Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications

Toscano, Marika; Royzer, Rebecca; Castillo, Daniel; Li, Dongmei; Poleshuck, Ellen L.

doi:10.1097/aog.0000000000004335

Cited by 26 publications

(18 citation statements)

References 66 publications

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“…Hubley and Zumbo ( 2017 ) defined response processes as “the mechanisms that underlie what people do, think, or feel when interacting with, and responding to, the item or task and are responsible for generating observed test score variation” (Hubley and Zumbo, 2017 , p. 2). Techniques of cognitive interviewing such as think-aloud and verbal probing procedures are well suited to elucidate response processes and provide evidence concerning the fit between observed response processes and the intended construct (Willis, 2005 ; Castillo-Díaz and Padilla, 2013 ; Padilla and Benítez, 2014 ; Launeanu, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Response Processes to the Danish Version of the Dutch Multifactor Fatigue Scale in Stroke Using the Three-Step Test-Interview

Cour

Norup

Schow

et al. 2021

Front. Hum. Neurosci.

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Validated self-report measures of post-stroke fatigue are lacking. The Dutch Multifactor Fatigue Scale (DMFS) was translated into Danish, and response process evidence of validity was evaluated. DMFS consists of 38 Likert-rated items distributed on five subscales: Impact of fatigue (11 items), Signs and direct consequences of fatigue (9), Mental fatigue (7), Physical fatigue (6), and Coping with fatigue (5). Response processes to DMFS were investigated using a Three-Step Test-Interview (TSTI) protocol, and data were analyzed using Framework Analysis. Response processes were indexed on the following categories: (i) “congruent,” response processes were related to the subscale construct; (ii) “incongruent,” response processes were not related to the subscale construct; (iii) “ambiguous,” response processes were both congruent and incongruent or insufficient to evaluate congruency; and (iv) “confused,” participants did not understand the item. Nine adults were recruited consecutively 10–34 months post-stroke (median = 26.5) at an outpatient brain injury rehabilitation center in 2019 [five females, mean age = 55 years (SD = 6.3)]. Problematic items were defined as <50% of response processes being congruent with the intended construct. Of the 38 items, five problematic items were identified, including four items of Physical fatigue and one of Mental fatigue. In addition, seven items posed various response difficulties to some participants due to syntactic complexity, vague terms, a presupposition, and a double-barrelled statement. In conclusion, findings elucidate the interpretative processes involved in responding to DMFS post-stroke, strengthen the evidence base of validity, and guide revisions to mitigate potential problems in item performance.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Response Processes to the Danish Version of the Dutch Multifactor Fatigue Scale in Stroke Using the Three-Step Test-Interview

Cour

Norup

Schow

et al. 2021

Front. Hum. Neurosci.

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“…Threatened preterm labour could adversely affect women and their foetuses/infants. The recent meta-analysis including 18 studies indicates high prevalence of psychological distress among women with antepartum hospitalizations for obstetric complications (depression 34%, 95% CI 21%-41% and anxiety 29%, 95% CI 16%-43%), which is about twice as prevalent as in the general obstetric population (Toscano et al, 2021). Also, mothers facing preterm delivery usually have different emotional reactions compared to those with full-term birth; their stress and anxiety is the origin of psychological trauma, which can lead to post-traumatic stress disorder and have adverse effect on the mother-infant interaction (Eutrope et al, 2014).…”

mentioning

confidence: 99%

Perceived stress and its predictors in women with threatened preterm labour: A cross‐sectional study

Najjarzadeh

Abbasalizadeh

Mohammad‐Alizadeh‐Charandabi

et al. 2021

Nursing Open

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Threatened preterm labour is defined as regular uterine contractions in the absence of cervical change or ruptured membranes that is occurred after the gestation of viability and before 37 completed weeks of gestation (Hezelgrave & Shennan, 2017). It is the most common cause of hospitalization during pregnancy (Bacak et al., 2005). There are limited studies on incidence of threatened preterm labour. In a prospective cohort study in the United States, the incidence of first-time hospitalization for threatened preterm labour was 9% and of whom 38% resulted in preterm birth in the first episode (McPheeters et al., 2005).

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“…Few studies have examined the prevalence of mental disorders in pregnant women hospitalized for severe maternal or fetal risk. Existing studies suggest that these women represent a particularly vulnerable group with prevalence rates of up to 39-44% for symptoms of anxiety and depression (5)(6)(7)(8). One study found that women experiencing a high-risk pregnancy had a five to seven times higher risk for the prenatal onset of anxiety disorders than low-risk patient samples (9).…”

Section: Introductionmentioning

confidence: 99%

Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study

et al. 2022

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BackgroundAnxiety disorders and depression during pregnancy are highly prevalent. Hospitalized pregnant women with high maternal or fetal risk represent a particularly vulnerable population often excluded from research samples. Screening for mental health disorders is not routinely offered for this particular patient group. Electronic mindfulness-based interventions constitute an accessible, convenient, and cost-effective mental health resource but have not yet been evaluated for acceptance in inpatient settings. To date, little is known about the needs and perceptions of this group of women.ObjectiveThe aim of this study was to examine whether a brief electronic mindfulness-based intervention (eMBI) is accepted among hospitalized high-risk pregnant women. We assessed personal motivation and barriers, experiences, usability requirements, and overall acceptance of the eMBI, as well the specific needs and demands of patients with high-risk pregnancies regarding mental health services.MethodsAn exploratory pilot study with a mixed-methods study design was carried out among 30 women hospitalized with a high obstetric risk. The study participants were given access to an eMBI with a 1-week mindfulness program on how to deal with stress, anxiety, and depressive symptoms. Semi-structured interviews were conducted with the 30 participants and analyzed using systematic content analysis. In addition, acceptance and usability were assessed via questionnaires.ResultsStudy findings showed a high level of acceptance of the eMBI. Most of the respondents were satisfied with the usability and considered the eMBI program to be helpful. The greatest barriers to using the eMBI were a general negative attitude toward using apps, preference for personal contact, or no current need for psychotherapy. Participants criticized the lack of awareness of mental health issues during pregnancy and expressed a need for low-threshold treatment offers, especially during hospitalization.ConclusionsThere is a strong need for mental health services in pregnancy care, especially for pregnant women with risk profiles. An eMBI offers an acceptable means of providing mental health support for hospitalized women with a severe obstetric risk.

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Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications

Abstract: Prevalence of depression or anxiety during antepartum hospitalizations for obstetric complications: a systematic review and meta-analysis. Obstet Gynecol 2021;137. The authors provided this information as a supplement to their article.

Cited by 26 publications

References 66 publications

Evaluation of Response Processes to the Danish Version of the Dutch Multifactor Fatigue Scale in Stroke Using the Three-Step Test-Interview

Evaluation of Response Processes to the Danish Version of the Dutch Multifactor Fatigue Scale in Stroke Using the Three-Step Test-Interview

Perceived stress and its predictors in women with threatened preterm labour: A cross‐sectional study

Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study

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