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    Depression and anxiety among high-risk obstetric inpatients

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    Authors
    Byatt, Nancy
    Hicks-Courant, Katherine
    Davidson, Autumn
    Levesque, Ruth
    Mick, Eric O.
    Allison, Jeroan J.
    Moore Simas, Tiffany A.
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Department of Obstetrics and Gynecology
    Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    2014-11-01
    Keywords
    UMCCTS funding
    Female Urogenital Diseases and Pregnancy Complications
    Mental and Social Health
    Obstetrics and Gynecology
    Psychiatric and Mental Health
    Psychiatry
    Psychiatry and Psychology
    Women's Health
    
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    Link to Full Text
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4399814/
    Abstract
    OBJECTIVE: To assess the following among women hospitalized antenatally due to high-risk pregnancies: (1) rates of depression symptoms and anxiety symptoms, (2) changes in depression symptoms and anxiety symptoms and, (3) rates of mental health treatment. METHODS: Sixty-two participants hospitalized for high-risk obstetrical complications completed the Edinburgh Postnatal Depression Scale (EPDS), Generalized Anxiety Disorder 7-item scale (GAD-7) and Short-Form 12 weekly until delivery or discharge, and once postpartum. RESULTS: Average length of total hospital stay was 8.3 +/- 7.6 days for women who completed an initial admission survey (n = 62) and 16.3 +/- 8.9 (n = 34), 25.4 +/- 10.2 (n = 17) and 35 +/- 10.9 days (n = 9) for those who completed 2, 3 and 4 surveys, respectively. EPDS was > /= 10 in 27% (n=17) and GAD-7 was > /= 10 in 13% (n = 8) of participants at initial survey. Mean anxiety (4.2 +/- 6.5 vs. 5.2 +/- 5.1, p = .011) and depression (4.4 +/- 5.6 vs. 6.9 +/- 4.8, p = .011) scores were lower postpartum compared to initial survey. Past mental health diagnosis predicted depression symptoms [odds ratio (OR) = 4.54; 95% confidence interval (CI) 1.91-7.17] and anxiety symptoms (OR = 5.95; 95% CI 3.04-8.86) at initial survey; however, 21% (n = 10) with no diagnostic history had EPDS > /= 10. Five percent (n = 3) received mental health treatment during pregnancy. CONCLUSION: Hospitalized high-risk obstetrical patients may commonly experience depression symptoms and/or anxiety symptoms and not receive treatment. A history of mental health treatment or diagnosis was associated with depression symptoms or anxiety symptoms in pregnancy. Of women with an EPDS > /= 10, > 50% did not report a past mental health diagnosis.
    Source
    Gen Hosp Psychiatry. 2014 Nov-Dec;36(6):644-9. doi: 10.1016/j.genhosppsych.2014.07.011. Epub 2014 Jul 27. Link to article on publisher's site
    DOI
    10.1016/j.genhosppsych.2014.07.011
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/45509
    PubMed ID
    25149040
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.genhosppsych.2014.07.011
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