The prevalence of general anxiety disorder and its associated factors among women attending the perinatal service of Dilla University referral hospital, Ethiopia during the COVID-19 pandemic

Kassaw, Chalachew; Pandey, Digvijay

doi:10.1016/j.heliyon.2020.e05593

Cited by 23 publications

(31 citation statements)

References 26 publications

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“…Perceived low social support and social isolation were associated with increased psychological symptoms ( 57 , 61 , 62 , 65 , 78 , 96 , 109 , 115 , 120 , 129 ), and increased social support acted as a protective factor ( 71 , 96 ). In addition, general conflict, poor family functioning and martial distress emerged as significant risk factors for perinatal anxiety during the pandemic ( 56 , 72 , 74 , 81 , 89 , 98 , 116 , 117 , 128 ).…”

Section: Resultsmentioning

confidence: 99%

One Year Into the Pandemic: A Systematic Review of Perinatal Mental Health Outcomes During COVID-19

et al. 2021

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Obstetric guidelines have rapidly evolved to incorporate new data and research on the novel coronavirus disease (COVID-19), with data on perinatal mental health building over the last year. Our aim in the present manuscript is to provide a systematic review of mental health outcomes in pregnant and postpartum women during the COVID-19 pandemic in the context of neonatal and obstetric guidelines addressing symptoms and complications of COVID-19 during pregnancy, mother-to-neonate transmission, Cesarean-section delivery, neonatal prematurity, maternal/neonate mortalities, maternal-neonatal separation, and breastfeeding. We summarize data from 81 mental health studies of pregnant and postpartum women and underscore protective and risk factors identified for perinatal mental health outcomes amidst the COVID-19 pandemic. Data reviewed here suggest increased psychological symptoms, especially depressive and anxiety symptoms, in pregnant and postpartum women during COVID-19. Our systematic review integrates the most current obstetric and neonate guidelines, along with perinatal mental health outcomes associated with COVID-19, highlighting the best available data for the care of women and their neonates amidst the current COVID-19 pandemic.

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Section: Resultsmentioning

confidence: 99%

One Year Into the Pandemic: A Systematic Review of Perinatal Mental Health Outcomes During COVID-19

et al. 2021

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“…Moreover, two recent studies in the Ethiopian population determined the prevalence and determinants of anxiety in healthcare workers ( 14 ) and women attending prenatal care ( 15 ). However, there are few reports which determined the prevalence of anxiety in the Ethiopian student population and studied its associated conditions.…”

Section: Introductionmentioning

confidence: 99%

Anxiety Symptoms Are Associated With Higher Psychological Stress, Poor Sleep, and Inadequate Sleep Hygiene in Collegiate Young Adults—A Cross-Sectional Study

et al. 2021

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Background: Anxiety symptoms, stress, poor sleep, and inadequate sleep hygiene are common in university students and these affect their learning and increase attrition. However, limited knowledge exists about the inter-relationship between these factors among university students in low-middle income countries. Therefore, this study aimed to investigate the prevalence of anxiety symptoms and their relationship with sleep quality, sleep hygiene practices, and psychological stress.Materials and Methods: A cross-sectional study was conducted with a randomly selected sample of students in Mizan-Aman, Ethiopia. Participants completed a self-administered questionnaire, which included questions about socio-demographics, socio-economic factors, the Leeds Sleep Evaluation Questionnaire-Mizan, Sleep hygiene index, Perceived stress scale-10 (PSS-10), and Generalized anxiety disorder-7 scale (GAD-7).Results: The prevalence of anxiety symptoms was about 22%. Multivariate regression analysis showed that both anxiety status χ2[(13, N = 480) = 82.68, p < 0.001], and increasing levels of anxiety (model adjusted R2 = 0.204, p < 0.001) were associated with greater psychological stress, inadequate sleep hygiene practices, and poor sleep quality scores after adjusting for age, gender, attendance, substance use, years of university education, time spent in athletic activity every day, and frequency of tea/coffee consumption.Conclusion: There was a high prevalence of anxiety symptoms in this study population, and this condition was associated with psychological stress, poor sleep, and inadequate sleep hygiene parameters. These results suggest a need to address the various aspects of mental health and its diverse sleep correlates in university students.

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“…A total of 21 reports estimated the prevalence of anxiety in pregnant women during this pandemic [ 29 , 30 , 31 , 32 , 33 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 ]. Depression, Anxiety and Stress Scale-21 (DASS-21), the Edinburg Perinatal Depression Scale (EPDS), the Hospital Anxiety, Depression, Stress Scale (HADS), The Patient Health Questionnaire (PHQ-9), the General Anxiety Disorder-7 (GAD-7), the item 3 of the Oslo Social Support Scale (OSSS-3), the Self-Rating Anxiety Scale (SAS), the Trait Subscale of the Spielberg State-Trait anxiety Inventory (STAI-T), Beck Anxiety Inventory (BAI), the Inventory of Depression and Anxiety Symptoms II (IDAS-II), the Kessler Psychological Distress Scale (K10), the Mental Health Inventory—Short Form (MHI-5), the Patient-Reported Outcomes Measurement Information System (PROMIS), a modified version of the Pregnancy-related Anxiety Scale (PrAS), the Perceived Stress Scale (PSS), the Post-traumatic Stress Disorder Checklist 5 (PCL-5) and the Pandemic-related Pregnancy Stress Scale (PREPS) questionnaires were used to assess symptoms of anxiety, the majority self-report.…”

Section: Resultsmentioning

confidence: 99%

“…The main causes of anxiety reported in pregnant women during the pandemic were using a public transport (87.5%), COVID-19 infection of a family member (71.1%), being in public places (70%), concern for pregnancy complications and fetus health (70%), attending gynecological appointments (68.7%), becoming infected by COVID-19 (59.2%) and birth time (55.4%) [ 50 ]. The results reported from a cohort showed that most patients (82.5%) had concerns about infecting their babies during delivery [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

Psychological Impact of the COVID-19 Pandemic on Pregnant Women: A Scoping Review

Campos-Garzón

Riquelme-Gallego

Torre‐Luque

et al. 2021

Behavioral Sciences

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During the gestation period, pregnant women experience physical and psychological changes, which represent vulnerability factors that can boost the development of mental health conditions. The COVID-19 pandemic is producing new changes in the routines of the whole society, especially on lifestyle habits. The psychological impact associated with the COVID-19 pandemic and pregnant women remains unclear. A scoping review regarding the psychological impact of the COVID-19 pandemic on pregnant women was conducted. Searchers were conducted using the PubMed, Web of Science and CINAHL databases. Articles in Spanish, English and French were included. The search was conducted between November 2020 and September 2021. We identified 31 studies that evaluated 30,049 expectant mothers during the COVID-19 pandemic. Pregnant women showed high levels of anxiety and depression symptomatology. Fear of contagion and concerns regarding the health of the fetus were identified as the main variables related to psychological distress. An increase of the levels of depression, anxiety and stress during the COVID-19 pandemic amongst pregnant women has been observed. Moreover, an increased vulnerability of the fetus due to placental metabolic alterations is discussed. This review suggests that the COVID-19 pandemic is associated with a negative psychological impact on pregnant women. Thus, high levels of anxiety and depression symptoms suggest the need for a systematic approach.

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The prevalence of general anxiety disorder and its associated factors among women attending the perinatal service of Dilla University referral hospital, Ethiopia during the COVID-19 pandemic

Cited by 23 publications

References 26 publications

One Year Into the Pandemic: A Systematic Review of Perinatal Mental Health Outcomes During COVID-19

One Year Into the Pandemic: A Systematic Review of Perinatal Mental Health Outcomes During COVID-19

Anxiety Symptoms Are Associated With Higher Psychological Stress, Poor Sleep, and Inadequate Sleep Hygiene in Collegiate Young Adults—A Cross-Sectional Study

Psychological Impact of the COVID-19 Pandemic on Pregnant Women: A Scoping Review

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