Anxiety in early pregnancy: prevalence and contributing factors

被引:157
作者
Rubertsson, C. [1 ]
Hellstrom, J. [1 ]
Cross, M. [4 ]
Sydsjo, G. [2 ,3 ]
机构
[1] Uppsala Univ, Dept Womens & Childrens Hlth Obstet & Gynecol, S-75185 Uppsala, Sweden
[2] Linkoping Univ, Fac Hlth Sci, Dept Clin & Expt Med, Linkoping, Sweden
[3] Cty Council Ostergotland, Dept Gynecol & Obstet Linkoping, Linkoping, Sweden
[4] Univ Melbourne, Rural Hlth Acad Ctr, Shepparton, Vic, Australia
关键词
Pregnancy; Anxiety; Anxiety disorder; Hospital anxiety and depression scale; DEPRESSIVE SYMPTOMS; HOSPITAL ANXIETY; PSYCHIATRIC-DISORDERS; RISK-FACTORS; POSTPARTUM; WOMEN; SCALE; MOTHERS; WISH;
D O I
10.1007/s00737-013-0409-0
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Antenatal anxiety symptoms are not only a health problem for the expectant mother. Research has found that maternal anxiety may also have an impact on the developing baby. Therefore, it is important to estimate the prevalence of maternal anxiety and associated factors. The current study aims to estimate the prevalence of anxiety symptoms during the first trimester of pregnancy and to identify associated risk factors. Secondly, to investigate other factors associated with anxiety during early pregnancy including fear of childbirth and a preference for cesarean section. In a population-based community sample of 1,175 pregnant women, 916 women (78 %) were investigated in the first trimester (gestation week 8-12). The Hospital Anxiety Depression Scale (HADS-A) was used to measure anxiety symptoms. The prevalence of anxiety symptoms (HADS-A scores a parts per thousand yen8 during pregnancy) was 15.6 % in early pregnancy. Women under 25 years of age were at an increased risk of anxiety symptoms during early pregnancy (OR 2.6, CI 1.7-4.0). Women who reported a language other than Swedish as their native language (OR 4.2, CI 2.7-7.0), reported high school as their highest level of education (OR 1.6, CI 1.1-2.3), were unemployed (OR 3.5, CI 2.1-5.8), used nicotine before pregnancy (OR 1.7, CI 1.1-2.5), and had a self-reported psychiatric history of either depression (OR 3.8, CI 2.6-5.6) or anxiety (OR 5.2, CI 3.5-7.9) before their current pregnancy were all at an increased risk of anxiety symptoms during early pregnancy. Anxiety symptoms during pregnancy increased the rate of fear of birth (OR 3.0, CI 1.9-4.7) and a preference for cesarean section (OR 1.7, CI 1.0-2.8). Caregivers should pay careful attention to history of mental illness to be able to identify women with symptoms of anxiety during early pregnancy. When presenting with symptoms of anxiety, the women might need counseling and or treatment in order to decrease her anxiety.
引用
收藏
页码:221 / 228
页数:8
相关论文
共 38 条
  • [1] Depression and anxiety during pregnancy:: A risk factor for obstetric, fetal and neonatal outcome?: A critical review of the literature
    Alder, Judith
    Fink, Nadine
    Bitzer, Johannes
    Hoesli, Irene
    Holzgreve, Wolfgang
    [J]. JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2007, 20 (03) : 189 - 209
  • [2] Point prevalence of psychiatric disorders during the second trimester of pregnancy:: A population-based study
    Andersson, L
    Sundström-Poromaa, I
    Bixo, M
    Wulff, M
    Bondestam, K
    Åström, M
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 189 (01) : 148 - 154
  • [3] Implications of antenatal depression and anxiety for obstetric outcome
    Andersson, L
    Sundström-Poromaa, I
    Wulff, M
    Åström, M
    Bixo, M
    [J]. OBSTETRICS AND GYNECOLOGY, 2004, 104 (03) : 467 - 476
  • [4] Neonatal outcome following maternal antenatal depression and anxiety:: A population-based study
    Andersson, L
    Sundström-Poromaa, I
    Wulff, M
    Åström, M
    Bixo, M
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 2004, 159 (09) : 872 - 881
  • [5] Depression and anxiety during pregnancy and six months postpartum:: a follow-up study
    Andersson, Liselott
    Sundstrom-Poromaa, Inger
    Wulff, Marianne
    Astrom, Monica
    Bixo, Marie
    [J]. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2006, 85 (08) : 937 - 944
  • [6] [Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
  • [7] Examining the relationship between antenatal anxiety and postnatal depression
    Austin, Marie-Paule
    Tully, Lucy
    Parker, Gordon
    [J]. JOURNAL OF AFFECTIVE DISORDERS, 2007, 101 (1-3) : 169 - 174
  • [8] Berle JO, 2005, ARCH WOMEN MENT HLTH, V8, P181, DOI 10.1007/s00737-005-0090-z
  • [9] The validity of the Hospital Anxiety and Depression Scale - An updated literature review
    Bjelland, I
    Dahl, AA
    Haug, TT
    Neckelmann, D
    [J]. JOURNAL OF PSYCHOSOMATIC RESEARCH, 2002, 52 (02) : 69 - 77
  • [10] Obstetrician-gynecologists' screening patterns for anxiety during pregnancy
    Coleman, Victoria H.
    Carter, Michele M.
    Morgan, Maria A.
    Schulkin, Jay
    [J]. DEPRESSION AND ANXIETY, 2008, 25 (02) : 114 - 123