The DOI matches its Crossref record; 67 of the 68 references it cites were found in a registry or an index.
Depression and anxiety in Singaporean high-risk pregnancies—prevalence and screening
Open accessAbstract
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.
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In the citing paper
“Seventeen studies of 1,998 women were included in the meta-analysis of depression outcome42–58 (Table 1) and 7 studies of 851 women included in the anxiety outcome42,43,45–47,58,59 (Table 2).”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [42]
In the citing paper
“Although sample size calculations with power justifications were not reported by 13 investigators42–47,50,51,53–56,58 for their various primary outcomes, this does not diminish the validity of the reported prevalence of included studies.”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [47]
In the citing paper
“Seventeen studies of 1,998 women were included in the meta-analysis of depression outcome42–58 (Table 1) and 7 studies of 851 women included in the anxiety outcome42,43,45–47,58,59 (Table 2).”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [47]
In the citing paper
“Fifteen investigators44,46–59 did not measure effect of exposure over time, limiting the conclusions which can be draw regarding changes in prevalence of anxiety or depression over the duration of hospitalization.”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [47]
In the citing paper
“Although sample size calculations with power justifications were not reported by 13 investigators42–47,50,51,53–56,58 for their various primary outcomes, this does not diminish the validity of the reported prevalence of included studies.”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [42]
In the citing paper
“Seventeen studies of 1,998 women were included in the meta-analysis of depression outcome42–58 (Table 1) and 7 studies of 851 women included in the anxiety outcome42,43,45–47,58,59 (Table 2).”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [42]
In the citing paper
“Seventeen studies of 1,998 women were included in the meta-analysis of depression outcome42–58 (Table 1) and 7 studies of 851 women included in the anxiety outcome42,43,45–47,58,59 (Table 2).”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [47]
In the citing paper
“Study quality assessment using the NIH quality assessment tool demonstrated 4 studies42,43,46,49 in the top quartile (rating ≥ 75%), 13 studies45,47,48,50–59 in the third quartile (with rating ≥ 50–74%), and a single study44 in the second quartile (rating < 50%) (Table 2).”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [47]
In the citing paper
“Study quality assessment using the NIH quality assessment tool demonstrated 4 studies42,43,46,49 in the top quartile (rating ≥ 75%), 13 studies45,47,48,50–59 in the third quartile (with rating ≥ 50–74%), and a single study44 in the second quartile (rating < 50%) (Table 2).”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [42]
In the citing paper
“Finally, of those investigators who did measure exposure over time, loss to follow-up was reported as > 20% in 5 studies44,47,50–52, introducing the possibility of systematic differences in drop-outs impacting interpretation of longitudinal results.”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis (2021) · cites this paper as [47]
Citations
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Cited by
Sorted by citations
Associations between Gestational Diabetes and Anxiety or Depression: A Systematic Review
Ouyang, H., Chen, B., Al-Mureish, A., Li, L., & Wu, N. (2021) · Journal of Diabetes Research · doi:10.1155/2021/9959779 · Cited by 186
Rifkin-Graboi, A. E., Meaney, M. J., Chen, H., Bai, J., Hameed, W. B., Tint, M. T., Broekman, B. F. P., Chong, Y. S., Gluckman, P. D., Fortier, M. V., et al. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2015.01.013 · Cited by 140
Self-citationDepression and anxiety among high-risk obstetric inpatients
Byatt, N., Hicks-Courant, K., Davidson, A., Levesque, R., Mick, E., Allison, J., & Moore Simas, T. A. (2014) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2014.07.011 · Cited by 104
Prevalence and Risk Factors of Maternal Anxiety in Late Pregnancy in China
Kang, Y., Yao, Y., Dou, J., Guo, X., Li, S.-Y., Zhao, C.-N., Han, H., & Li, B. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13050468 · Cited by 100
Fairbrother, N., Young, A. H., Zhang, A., Janssen, P., & Antony, M. M. (2017) · Archives of Women s Mental Health · doi:10.1007/s00737-016-0704-7 · Cited by 88
Metadata
- Authors
- Thiagayson, P., Krishnaswamy, G., Lim, M. L., Sung, S. C., Haley, C. L., Fung, D. S. S., Allen, J. C., & Chen, H.
- Affiliations
- National University of Singapore (SG)
- KK Women's and Children's Hospital (SG)
- Corresponding author
- Thiagayson, Pavaani
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 35
- Issue
- 2
- Pages
- 112-116
- ISSN
- 0163-8343 (ISSN-L)
- OpenAlex
- W2075852623
- Cited by
- 102
- References
- 68
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 3 · 2023: 12 · 2022: 10 · 2021: 11 · 2020: 6 · 2019: 10 · 2018: 6 · 2017: 6 · 2016: 10 · 2015: 14 · 2014: 3
- FWCI
- 5.25
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- General Hospital Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- National University of Singapore (submittedVersion)
- Funders
- National Institutes of Health (KL2TR000160)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
- Keywords
- antenatal depression, prenatal anxiety, high-risk pregnancy, Edinburgh Postnatal Depression Scale, State-Trait Anxiety Inventory, screening validity, depression prevalence, anxiety disorders, comorbid depression and anxiety, Singaporean women
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Depressive Disorder, Female, Humans, Mass Screening, Pregnancy, Pregnancy Complications, Prospective Studies, Psychometrics, Surveys and Questionnaires, Singapore, Prevalence, Confidence Intervals, Odds Ratio, Pregnancy, High-Risk, Risk Assessment, Young Adult
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