Prevalence of generalized anxiety at eight weeks postpartum

Wenzel, Amy; Haugen, Erin N.; Jackson, Lydia; Robinson, K.

doi:10.1007/s00737-002-0154-2

Cited by 153 publications

(104 citation statements)

References 13 publications

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“…[3] Negative affect after birth can be detrimental to both mother and infant. For example, depression is associated with long-term adverse physical and psychological outcomes in offspring, including developmental delays and behaviour problems [4,5] ; similar findings have been reported for perinatal anxiety [6] . Many women report moderate symptoms of anxiety, depression and other negative mood states such as difficulty adjusting [7] .…”

Section: Brief Online Self-help Exercises For Postnatal Women To Imprsupporting

confidence: 57%

Brief Online Self-help Exercises for Postnatal Women to Improve Mood: A Pilot Study

Ayers

Fitzgerald

Thompson

2015

Matern Child Health J

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Section: Brief Online Self-help Exercises For Postnatal Women To Imprsupporting

confidence: 57%

Brief Online Self-help Exercises for Postnatal Women to Improve Mood: A Pilot Study

Ayers

Fitzgerald

Thompson

2015

Matern Child Health J

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“…7 However, in the postpartum period there appears to be a greater variance in the reported prevalence of GAD, between 4.4% and 10.8%. [8][9][10][11] This difference in rates is contingent on recruitment strategies, methodology, and presence of a control group. Studies show subjects selected from a hospital outpatient population display a higher rate of GAD versus those from wide scale epidemiological surveys.…”

Section: Prevalence Of Gadmentioning

confidence: 99%

Perinatal Generalized Anxiety Disorder: Assessment and Treatment

Misri

Abizadeh

Sanders

et al. 2015

Journal of Women's Health

113

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Perinatal generalized anxiety disorder (GAD) has a high prevalence of 8.5%-10.5% during pregnancy and 4.4%-10.8% postpartum. Despite its attendant dysfunction in the patient, this potentially debilitating mental health condition is often underdiagnosed. This overview will provide guidance for clinicians in making timely diagnosis and managing symptoms appropriately. A significant barrier to the diagnosis of GAD in the perinatal population is difficulty in distinguishing normal versus pathological worry. Because a perinatal-specific screening tool for GAD is nonexistent, early identification, diagnosis and treatment is often compromised. The resultant maternal dysfunction can potentially impact mother-infant bonding and influence neurodevelopmental outcomes in the children. Comorbid occurrence of GAD and major depressive disorder changes the illness course and its treatment outcome. Psychoeducation is a key component in overcoming denial/stigma and facilitating successful intervention. Treatment strategies are contingent upon illness severity. Cognitive behavior therapy (CBT), relaxation, and mindfulness therapy are indicated for mild GAD. Moderate/severe illness requires pharmacotherapy and CBT, individually or in combination. No psychotropic medications are approved by the FDA or Health Canada in pregnancy or the postpartum; off-label pharmacological treatment is instituted only if the benefit of therapy outweighs its risk. SSRIs/SNRIs are the first-line treatment for anxiety disorders due to data supporting their efficacy and overall favorable side effect profile. Benzodiazepines are an option for short-term treatment. While research on atypical antipsychotics is evolving, some can be considered for severe manifestations where the response to antidepressants or benzodiazepines has been insufficient. A case example will illustrate the onset, clinical course, and treatment strategies of GAD through pregnancy and the postpartum.

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“…Em uma pesquisa nos Estados Unidos, 68 puérperas com oito semanas de pós-parto foram entrevistadas utilizando-se a SCID (Structured Clinical Interview for DSM-IV Disorders) e foi observada taxa de prevalência de 4,4% de TAG 79 . Outro estudo do mesmo grupo, usando metodologia semelhante, mas desta vez com 147 mulheres examinadas, encontrou prevalência de 8,2% 80 .…”

Section: Transtorno De Ansiedade Generalizada (Tag)unclassified

“…As preocupações envolvem diversos eventos e atividades de vida e são acompanhadas de sintomas como inquietação, fadigabilidade, dificuldade para se concentrar, irritabilidade, tensão muscular e perturbação do sono 83 . Um estudo mostrou que, somadas as taxas de TAG com critérios cheios e de TAG subsindrômica, se chega a percentagem de 32,3% 79 . Desse modo, diferenças nas taxas de prevalência podem ser encontradas, dependendo do rigor na aferição dos critérios diagnósticos em diferentes instrumentos utilizados.…”

Section: Transtorno De Ansiedade Generalizada (Tag)unclassified

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Transtornos psiquiátricos no pós-parto

Cantilino¹,

Zambaldi²,

Sougey³

et al. 2010

Rev. psiquiatr. clín.

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ResumoObjetivo: O pós-parto é um período de alterações biológicas, psicológicas e sociais. Essa é considerada a época mais vulnerável para a ocorrência de transtornos psiquiátricos. A disforia puerperal, a depressão pós-parto e a psicose pós-parto têm sido classicamente relacionadas ao pós-parto. Atualmente, tem sido observado que os transtornos ansiosos também estão associados a esse período. Método: Neste artigo é feita uma revisão da bibliografia acerca de transtornos psiquiátricos no pós-parto a partir de artigos encontrados no PubMed e no SciELO entre os anos de 2000 e 2009. Livros, teses e outros artigos considerados relevantes citados no material consultado também foram incluídos. Resultados: A disforia puerperal ocorre em 50% a 85% das mulheres, o quadro é leve e transitório e não requer tratamento. A depressão pós-parto tem prevalência em torno de 13%, pode causar repercussões negativas na interação mãe-bebê e em outros aspectos da vida da mulher e deve ser tratada. A psicose pós-parto é rara, aparecendo em cerca de 0,2% das puérperas. Tem quadro grave que envolve sintomas psicóticos e afetivos, havendo risco de suicídio e infanticídio e geralmente requerendo internação hospitalar. Os transtornos ansiosos podem ser exacerbados ou precipitados no pós-parto, especialmente o transtorno de ansiedade generalizada, o transtorno de estresse pós-traumático e o transtorno obsessivo-compulsivo. Conclusão: Apesar de não serem reconhecidos como entidades diagnósticas pelos sistemas classificatórios atuais, os transtornos mentais no puerpério apresentam peculiaridades clínicas que merecem atenção por parte de clínicos e pesquisadores.Cantilino A, et al. / Rev Psiq Clín. 2010;37(6):278-84 Palavras-chave: Transtornos psiquiátricos, pós-parto, depressão, ansiedade, psicose. AbstractObjective: The postpartum period is marked by biological, psychological and social changes. Women are considered most susceptible to psychiatric disorders during the postpartum period. Puerperal blues, postpartum depression and postpartum psychosis have been classically associated to the postpartum. Anxiety disorders have also recently been associated to this period. Method: The present article reports a review of the literature on postpartum psychiatric disorders based on articles found on the PubMed and SciELO databases, published between 2000 and 2009. Relevant books, theses and other articles cited in the articles found were also included in this review. Results: Puerperal dysphoria occurs in 50% to 85% of women following childbirth and is typically mild and transient in nature and requires no treatment. Postpartum depression has a prevalence rate of around 13% and can have negative repercussions on mother-infant interaction and other life events and must therefore be treated. Postpartum psychosis is rare, occurring in approximately 0.2% of puerperium cases. This condition is severe with psychotic and affective symptoms as well as risk of suicide and infanticide. Postpartum psychosis patients generally require hospital treatment. Anxi...

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Prevalence of generalized anxiety at eight weeks postpartum

Abstract: Postpartum generalized anxiety has a higher prevalence than postpartum depression.

Cited by 153 publications

References 13 publications

Brief Online Self-help Exercises for Postnatal Women to Improve Mood: A Pilot Study

Brief Online Self-help Exercises for Postnatal Women to Improve Mood: A Pilot Study

Perinatal Generalized Anxiety Disorder: Assessment and Treatment

Transtornos psiquiátricos no pós-parto

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