Anxiety measures validated in perinatal populations: A systematic review

Meades, Rose; Ayers, Susan

doi:10.1016/j.jad.2010.10.009

Cited by 274 publications

(223 citation statements)

References 96 publications

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“…The 44.4% of women with AS is similar to the prevalence reported in the UK (36% -56%) and Uzbekistan (38% -42%) (Meades & Ayers, 2011). However, our results in the prevalence of AS differ considerably from other previous Mexican perinatal studies, which range from 8.1% to 16%, based on self-report questionnaires (Ceballos-Martínez et al, 2010;Navarrete et al, 2012).…”

Section: Discussionsupporting

confidence: 74%

“…Its internal consistency varies between .85 and .87 (Spielberger & Díaz-Guerrero, 1975). A cut-off > 40 points on both state and trait scales yielded optimal sensitivity (80.95%), specificity (79.75%), positive predictive value (51.05%), and negative predictive value (94%) to determine cases of anxiety in pregnancy (Meades & Ayers, 2011). We used a cut-off > 40 points for determining women with AS, and a > 75 percentile was scored as high AS.…”

Section: Anxiety Symptomsmentioning

confidence: 99%

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Correlation between intake of omega-3 fatty acids and depressive and anxiety symptoms during pregnancy

Álvarez-Ramírez

Lara

Cervantes-Alfaro

et al. 2018

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Introduction. Anxiety and depression during pregnancy are disabling disorders associated to complications during the pregnancy, delivery, and postpartum period, with a significant prevalence, between 9 and 20%, hence its importance. Nutritional factors, such as omega-3 fatty acids (ω-3FA) deficiency, have been related with both disorders during pregnancy, especially docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA). Objective. To evaluate the association between dietary intake of EPA and DHA, and anxiety symptoms (AS) and depressive symptoms (DS) in Mexican pregnant women. Method. The sample consisted of 151 women in the second trimester of pregnancy. Instruments included a Food Frequency Questionnaire, the Trait Anxiety Inventory, and the Edinburgh Postnatal Depression Scale. Results. A daily intake of DHA and EPA of 70 mg/d and 30 mg/d, respectively, was found. The prevalence of AS was 44.4%, and 17.9% for DS. We also found the correlation negatively moderate between dietary intake of DHA and EPA and AS (p = .003, p = .017) and DS (p = .001, p = .020) in the group of women who had a severely insufficient intake of ω-3FA. Discussion and conclusion. The statistical significance shows a negative correlation between variables and the dietary intake of ω-3FA explains in a very small percentage the variability of AS and DS, according to their coefficient of determination. These results suggest the need for an investigation of this relationship through interventional studies.

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Section: Discussionsupporting

confidence: 74%

Section: Anxiety Symptomsmentioning

confidence: 99%

Correlation between intake of omega-3 fatty acids and depressive and anxiety symptoms during pregnancy

Álvarez-Ramírez

Lara

Cervantes-Alfaro

et al. 2018

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“…The Spielberger STAI has been validated in for use in perinatal populations. 22 Population normative data shows that the median score for both state and trait anxiety among women ages 19-39 is 34. 19 …”

Section: Spielberger State and Trait Anxiety Inventorymentioning

confidence: 99%

Association Between Maternal Mood and Oxytocin Response to Breastfeeding

Stuebe

Grewen²,

Meltzer‐Brody³

2013

Journal of Women's Health

240

201

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Background: Postpartum depression is associated with reduced breastfeeding duration. We previously hypothesized that shared neuroendocrine mechanisms underlie this association. We sought to measure the association between maternal mood and neuroendocrine response to breastfeeding. Methods: We conducted a longitudinal cohort study of women recruited during pregnancy who intended to breastfeed. Baseline depression and anxiety history were assessed with a structured clinical interview. We measured mood symptoms using validated psychometric instruments, and we quantified affect and neuroendocrine responses to breastfeeding during laboratory visits at 2 and 8 weeks postpartum. Results: We recruited 52 women who intended to breastfeed, among whom 47 completed 8-week follow-up. Duration and intensity of breastfeeding through 8 weeks were similar among mothers with lower versus higher anxiety and depression scores. In the third trimester, oxytocin was inversely correlated with Edinburgh Postnatal Depression Scale (EPDS) score ( p = 0.03). We did not find differences in neuroendocrine profile during breastfeeding at 2 weeks postpartum. Among the 39 women who breastfed at 8 weeks postpartum, oxytocin area under the curve during breastfeeding was inversely correlated with maternal EPDS and STAI-State and STAITrait anxiety scores (all p £ 0.01). Higher anxiety and depression scores was further associated with lower oxytocin (group p < 0.05) during feeding. During feeding at both visits, higher anxiety and depression scores were also associated with more negative affect: mothers reported feeling less happy and more depressed, overwhelmed, and stressed during feeding than women with lower scores. Conclusion: Symptoms of depression and anxiety were associated with differences in oxytocin response and affect during breastfeeding.

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“…The DASS-21 has been shown to be effective in distinguishing between symptoms of depression, anxiety, and stress 32,33 and potentially useful in perinatal populations due to its exclusion of somatic symptoms such as sleep disturbance, lack of energy, and poor concentration. 34 The PHQ-9 is a self-administered questionnaire which asks respondents to rate the frequency of nine Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition depression criteria from 0 (''not at all'') to 3 (''nearly every day'') for a score range of 0 to 27. 35 The PHQ-9 has been evaluated in various settings including in pregnant populations and shown to have good sensitivity and specificity in detecting clinical and subclinical depression.…”

Section: Survey Instrumentsmentioning

confidence: 99%

Association of Serum Vitamin D with Symptoms of Depression and Anxiety in Early Pregnancy

Huang

Arnold

Qiu

et al. 2014

Journal of Women's Health

121

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Objective: To evaluate associations between early pregnancy 25-hydroxyvitamin D (25[OH]D) concentrations and antepartum depression and anxiety symptoms and potential modifiers thereof. Materials and Methods: In a pregnancy cohort (N = 498), we examined cross-sectional associations of early pregnancy (mean = 15.4 weeks gestation) serum 25[OH]D concentrations and depression and anxiety symptoms. Symptoms were measured using Depression, Anxiety, and Stress Scales (DASS-21) and Patient Health Questionnaire Depression Module (PHQ-9) instruments. Regression models were fit and effect modification by prepregnancy body mass index and leisure-time physical activity (LTPA) were assessed using interaction terms and stratified analyses. ( < 28.9 ng/mL) had 1.11 higher PHQ-9 scores than those in the highest quartile ( ‡ 39.5 ng/mL, p < 0.05). However, associations were attenuated and statistically insignificant in fully adjusted models. Inverse associations of 25[OH]D with depression symptoms were significant among participants who reported no LTPA, but not among women who reported any LTPA (interaction p = 0.018). Conclusions: Our study provides modest evidence for inverse cross-sectional associations of early pregnancy maternal vitamin D concentrations with antepartum depression symptoms. We also observed that these associations may be modified by physical activity.

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Anxiety measures validated in perinatal populations: A systematic review

Abstract: This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent

Cited by 274 publications

References 96 publications

Correlation between intake of omega-3 fatty acids and depressive and anxiety symptoms during pregnancy

Correlation between intake of omega-3 fatty acids and depressive and anxiety symptoms during pregnancy

Association Between Maternal Mood and Oxytocin Response to Breastfeeding

Association of Serum Vitamin D with Symptoms of Depression and Anxiety in Early Pregnancy

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