Antenatal Depression and Generalized Anxiety Disorder in a Tertiary Hospital in South India

Kantipudi, Suvarna Jyothi; Kannan, G K; Viswanathan, Sushma; Ranganathan, Sumathi; Menon, Jayakumar; Ramanathan, Sathianathan

doi:10.1177/0253717620928440

Cited by 17 publications

(18 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Specifically, in similar country settings, their burden might be influenced by gender-specific roles, socio-economic factors, and family structures [55][56][57][58]. It would be vital, in these circumstances, to train professionals to provide psychosocial support to women to address these unique challenges, especially during public health emergencies such as the COVID-19 pandemic [59][60][61].…”

Section: Discussionmentioning

confidence: 99%

Mental healthcare-seeking behavior of women in Bangladesh: content analysis of a social media platform

et al. 2022

View full text Add to dashboard Cite

Background Mental health remains a highly stigmatized area of healthcare, and people often conceal their concerns rather than seek assistance or treatment. The Women Support Initiative Forum (WSIF) is a social media platform established in 2018 to provide expert and peer-led psychosocial support services to women of all ages in Bangladesh. The anonymous nature of the forum means that mental health concerns can be aired without fear of identification. Method A content analysis was conducted on the anonymous posts retrieved from the WSIF platform between 8th March 2020 and 7th July 2022. Around 1457 posts were initially selected for analysis which was reduced to 1006 after removing duplicates and non-relevant posts, such as queries about the addresses of the doctors and other non-mental health-related issues. A thematic analysis of the data was conducted using an inductive approach. Result The 1006 posts generated four themes and nine sub-themes. All the women mentioned mental health symptoms (n = 1006; 100%). Most also mentioned reasons for seeking mental healthcare (n = 818; 81.31%), healthcare-seeking behavior (n = 667; 66.30%), and barriers to seeking mental healthcare (n = 552; 54.87%). The majority of women described symptoms of stress, depression, and anxiety-like symptoms, which were aggregated under common mental health conditions. Mental health symptoms were ascribed to various external influences, including marital relationship, intrafamilial abuse, and insecurities related to the COVID-19 pandemic. A large proportion of posts were related to women seeking information about mental healthcare services and service providers (psychologists or psychiatrists). The analysis found that most women did not obtain mental healthcare services despite their externalized mental health symptoms. The posts identified clear barriers to women accessing mental health services, including low mental health literacy, the stigma associated with mental healthcare-seeking behavior, and the poor availability of mental health care services. Conclusion The study revealed that raising mass awareness and designing culturally acceptable evidence-based interventions with multisectoral collaborations are crucial to ensuring better mental healthcare coverage for women in Bangladesh.

show abstract

Section: Discussionmentioning

confidence: 99%

Mental healthcare-seeking behavior of women in Bangladesh: content analysis of a social media platform

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Nine studies used the GAD-7,5 studies used the State Trait Anxiety Inventory (STAI) and 4 studies used the Zung Self-Rating Anxiety Scale (SAS). Twenty of these studies were conducted using online surveys, which have some inherent limitations on the validity of the reporting (Andrade, 2020), especially in the low income and low literacy populations [14].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Anxiety Disorders among Antenatal Women in a Rural Area Adjacent to Chennai

Kannappan¹,

Mannam

Vaishali

et al. 2021

JPRI

View full text Add to dashboard Cite

Aim: Antenatal anxiety and depression are major health problems all over the world. Research conducted during pandemics found that pregnant women are more vulnerable psychologically. The aim of the study is to estimate the prevalence of anxiety level during the COVID-19 pandemic among pregnant women Study Design: A Cross sectional study design Place and Duration of Study: was done on pregnant women attending the antenatal clinic at the rural area adjacent to Chennai, India between april 2021 to October 2021. Methadology: This study was conducted among 74 pregnant women coming for antenatal checkups in the Rural area adjacent to Chennai. Hamilton – Anxiety Scale (HAM-A) was applied after initial psychiatry work up to all women who were selected for the interview. The statistically significant P value was < 0.05. Results: The sociodemographic variables have been found as significant contributors in explaining the variability of the prevalence rates of antenatal depression. According to the findings, less than 1/3rd of pregnant women experience depression as a result of life circumstances such as economic crises in order to support their families. These were identified as significant risk variables (P>0.05). And also, this study identified those who receiving insufficient socioeconomic assistance were more likely to experience multiple psychological discomfort [atleast 1] than women who got appropriate economic support. (r = -0.112, P < 0.001) Conclusion: COVID-19 infection during pregnancy was associated with increased levels of generalized anxiety scores. Patient-tailored psychological support should be a mainstay of comprehensive antenatal medical care in order to avoid anxiety- related complications.

show abstract

“…questionnaire is a validated seven-item scale frequently employed in India. 19,20 Each of these seven items is scored as 0 (not at all), 1 (several days), 2 (more than half of the days), or 3 (nearly every day). The total score for the GAD-7 ranges from 0 to 21.…”

Section: The Generalised Anxiety Disorder (Gad-7)mentioning

confidence: 99%

“…Corona Virus Disease (COVID- 19) is caused by the highly transmissible coronavirus known as Severe Acute Respiratory Syndrome Corona Virus 2 (SARS CoV-2). It was first identified in Wuhan, China, in Dec 2019 and spread at a fast rate worldwide.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of anxiety and depression among individuals admitted with covid-19 infection in a tertiary level hospital

George¹,

Cheruvilakam²,

Franco³

et al. 2022

KJP

View full text Add to dashboard Cite

Background: The COVID 19 pandemic is associated with mental health concerns such as anxiety and depression at multiple levels and has recently been postulated to be linked to the long COVID syndrome. Objectives: To determine the prevalence and factors associated with depression and anxiety in individuals admitted with COVID-19 infection. Methods: 154 individuals admitted with COVID-19 infection were screened for depression and anxiety employing PHQ9 and GAD 7, respectively. Trained interns did the screening on consecutively admitted patients. Results: The proportion of depression and anxiety was 26.6%(n=41) and 20.1%(n=31), respectively. Moderate and above symptoms were present in 3.9% of the individuals(n=6) on both scales. Older age (t=2.124, p=.035), lower educational status (t=3.725, p=0.000), a family member losing their job during the pandemic (t=1.91, p=0.05), presence of fever (t=2.069, p=0.040), oxygen therapy (t=2.19, p=0.030) and treatment with hydroxychloroquine (t=2.122, p=0.035) were found to be significantly associated with high depression scores. Being less educated (t=3.594,p=0.000), admission under non-paying status (t=2.209, p=0.029), a family member losing their job during the COVID pandemic (t=1.946, p=0.05), presence of non-productive cough (t=1.940, p=0.05), fatigue (t=2.418, p=0.017)), myalgia (t=2.015, p=0.046), having Diabetes Mellitus (t=2.151, p=0.033) and requiring oxygen therapy (t=2.030, p=0.040) were significant risk factors for higher anxiety scores. Conclusions: The feasibility of screening for depression and anxiety by non-mental health professionals in poorly technology-enabled moderately ill inpatient populations within LAMIC settings have been demonstrated. Psychosocial disadvantage and indicators of relatively severe covid infection seem to be risk factors for depression and anxiety. A system for screening for these disorders employing feasible strategies should ideally be incorporated to mitigate both short term and long-term negative consequences of this pandemic, particularly in inpatient populations, who are already subject to various vulnerabilities.

show abstract

Antenatal Depression and Generalized Anxiety Disorder in a Tertiary Hospital in South India

Cited by 17 publications

References 26 publications

Mental healthcare-seeking behavior of women in Bangladesh: content analysis of a social media platform

Mental healthcare-seeking behavior of women in Bangladesh: content analysis of a social media platform

Prevalence of Anxiety Disorders among Antenatal Women in a Rural Area Adjacent to Chennai

Prevalence and determinants of anxiety and depression among individuals admitted with covid-19 infection in a tertiary level hospital

Contact Info

Product

Resources

About