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Title: Depression and anxiety in Singaporean high-risk pregnancies - prevalence and screening
Authors: Thiagayson, P.
Krishnaswamy, G.
Lim, M.L. 
Sung, S.C. 
Haley, C.L. 
Fung, D.S.S. 
Allen, J.C. 
Chen, H. 
Keywords: Anxiety
High-risk pregnancies
Issue Date: Mar-2013
Citation: Thiagayson, P., Krishnaswamy, G., Lim, M.L., Sung, S.C., Haley, C.L., Fung, D.S.S., Allen, J.C., Chen, H. (2013-03). Depression and anxiety in Singaporean high-risk pregnancies - prevalence and screening. General Hospital Psychiatry 35 (2) : 112-116. ScholarBank@NUS Repository.
Abstract: Objective: Data on psychiatric morbidity in high-risk pregnant Singaporean women are limited. This study aimed to establish the prevalence of antenatal depression and anxiety in high-risk pregnancies, compare the prevalence of antenatal depression in high-risk pregnancies vs. pregnancies of unspecified obstetric risk and examine the Edinburgh Postnatal Depression Scale (EPDS) and State Trait Anxiety Inventory (STAI) as screening tools for these disorders. Method: Two hundred high-risk pregnant inpatients at a national public maternity hospital were included. Three psychometric assessment tools were used to evaluate all participants: the diagnostic Mini International Neuropsychiatric Interview and the screening EPDS and STAI. Results: Rates of major depression, minor depression, anxiety disorder (agoraphobia, generalized anxiety disorder, panic disorder), and comorbid depression and anxiety were 11%, 7%, 12.5% and 5%, respectively. Major depression was more prevalent in high-risk pregnancies than in the historical cohort of unspecified obstetric risk (11% versus 4.3%). EPDS (cutoff 8/9) screens well for depression and anxiety in high-risk pregnancies (area under the receiver operating characteristic curve=0.82-0.87). Conclusion: Antenatal depression and anxiety are highly prevalent in a sample of high-risk pregnant Singaporean women. EPDS performs well in screening for depression and anxiety in high-risk pregnant women, with further psychiatric assessment recommended for women with score ≥ 9. © 2013 Elsevier Inc.
Source Title: General Hospital Psychiatry
ISSN: 01638343
DOI: 10.1016/j.genhosppsych.2012.11.006
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