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pregnancy specific anxiety scale

Kylee Trevillion, Jill Domoney, Andrew Pickles, Debra Bick, Sarah Byford, Margaret Heslin, Jeannette Milgrom, Rachel Mycroft, Carmine Pariante, Elizabeth Ryan, Myra Hunter, Louise Michele Howard
BACKGROUND: Depression is a common antenatal mental disorder and is associated with an increased risk of adverse effects on the fetus and significant morbidity for the mother; if untreated it can also continue into the post-natal period and affect mother-infant interactions. There has been little research evaluating the effectiveness or cost-effectiveness of antenatal psychological interventions for antenatal depression, particularly for mild to moderate disorders. International guidelines recommend a stepped care approach starting with Guided Self Help, and the aim of this exploratory trial is to investigate Guided Self Help modified for pregnancy...
October 18, 2016: Trials
Susan F Wilson, Elizabeth P Gurney, Mary D Sammel, Courtney A Schreiber
BACKGROUND: Women undergoing office-based surgical management of a failed or undesired pregnancy often report fear of pain and anxiety pertaining to the procedure. Doulas are trained to specifically address women's physical and emotional needs in obstetric care, and recently have extended their practice to support women through all pregnancy outcomes. OBJECTIVE: We sought to evaluate the impact of doulas on patients' physical and emotional responses to surgical management of a first-trimester failed or undesired pregnancy under local anesthesia...
September 6, 2016: American Journal of Obstetrics and Gynecology
Victoria Fallon, Jason Christian Grovenor Halford, Kate Mary Bennett, Joanne Allison Harrold
Perinatal symptoms of anxiety are increasingly recognised due to their high prevalence and impact. Studies using pregnancy-specific anxiety measures have found that they may predict perinatal outcomes more effectively than general measures. However, no such measure exists to assess anxieties specific to the postpartum. This study aimed to develop and validate a measure (Postpartum Specific Anxiety Scale; PSAS) that accurately represents the specific anxieties faced by postpartum women, using a four-stage methodology: (1) 51 items were generated from interviews conducted with a group of 19 postpartum women at two time points, (2) the scale was reviewed and refined by a diverse expert panel, (3) an online pilot study (n = 146) was conducted to assess comprehensibility and acceptability and (4) an online sample of 1282 mothers of infants up to 6 months old completed the PSAS against a battery of convergent measures...
August 29, 2016: Archives of Women's Mental Health
Frederica Perera, Emily L Roen Nolte, Ya Wang, Amy E Margolis, Antonia M Calafat, Shuang Wang, Wanda Garcia, Lori A Hoepner, Bradley S Peterson, Virginia Rauh, Julie Herbstman
BACKGROUND: Experimental and epidemiological studies suggest that gestational exposure to Bisphenol A (BPA), an ubiquitous endocrine disrupting chemical, may lead to neurobehavioral problems in childhood; however, not all results have been consistent. We previously reported a positive association between prenatal BPA exposure and symptoms of anxiety/depression reported by the mother at child age 7-9 years in boys, but not girls. OBJECTIVES: Here, in the same birth cohort, we investigated the association of prenatal BPA exposure with symptoms of depression and anxiety self-reported by the 10-12 year olds, hypothesizing that we would observe sex-specific differences in anxiety and depressive symptoms...
August 3, 2016: Environmental Research
Sachiko Kita, Megumi Haruna, Naoko Hikita, Masayo Matsuzaki, Kiyoko Kamibeppu
This study develops a Japanese version of the Woman Abuse Screening Tool, comprising two simple questions, to examine its accuracy and validity. A cohort study involving women in the third trimester of pregnancy and one month after childbirth was conducted in an antenatal clinic in a Tokyo suburb. The Japanese versions of the Index of Spouse Abuse and Hospital Anxiety and Depression Scale were used to examine the cut-off point, accuracy, and validity of the Woman Abuse Screening Tool. Results showed that the tool demonstrated good accuracy (sensitivity 66...
July 18, 2016: Nursing & Health Sciences
Toby Mansell, Peter Vuillermin, Anne-Louise Ponsonby, Fiona Collier, Richard Saffery, Joanne Ryan
Maternal mental health during pregnancy has been linked to health outcomes in progeny. Mounting evidence implicates fetal "programming" in this process, possibly via epigenetic disruption. Maternal mental health has been associated with glucocorticoid receptor methylation (nuclear receptor subfamily 3, group C, member 1 [NR3C1]) in the neonate; however, most studies have been small (n < 100) and have failed to control for multiple testing in the statistical analysis. The Barwon Infant Study is a population-derived birth cohort with antenatal recruitment...
April 4, 2016: Development and Psychopathology
Alison E Hipwell, Stephanie D Stepp, Eydie L Moses-Kolko, Shuangyan Xiong, Elena Paul, Natalie Merrick, Samantha McClelland, Danielle Verble, Kate Keenan
Symptoms of depression and anxiety in pregnancy have been linked to later impaired caregiving. However, mood symptoms are often elevated in pregnancy and may reflect motherhood-specific concerns. In contrast, little is known about the effects of prepregnancy depression and anxiety on postpartum caregiving. Understanding these developmental risk factors is especially important when childbearing also occurs during adolescence. The sample comprised 188 adolescent mothers (ages 12-19 years) who had participated in a longitudinal study since childhood...
October 2016: Archives of Women's Mental Health
Yanli Sun, Ting Shao, Yuyou Yao, Huihui Tao, Lingling Ni, Shuangqin Yan, Chunli Gu, Hui Cao, Kun Huang, Fangbiao Tao
OBJECTIVE: To analyze the associations between pregnancy-related anxiety and the prevalence of subthreshold autism trait (SAT) in preschool children. METHODS: Baseline data came from the Ma'anshan Birth Cohort Study, a part of the China-Anhui Birth Cohort Study (C-ABCS). All the participants were enrolled among pregnant women who received prenatal health care in 4 municipal medical centers during Oct. 2008 to Oct. 2010. A total of 5 084 pregnant women were recruited at the beginning and 4 669 singleton live births were included until childbirth...
February 2016: Zhonghua Yu Fang Yi Xue za Zhi [Chinese Journal of Preventive Medicine]
Martin Alexander Schaller, Georg Griesinger, Constanze Banz-Jansen
PURPOSE: The aim of the present study was to determine levels of anxiety during the course of IVF treatment and gender differences in treatment anxiety. METHODS: This was a prospective cohort study set in a university affiliated, tertiary care IVF program. 119 women and 82 men entering the clinic to undergo IVF treatment filled out questionnaires containing the Spielberger state-trait-anxiety-inventory (STAI) as well as further items on specific stress triggers...
May 2016: Archives of Gynecology and Obstetrics
T Leigh Signal, Sarah-Jane Paine, Bronwyn Sweeney, Diane Muller, Monique Priston, Kathryn Lee, Philippa Gander, Mark Huthwaite
OBJECTIVE: To describe the prevalence of symptoms of depression and anxiety, and the level of life stress and worry in late pregnancy for Māori and non-Māori women. METHODS: In late pregnancy, women completed a questionnaire recording their prior history of mood disorders; self-reported current depressive symptoms (⩾13 on the Edinburgh Postnatal Depression Scale), current anxiety symptoms (⩾6 on the anxiety items from the Edinburgh Postnatal Depression Scale), significant life stress (⩾2 items on life stress scale) and dysfunctional worry (>12 on the Brief Measure of Worry Scale)...
January 20, 2016: Australian and New Zealand Journal of Psychiatry
Vedran Bjelanović, Dragan Babić, Damir Hodžić, Ana Bjelanović, Tanja Krešić, Ana Dugandžić-Šimić, Slavko Orešković
BACKGROUND: In pregnancy occurs series of physiological, organic and psychological changes in the female organism. Particularly are significant hormonal and metabolic changes. Elevated cortisol levels are reduced by linking the transport of globulin (transcortin). Triglycerides were increased 50% and other lipids from 20 to 30%. The values of CRP were slightly elevated in the third trimester of pregnancy (10-15 mg/L). To investigate the association of psychological symptoms with the level of cortisol and CRP in women with metabolic syndrome...
December 2015: Psychiatria Danubina
C Marchesi, P Ossola, A Amerio, B D Daniel, M Tonna, C De Panfilis
BACKGROUND: In the last few decades, there has been a growing interest in anxiety disorders (AnxD) in the perinatal period. Although AnxD are diagnosed in 4-39% of pregnant women and in up to 16% of women after delivery, evidence on their clinical management is limited. METHODS: A systematic review was conducted on pharmacological and non-pharmacological treatment of AnxD in the perinatal period. Relevant papers published from January 1st 2015 were identified searching the electronic databases MEDLINE, Embase, PsycINFO and the Cochrane Library...
January 15, 2016: Journal of Affective Disorders
Mahbobeh Faramarzi, Shala Yazdani, Shahnaz Barat
STUDY QUESTION: Does adding psychological intervention to medical therapy improve nausea/vomiting, psychological symptoms, and pregnancy distress in women with moderate nausea and vomiting of pregnancy (NVP)? SUMMARY ANSWER: Three weeks of medical therapy plus psychotherapy yielded statistically and clinically significant improvements in NVP-specific symptoms, anxiety/depression symptoms, and pregnancy distress, compared with medical therapy alone. WHAT IS KNOWN ALREADY: Pregnancy with nausea/vomiting is associated with psychiatric morbidity...
December 2015: Human Reproduction
T Meade, E Dowswell, N Manolios, L Sharpe
BACKGROUND: For many women with Rheumatoid Arthritis (RA) motherhood decisions are complicated by their condition and complex pharmacological treatments. Decisions about having children or expanding their family require relevant knowledge and consultation with their family and physician as conception and pregnancy has to be managed within the RA context. Relevant information is not readily available to women with RA. Therefore a randomized controlled study was conducted to evaluate the effectiveness of a new motherhood decision aid (DA) developed specifically for women with RA...
2015: BMC Musculoskeletal Disorders
Fatimah Dabo Pettersson, Charlotte Hellgren, Fred Nyberg, Helena Åkerud, Inger Sundström-Poromaa
Relatively little is known about mental health and labor pain. The aim of this study was to assess if self-rated antenatal depressed mood and anxiety are associated with pain-related behaviors and self-reported labor pain. We also wanted to replicate our previous finding of altered labor pain behavior in carriers of a specific guanosine triphosphate cyclohydrolase 1 gene (GCH1) haplotype. Ninety-nine women in gestational weeks 37 to 40 filled out questionnaires on depression and anxiety symptoms and later rated their labor pain by use of visual analog scales...
February 2016: Archives of Women's Mental Health
Heather Powell, Vanessa E Murphy, Michael J Hensley, Warwick Giles, Vicki L Clifton, Peter G Gibson
OBJECTIVE: To describe the pattern and severity of rhinitis in pregnancy and the impact rhinitis has on asthma control and quality of life (QoL) in pregnant women with asthma. METHODS: Two hundred and eighteen non-smoking pregnant women with asthma were participants in a randomised controlled trial of exhaled nitric oxide guided treatment adjustment. Rhinitis was assessed using a visual analogue scale (VAS) scored from 0 to 10 and classified as current (VAS > 2...
2015: Journal of Asthma: Official Journal of the Association for the Care of Asthma
E B Vangeel, B Izzi, T Hompes, K Vansteelandt, D Lambrechts, K Freson, S Claes
Epigenetic regulation of imprinted genes during embryonic development is influenced by the prenatal environment. Our aim was to examine the effect of maternal emotional stress and cortisol levels during pregnancy on methylation of imprinted genes, insulin-like growth factor 2 (IGF2) and guanine nucleotide-binding protein, alpha stimulating extra-large (GNASXL), using umbilical cord blood DNA. Maternal depressed mood (Edinburgh Depression Scale; EDS), pregnancy-related anxiety questionnaire (PRAQ) and cortisol day profiles were assessed throughout pregnancy...
November 2015: Genes, Brain, and Behavior
Mechtilda Rwakarema, Shahirose S Premji, Elias Charles Nyanza, Ponsiano Riziki, Luz Palacios-Derflingher
BACKGROUND: Psychosocial health problems, specifically depression during pregnancy, can have negative impact on birth outcomes, postnatal mental health of the mother, and infant health. Antenatal depression is more prevalent among women in low- and middle-income countries than among women in high-income countries. Risk factors for antenatal depression reported in the literature relate to pregnant women in South Asia. Consequently, this study assessed depression in pregnancy and related psychosocial risk factors among select pregnant women residing in Mwanza region, Northern Tanzania...
2015: BMC Women's Health
Hsing-Chi Chang, Chen-Hsiang Yu, Shu-Yueh Chen, Chung-Hey Chen
OBJECTIVE: While music listening has been studied as an intervention to help reduce anxiety in pregnant women, few studies have explored the effect of music listening on pregnancy-specific stress relief. This study examines the effects of music listening on psychosocial stress and maternal-fetal attachment during pregnancy. DESIGN: A randomized controlled trial was implemented. A valid sample of 296 pregnant women in their second or third trimester was randomly distributed into an experimental group (n=145) and a control group (n=151)...
August 2015: Complementary Therapies in Medicine
Ella Volkovich, Liat Tikotzky, Rachel Manber
The aims of this paper are to study the associations between objective and subjective sleep in pregnant women, to examine which specific aspects of women's sleep are associated with depressive and anxiety symptoms and to test the moderating role of depressive and anxiety symptoms in the relations between objective and subjective sleep. The sample included 148 pregnant women. Objective sleep was measured by actigraphy for five nights at the participants' home, and subjective sleep was measured with the Pittsburgh sleep quality index...
February 2016: Archives of Women's Mental Health
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