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dc.contributor.authorByatt, Nancy
dc.contributor.authorHicks-Courant, Katherine
dc.contributor.authorDavidson, Autumn
dc.contributor.authorLevesque, Ruth
dc.contributor.authorMick, Eric O.
dc.contributor.authorAllison, Jeroan J.
dc.contributor.authorMoore Simas, Tiffany A.
dc.date2022-08-11T08:10:25.000
dc.date.accessioned2022-08-23T17:08:09Z
dc.date.available2022-08-23T17:08:09Z
dc.date.issued2014-11-01
dc.date.submitted2015-07-20
dc.identifier.citationGen Hosp Psychiatry. 2014 Nov-Dec;36(6):644-9. doi: 10.1016/j.genhosppsych.2014.07.011. Epub 2014 Jul 27. <a href="http://dx.doi.org/10.1016/j.genhosppsych.2014.07.011">Link to article on publisher's site</a>
dc.identifier.issn0163-8343 (Linking)
dc.identifier.doi10.1016/j.genhosppsych.2014.07.011
dc.identifier.pmid25149040
dc.identifier.urihttp://hdl.handle.net/20.500.14038/45509
dc.description.abstractOBJECTIVE: 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=25149040&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4399814/
dc.subjectUMCCTS funding
dc.subjectFemale Urogenital Diseases and Pregnancy Complications
dc.subjectMental and Social Health
dc.subjectObstetrics and Gynecology
dc.subjectPsychiatric and Mental Health
dc.subjectPsychiatry
dc.subjectPsychiatry and Psychology
dc.subjectWomen's Health
dc.titleDepression and anxiety among high-risk obstetric inpatients
dc.typeJournal Article
dc.source.journaltitleGeneral hospital psychiatry
dc.source.volume36
dc.source.issue6
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/psych_cmhsr/669
dc.identifier.contextkey7343407
html.description.abstract<p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p>
dc.identifier.submissionpathpsych_cmhsr/669
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentDepartment of Obstetrics and Gynecology
dc.contributor.departmentDepartment of Psychiatry
dc.source.pages644-9


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