|Title:||Depression and anxiety in Singaporean high-risk pregnancies - prevalence and screening|
|Journal:||Gen Hosp Psychiatry|
|Alternate Journal:||General hospital psychiatry|
|Abstract:||OBJECTIVE: Data on psychiatric morbidity in high-risk pregnant Singaporean women are limited. This study aimed to establish the prevalence of antenatal depression and anxiety in high-risk pregnancies, compare the prevalence of antenatal depression in high-risk pregnancies vs. pregnancies of unspecified obstetric risk and examine the Edinburgh Postnatal Depression Scale (EPDS) and State Trait Anxiety Inventory (STAI) as screening tools for these disorders. METHOD: Two hundred high-risk pregnant inpatients at a national public maternity hospital were included. Three psychometric assessment tools were used to evaluate all participants: the diagnostic Mini International Neuropsychiatric Interview and the screening EPDS and STAI. RESULTS: Rates of major depression, minor depression, anxiety disorder (agoraphobia, generalized anxiety disorder, panic disorder), and comorbid depression and anxiety were 11%, 7%, 12.5% and 5%, respectively. Major depression was more prevalent in high-risk pregnancies than in the historical cohort of unspecified obstetric risk (11% versus 4.3%). EPDS (cutoff 8/9) screens well for depression and anxiety in high-risk pregnancies (area under the receiver operating characteristic curve=0.82-0.87). CONCLUSION: Antenatal depression and anxiety are highly prevalent in a sample of high-risk pregnant Singaporean women. EPDS performs well in screening for depression and anxiety in high-risk pregnant women, with further psychiatric assessment recommended for women with score >/= 9.|
Lim, May Li
Sung, Sharon Cohan
Haley, Charlotte Louise
Fung, Daniel Shuen Sheng
Allen, John Carson Jr
KL2 TR000160/TR/NCATS NIH HHS/United States
Research Support, Non-U.S. Gov't
Gen Hosp Psychiatry. 2013 Mar-Apr
35(2):112-6. doi: 10.1016/j.genhosppsych.2012.11.006. Epub 2012 Dec 21.
|Authors Address:||Duke-NUS Graduate Medical School, Duke-NUS Graduate Medical School Singapore, 8 College Road, Singapore 169857, Singapore. firstname.lastname@example.org|
|Appears in Collections:||2013|
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