oleh Grote dalam Jha et al (2021) menyebutkan bahwa rata-rata tingkat kecemasan pada ibu hamil di berbagai negara di dunia berkisar antara 7-15%. 3 Departemen Kesehatan Republik Indonesia (Depkes RI) pada 2018 menyebutkan bahwa di Indonesia terdapat sebanyak 373.000 ibu hamil dan yang mengalami kecemasan sebanyak 107.000 (28,7%) dalam menghadapi persalinan. 4,5 Penelitian terdahulu dilakukan di Pontianak menyebutkan tingkat kecemasan pada ibu hamil didapatkan hasil sebanyak 80,40% mengalami tingkat kecemasan sangat berat, sebanyak 13,00% mengalami tingkat kecemasan berat, dan tingkat kecemasan ringan sebanyak 6,50%.…”