Generalized and pregnancy-related anxiety prevalence and predictors among pregnant women attending primary health care in Qatar, 2018–2019 (original) (raw)
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International Journal of ADVANCED AND APPLIED SCIENCES
Pregnancy and physiological and psychological variations can impact mental and emotional changes and thereby trigger depression and anxiety in expectant mothers. Being overly concerned about an individual’s financial, social, and health issues can promote depression and anxiety among pregnant women. Managing those associated factors during and after pregnancy is crucial. Although several studies reported depression and anxiety disorder in pregnant women, there are limited studies available in Saudi Arabia. Thus, this study measured the prevalence of both depression and anxiety among pregnant women in Al-Madinah Al-Muawarah, Saudi Arabia. A total of 250 surveys were conducted from five primary care centers randomly. A simple stratified sampling technique was used. General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire (PHQ-9) were used as research instruments for data collection. Of the seven items from GAD-7, the higher rate related to the response “not at all” for the ...
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Objectives: Pregnancy-related anxiety is a risk factor for poor outcomes. The aim of this study was to validate the Farsi version of the Anxiety Scale for Pregnancy (ASP) in a sample of Iranian women. Materials and Methods: After translation and back-translation of the ASP, the content validity ratio (CVR) and the content validity index (CVI) of each item were calculated based on the opinions of a panel of 10 experts. Four hundred pregnant women in the third trimester of pregnancy completed the Farsi version of the ASP. For discriminant validity, we compared the ASP mean scores of women with low and high levels of childbirth fear. Confirmatory factor analysis (CFA) was performed to investigate construct validity of the scale. Results: No item had CVR and CVI scores less than 0.62 and 0.8, respectively. The results of the CFA for the ASP were unsatisfactory for the proposed 5-factor model (RMSEA = 0.087, SRMR = 0.092, chi-square/df = 4.03, CFI = 0.87, and GFI = 0.91). After removing item 9, satisfactory CFA results were obtained and the structural model fit was confirmed (RMSEA = 0.066 (CI [0.053, 0.078]), SRMR = 0.069, chi-square/df = 2.71, CFI = 0.93, GFI = 0.95). Cronbach αcoefficient for the 13-item ASP was 0.703. The scale showed moderate correlations with the Spielberger State-Trait Anxiety Inventory (STAI) and Childbirth Attitudes Questionnaire (CAQ) scores (0.61, 0.59, and 0.57, respectively) and could differentiate well between women who preferred cesarean and those requesting vaginal delivery. Conclusion: The present study confirmed the content validity and construct validity of the Farsi version of the 13-item ASP for women in the third trimester of pregnancy
Pregnancy Anxiety and Associated Factors in Pregnant Women
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Background: Pregnancy anxiety that threatens maternal mental health has a negative impact on pregnancy outcomes and can develop even in a healthy pregnant woman with no depression or anxiety problems. Objectives: The purpose of the present study was to investigate pregnancy anxiety and its related factors in pregnant women. Methods: This cross-sectional descriptive-analytical study was performed on 322 pregnant women who were registered at health centers from November 2018 to March 2018. A random sampling method was applied to select eight health centers in the city. Using the SIB system, 40 pregnant women were randomly selected in each center. Selected women who came to health centers to receive prenatal care filled out the revised version of the Farsi anxiety scale for pregnancy (F-ASP-R). Inclusion criteria were, having the ability to read and lack of psychological disorders requiring treatment. Data were analyzed by SPSS software version 18 and student t-test, analysis of varian...
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To Assess the Level of Anxiety and Coping Strategies Adopted by Antenatal Mothers
Journal of Pharmaceutical Research International
Background: Premature birth, a higher risk of developing hypertension and preeclampsia, and an increased risk of miscarriage or stillbirth have all been linked to general prenatal stress, according to numerous research. The link between pregnancy-related anxiety and negative pregnancy outcomes is well-established. Anxiety disorders are seen in 10% and 25% of pregnant women in industrialised and developing nations, respectively. Objective of the Study: 1.To assess the level of anxiety among antenatal mothers. 2. To assess the level of coping strategies among antenatal mothers, 3. To correlate anxiety and coping strategy of antenatal mothers. 4. To associate anxiety and coping strategy among antenatal mothers with demographic variables. Materials and Methods: A Descriptive research design study was undertaken to assess the level of anxiety and coping strategies adopted by antenatal mothers. In this study a total number of 100women who fulfill the inclusion criteria were selected. Modi...
Pregnancy is а standout amongst the most vital periods in а lady’s life, as it brings along various changes, in the physical aspects, as well as socially and psychologically. Fear of unknown, stress, rootless feeling and everyday issues associated with physical and hormonal changes can much of the time prompt antenatal anxiety. Anxiety is common among pregnant women. Be that as it may, inquire about consideration in the territory of conceptive mental wellbeing has mainly focused on postpartum depression in past decades. Given unfavorable results of antenatal anxiety, there is а dire need to fill the exploration holes.
BMC Pregnancy and Childbirth
Background Anxiety disorder is more common in women than men. To some extent, it can be attributed to childbirth and factors related to pregnancy in women. Therefore, it is necessary for mothers to use valid and reliable scale to assess perinatal anxiety, such as the perinatal anxiety screening scale (PASS). The purpose of this study was to investigate the validity and reliability of the PASS in Persian language. Methods The PASS was translated into Persian (PASS-IR). Generally, 224 women antenatal and 125 postnatal answered the questions of PASS, EPDS-10, BAI and DASS-21 questionnaires. The data was collected in the health centers of Kerman by random sampling method. Finally, content validity, factor analysis, internal consistency and test-retest reliability were evaluated. Results The mean age of the participants was 32.89 years (range between 18 and 45 and SD = 6.23). More than half of the participating were at risk of severe anxiety (53.5%). Content Validity Index (CVI) and Cont...
BMC Women's Health, 2017
Background: Anxiety and depression (A&D) are commonly reported among pregnant women from all over the world; however, there is a paucity of workable data from the developing countries including Pakistan. The current study, therefore, aims to find out the frequency and predictors of A&D among pregnant women attending a tertiary healthcare institutes in the city of Quetta, in the Balochistan province, Pakistan. Methods: A questionnaire based, cross-sectional survey was conducted. The pre-validated Hospital Anxiety and Depression Scale (HADS) were used to assess the frequency of A&D among study respondents. Anxiety and depression scores were calculated via standard scoring procedures while logistic regression was used to identify the predictors of A&D. SPSS v. 20 was used for data analysis and p < 0.05 was taken as significant. Results: Seven hundred and fifty pregnant women responded to the survey. The majority of the respondents belonged to age group of 26-35 year (424, 56.4%) and had no formal education (283, 37.6%). Furthermore, 612 (81.4%) of the respondents were unemployed and had urban residencies (651, 86.6%). The mean anxiety score was 10.08 ± 2.52; the mean depression score was 9.51 ± 2.55 and the total HADS score was 19.23 ± 3.91 indicating moderate A&D among the current cohort. Logistic regression analysis reported significant goodness of fit (Chi square = 17.63, p = 0.030, DF = 3), indicating that the model was advisable. Among all variables, age had a significant association when compared with HADS scores [adjusted OR (odds ratios) = 1.23, 95% CI = 1.13-1.62, p < 0.001]. Conclusion: Moderate A&D was reported among the study respondents. Furthermore, age was highlighted as a predictor of A&D. The evidence from this study provides a motion of support programs for anxious and depressed pregnant women. The benefits of implementing good mental health in antenatal care have long-lasting benefits for both mother and infant. Therefore, there is a need to incorporate A&D screening in the existing antenatal programs.