Incidence, prevalence and risk factors related to anxiety symptoms during pregnancy

  1. Cristina Soto-Balbuena 1
  2. María de la Fe Rodríguez 2
  3. Ana Isabel Escudero Gomis 1
  4. Francisco Javier Ferrer Barriendos 1
  5. Huynh-Nhu Le 3
  1. 1 Hospital Universitario Central de Asturias
    info

    Hospital Universitario Central de Asturias

    Oviedo, España

    ROR https://ror.org/03v85ar63

  2. 2 Universidad Nacional de Educación a Distancia
    info

    Universidad Nacional de Educación a Distancia

    Madrid, España

    ROR https://ror.org/02msb5n36

  3. 3 George Washington University
    info

    George Washington University

    Washington, Estados Unidos

    ROR https://ror.org/00y4zzh67

Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2018

Volumen: 30

Número: 3

Páginas: 257-263

Tipo: Artículo

Otras publicaciones en: Psicothema

Resumen

Los síntomas de ansiedad son una de las respuestas emocionales más prevalentes en las mujeres durante su fase reproductiva y especialmente en el embarazo. Objetivo: estimar la incidencia y prevalencia de la ansiedad a lo largo de los tres trimestres del embarazo además de estudiar los posibles factores de riesgo asociados a los síntomas de ansiedad. Método: una muestra de 385 gestantes participaron en un estudio longitudinal en el que se utilizó el cuestionario GAD-7. Resultados: la prevalencia fue de 19,5% en el primer trimestre. En el segundo trimestre fue de 16,8%, y una incidencia de 0.048%. En el tercer trimestre fue de 17,2%, y la incidencia de 0.068%. Como factores predictores de los síntomas de ansiedad se han encontrado: ser fumadora, la presencia de enfermedades previas y cambios en las relaciones sociales. Conclusiones: durante el embarazo aparecen unas altas tasas de incidencia y prevalencia en los síntomas de ansiedad, por lo que se deberían desarrollar políticas preventivas al respecto.

Información de financiación

Each participant completed some questionnaires provided by the HUCA nurses while awaiting obstetric ultrasound during the three trimesters of pregnancy (1st, 2nd and 3rd times). All were informed of the purpose of the investigation, signed the informed consent and participated voluntarily. This research project was approved by the Ethics and Research Committee of the Principality of Asturias.

Financiadores

Referencias bibliográficas

  • Agostini, F., Neri, E., Salvatori, P., Dellabartola, S., Bozicevic, L., & Monti, F. (2015). Antenatal depressive symptoms associated with specific life events and sources of social support among Italian women. Maternal and Child Health Journal,19(5) 1131-1141. doi: 10.1007/s10995-014-1613-x
  • Biaggi, A., Conroy, S., Pawlby, S., & Pariante, C.M. (2016). Identifying the women at risk of antenatal anxiety and depression, A systematic review. Journal of Affective Disorders, 191, 62-77. doi: 10.1016/j. jad.2015.11.014
  • Bicking, K.C., Baptiste-Roberts, K., Zhu, J., & Kjerulff,. KH. (2015). Effects of previous miscarriage on depressive symptoms during subsequent pregnancy and postpartum in the fi rst baby study. Maternal and Child Health Journal, 19(5), 391-400. doi: 10.1007/s10995-0141521-0
  • Bodecs, T., Szilagyi, E., Cholnoky, P., Sandor, J., Gonda, X., Rihmer, Z., & Horvath, B. (2013). Prevalence and psychosocial background of anxiety and depression emerging during the fi rst trimester of pregnancy, data from a Hungarian population-based sample. Psychiatria Danubina, 25(4), 352-358.
  • Brunton, R. J., Dryer, R., Saliba, A., & Kohlhoff, J. (2015). Pregnancy anxiety, A systematic review of current scales. Journal of Affective Disorder, 1(176), 24-34. doi:10.1016/j.jad.2015.01.039
  • Clout, D., & Brown, R. (2015). Sociodemographic, pregnancy, obstetric, and postnatal predictors of postpartum stress, anxiety and depression in new mothers. Journal of Affective Disorder, 188, 60-67. doi:10.1016/j. jad.2015.08.054
  • Department of Health (2009). The Healthy Child Programme. Pregnancy and the first fiveears of life. London: Department of Health.
  • Dunkel, C., & Tanner, L. (2012). Anxiety, depression and stress in pregnancy, implications for mothers, children, research, and practice. Current Opinion in Psychiatry, 25(2), 141-148. doi:10.1097/ YCO.0b013e3283503680
  • Echeburúa, E., Salaberría, K., & Cruz-Sáez, M. (2014). Aportaciones y Limitaciones del DSM-5 desde la Psicología Clínica. [Contributions and limitations of DSM-5 from Clinical Psychology]. Terapia Psicológica, 32(1), 65-74. doi: 10.4067/S0718-48082014000100007
  • Edwards, B., Galletly, C., Semmler-Booth, T., & Dekker, G. (2008). Antenatal psychosocial risk factors and depression among women living in socioeconomically disadvantaged suburbs in Adelaide, South Australia. Australian & New Zealand Journal of Psychiatry, 42(1), 45-50. doi: 10.1080/00048670701732673
  • Evans, K., Spiby, H., & Morrell, C.J. (2015). A psychometric systematic review of self-report instruments to identify anxiety in pregnancy. Journal of Advanced Nursing, 71(9), 1986-2001.
  • Fairbrother, N., Janssen, P., Antony M.M., Tucker, E., & Young, A. H. (2016). Perinatal anxiety disorder prevalence and incidence. Journal of Affective Disorder, 200, 148-155. doi: 10.1016/j.jad.2015.12.082
  • Field, T. (2017). Postpartum anxiety prevalence, predictors and effects on child development, a review. Journal of Psychiatry and Psychiatric Disorders, 1(2), 86-102. doi: 10.26502/jppd.2572-519X0010
  • Figueiredo, B., & Conde, A. (2011). Anxiety and depression in women and men from early pregnancy to 3-months postpartum. Archives of Women’s Mental Health, 14(3), 247-255. doi: 10.1007/s00737-0110217-3
  • Giardinelli, L., Innocenti, A., Benni, L., Stefanini, M.C., Lino, G., Lunardi, C.,… Faravelli, C. (2012). Depression and anxiety in perinatal period, prevalence and risk factors in an Italian sample. Archives of Women’s Mental Health, 15(1), 21-30. doi 10.1007/s00737-011-0249-8
  • García-Campayo, J., Zamorano, E., Ruiz, M. A., Pardo, A., PérezPáramo, M., López-Gómez, V., … Rejas, J. (2010). Cultural adaptation into Spanish of the generalized anxiety disorder-7 (GAD-7) scale as a screening tool. Health and Quality of Life Outcomes, 8, 8. doi:10.1186/1477-7525-8-8
  • Goodman J.H., Cheanusky, K. L., & Freeman, M. P. (2014). Anxiety disorders during pregnancy, a systematic review. The Journal of Clinical Psychiatry, 75(10), 1153-1184. doi: 10.4088/JCP.14r09035
  • Gurung, R., Dunkel-Shetter, C., Collins, N., Rini, C., & Hobel, C. (2005). Psychological predictors of prenatal anxiety. Journal of Social and Clinical Psychology, 24(4), 497-519.
  • Kessler, R.C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H.U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169-184. doi: 10.1002/mpr.1359
  • Lara, A., Navarro, C., Navarrete, L., & Le, N. (2010). Retention rates and potential predictors in a longitudinal randomized control trial to prevent postpartum depression. Salud Mental, 33(5), 429-436.
  • Leach S.L., Poyser C., & Fairweather-Schmidt K. (2017). Maternal perinatal anxiety, a review of prevalence and correlates. Clinical Psychologist, 21, 4-19. doi: 10.1111/cp.12058
  • Lee, A.M., Lam, S.K., Sze, M.L., S.M., Chong, C. S., Chui, H. W., & Fong, D.Y. (2007). Prevalence, course, and risk factors for antenatal anxiety and depression. Obstetrics and Gynecology, 110(5), 1102-1112. doi:10.1097/01.AOG.0000287065.59491.70
  • Marcus, S.M., Flynn, H.A., Blow, F.C., & Barry, K.L. (2003). Depressive symptoms among pregnant women screened in obstetrics settings. Journal of Women’s Health, 12(4), 373-380. doi: 10.1089/154099903765448880
  • Martini, J., Petzoldt, J., Einsle, F., Beesdo-Baum, K., Hofl er, M., & Wittchen, H.U. (2015). Risk factors and course patterns of anxiety and depressive disorders during pregnancy and after delivery, a prospective-longitudinal study. Journal of Affective Disorders, 175, 385-395.doi: 10.1016/j.jad.2015.01.012
  • NICE (2014). Antenatal and Postnatal Mental Health, Clinical management and Service Guidance. Retrieved from: https,//www.nice.org.uk/guidance/cg192/chapter/1-Recommendations#assessment-andcare-planning-in-pregnancy-and-the-postnatal-period
  • Paul, I.M., Downs, D.S., Schaefer, E.W., Beiler, J.S., & Weisman, C.S. (2013). Postpartum anxiety and maternal-infant health outcomes. Pediatrics, 131(4), 1218-1224. doi: 10.1542/peds.2012-2147
  • Peñacoba, C., Carmona, J., Marín, D. & Naber, K. (2012). Coping strategies of Spanish Women and their impact on Anxiety and Depression. Research in Nursing & Health, 35, 56-54. doi:10.1002/nur.21513
  • Redshaw, M., & Henderson, J. (2013). From antenatal to postnatal depression, associated factors and mitigating influences. Journal of Women’s Health, 22(3), 518-525. doi: 10.1089/jwh.2012.4152
  • Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression, a synthesis of recent literature. General Hospital Psychiatry, 26(4), 289-295. doi:10.1016/j. genhosppsych.2004.02.006
  • Rubertsson, C., Waldenströn, U., & Wickberg, B. (2003). Depressive mood in early pregnancy, prevalence and women at risk in a national Swedish sample. Journal of Reproductive and Infant Psychology, 21(2), 113-123. doi:10.1080/0264683031000124073
  • Rubertsson, C., Hellstrom, J., Cross, M., & Sydsjo, G. (2014). Anxiety in early pregnancy, prevalence and contributing factors. Archives of women’s Mental Health, 17(3), 221-228. doi: 10.1007/s00737-0130409-0
  • Shu, W., Jian, H., Ya H., Szu, L., & Yi, C. (2016). Effects of tobacco exposure on perinatal suicidal ideation, depression, and anxiety. BMC Public Health, 16, 1-9. doi: 10.1186/s12889-016-3254-z
  • Silva, M., Alves N. D., Clapis, MJ., Peres, CL. (2017). Anxiety in pregnancy. Prevalence and associated factors. Revista Escola de Enfermagen, 51, 1-8. doi: 10.1590/S1980-220X2016048003253
  • Spitzer, R.L., Kroenke, K., Williams, J.B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder, the GAD-7. Archives of Internal Medicine, 166(10), 1092-1097. doi: 10.1001/ archinte.166.10.1092
  • Srinivasan, N., Murthy, S., Singh, A. K., Upadhyay, V., Mohan, S. K., & Joshi, A. (2015). Assessment of Burden of Depression During Pregnancy Among Pregnant Women Residing in Rural Setting of Chennai. Journal of Clinical and Diagnostic Research, 9(4), 8-12. doi:0.7860/JCDR/2015/12380.5850
  • Stewart, R.C., Umar, E., Tomenson, B., & Creed, F. (2014). A cross-sectional study of antenatal depression and associated factors in Malawi. Archives of Women’s Mental Health, 17(2), 145-154. doi: 10.1007/s00737-013-0387-2
  • Sutter, A.L., Giaconne, V., Glatigny-, E., & Verdoux, H. (2004). Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms, a prospective survey of the MATQUID cohor. European Psychiatric, 19(8), 459-463. doi: 10.1016/j.eurpsy.2004.09.025
  • Vallina-Fernández, O., Pérez-Álvarez, M., Fernández-Iglesias, P., Soto-Balbuena, C., Perona-Garcelán, S. & García-Montes, J. M. (2014). Personbased contextual therapy applied to a complex case of schizophrenia. Psicothema, 26(3), 299-307. doi: 10.7334/psicothema2013.247
  • Wenzel, A. (2011). Anxiety in Childbearing Women, Diagnosis and Treatment. American Psychological Association. Washington DC. doi. org/10.1037/12302-000
  • Wittchen, H.U., Jacobi, F., Rhem, J., Gustavsson, A., Svensson, M., Jönsson, B., … Steinhausen, H.C. (2011). The size and burden of mental disorders and other disorders of the brain in Europe 2010. European Neuropsychopharmacology, 21(9), 655-679. doi: 10.1016/j. euroneuro.2011.07.018
  • Zeng, Y., Cui, Y., & Li, J. (2015). Prevalence and predictors of antenatal depressive symptoms among Chinese women in their third trimester, a cross-sectional survey. BMC Psychiatry, 15, 1-7. doi:10.1186/s12888015-0452-7
  • Zhong, Q. Y., Gelaye, B., Zaslavsky, A. M., Fann, J. R., Rondon, M. B., Sánchez, S. E., & Williams, M.A. (2015). Diagnostic Validity of the Generalized Anxiety Disorder -7 (GAD-7) among pregnant women. PLoS One, 10(4), 30125096. doi: 10.1371/journal.pone.0125096