The prevalence and incidence of perinatal anxiety disorders among women experiencing a medically complicated pregnancy

Fairbrother, Nichole; Young, Allan H.; Zhang, Areiyu; Janssen, Patricia; Antony, Martin M.

doi:10.1007/s00737-016-0704-7

Cited by 88Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcarePregnancy-related medical research

The prevalence and incidence of perinatal anxiety disorders among women experiencing a medically complicated pregnancy

Fairbrother, Nichole, Young, Allan H., Zhang, Areiyu, Janssen, Patricia, Antony, Martin M.·2017·Archives of Women s Mental Health

DOI 10.1007/s00737-016-0704-7

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Abstract

Over 20% of pregnancies involve medical difficulties that pose some threat to the health and well-being of the mother, her developing infant, or both. We report on the first comparison of the prevalence and incidence of maternal anxiety disorders (AD) in pregnancy and the postpartum, across levels of medical risk in pregnancy. Pregnant women (N = 310) completed postnatal screening measures for anxiety. Women who scored at or above cutoff on one or more of the screening measures were administered a diagnostic interview (n = 115) for AD. Pregnancies were classified into low, moderate, or high risk based on self-report and contact with high-risk maternity clinics. The incidence of AD in pregnancy was higher among women classified as experiencing a medically moderate or high-risk pregnancy, compared with women classified as experiencing a medically low-risk pregnancy. Across risk groups, there were no differences in AD prevalence or in the incidence of AD in the postpartum. Demographic characteristics and parity did not contribute meaningfully to outcomes. Pregnancies characterized by medical risks are associated with an increased likelihood of new onset AD. Women experiencing medically complex pregnancies should be screened for anxiety and offered appropriate treatment.

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Women experiencing a high-risk pregnancy have a five to seven times higher risk for the prenatal onset of anxiety disorders than low-risk patient samples.
“One study found that women experiencing a high-risk pregnancy had a five to seven times higher risk for the prenatal onset of anxiety disorders than low-risk patient samples (9).”
From Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study (2022) · cites this paper as [9]

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Authors: Fairbrother, N., Young, A. H., Zhang, A., Janssen, P., & Antony, M. M.
Affiliations: University of British Columbia (CA)
King's College London (GB)
University of Ottawa (CA)
Toronto Metropolitan University (CA)
Corresponding author: Fairbrother, Nichole
ORCID: Fairbrother, Nichole
Young, Allan H.
Janssen, Patricia
Antony, Martin M.
Venue: Archives of Women s Mental Health
Publisher: Springer Science and Business Media LLC
Published: 2016-12-28
Volume: 20
Issue: 2
Pages: 311-319
ISSN: 1434-1816 (ISSN-L)
1435-1102
DOI: 10.1007/s00737-016-0704-7
OpenAlex: W2564541831
Cited by: 88
References: 45
Citations by year: 2026: 6 · 2025: 5 · 2024: 10 · 2023: 15 · 2022: 21 · 2021: 10 · 2020: 8 · 2019: 10 · 2018: 2 · 2017: 1
FWCI: 4.30
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (unspecified)
Locations: Archives of Women s Mental Health (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
Keywords: maternal anxiety, complicated pregnancy, high-risk pregnancy, postpartum anxiety, prevalence, incidence, anxiety screening, parity, pregnancy risk classification
MeSH terms: Adult, Anxiety Disorders, Female, Humans, Mothers, Pregnancy, Pregnancy Complications, Prenatal Care, Psychiatric Status Rating Scales, Surveys and Questionnaires, Cohort Studies, Incidence, Prevalence, Pregnancy, High-Risk

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The prevalence and incidence of perinatal anxiety disorders among women experiencing a medically complicated pregnancy

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