The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.
Depression and anxiety among high-risk obstetric inpatients
Open accessAbstract
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“our study (n = 4161) is the largest to date demonstrating an increased risk of depression symptoms postpartum compared to the general obstetric population.”
From Factors associated with postpartum depression symptoms following antepartum hospitalization (2026) · cites this paper as [49]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The high underreporting of pregnant women with prenatal depression and anxiety disorders is consistent with findings from other studies.”
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 [62]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Byatt et al. reported that despite the high prevalence of depression (26.9%) and anxiety symptoms (12.6%), high-risk inpatient pregnant women rarely receive psychological screening and/ or treatment (5%) (62).”
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 [62]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392
Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression Scale
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987) · British Journal of Psychiatry · doi:10.1192/bjp.150.6.782 · Cited by 14,183
Grote, N. K., Bridge, J. A., Gavin, A. R., Melville, J. L., Iyengar, S., & Katon, W. J. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.111 · Cited by 1,882
Van den Bergh, B. R. H., Mulder, E. J. H., Mennes, M., & Glover, V. (2005) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2004.10.007 · Cited by 1,104
Gibson, J., McKenzie‐McHarg, K., Shakespeare, J., Price, J., & Gray, R. (2009) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2009.01363.x · Cited by 1,064
Depressive symptoms during pregnancy: Relationship to poor health behaviors
ZUCKERMAN, B. S., Amaro, H. D. L. A., Bauchner, H., & Cabral, H. (1989) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(89)90170-1 · Cited by 521
FORMAN, D. R., O'HARA, M. W., STUART, S., GORMAN, L. L., LARSEN, K. E., & COY, K. C. (2007) · Development and Psychopathology · doi:10.1017/s0954579407070289 · Cited by 485
Buss, C., Davis, E. P., Muftuler, L. T., Head, K., & Sandman, C. A. (2010) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2009.07.010 · Cited by 435
Beydoun, H. A., & Saftlas, A. F. (2008) · Paediatric and Perinatal Epidemiology · doi:10.1111/j.1365-3016.2008.00951.x · Cited by 431
A meta-analysis of treatments for perinatal depression
Sockol, L. E., Epperson, C. N., & Barber, J. P. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.03.009 · Cited by 287 · cited 1×
“Group-based psychotherapy interventions such as supportive psychotherapy have substantially less evidence to support their efficacy in pregnant women than individual psychotherapy interventions, such as interpersonal psychotherapy or cognitive-based therapy [36].”
Sutter‐Dallay, A., Giaconne-Marcesche, V., Glatigny-Dallay, É., & Verdoux, H. (2004) · European Psychiatry · doi:10.1016/j.eurpsy.2004.09.025 · Cited by 271
Littleton, H. L., Breitkopf, C. R., & Berenson, A. B. (2007) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2007.03.042 · Cited by 259
Detection, Treatment, and Referral of Perinatal Depression and Anxiety by Obstetrical Providers
Goodman, J. H., & Tyer-Viola, L. (2010) · Journal of Women's Health · doi:10.1089/jwh.2008.1352 · Cited by 240
Austin, M.-P., Frilingos, M., Lumley, J., Hadzi-Pavlovic, D., Roncolato, W., Acland, S., Saint, K., Segal, N., & Parker, G. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.04.001 · Cited by 212
The Impact of Postpartum Depression on Mothering
Logsdon, M. C., Wisner, K. L., & Pinto, M. D. (2006) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2006.00087.x · Cited by 210
Bodnar, L. M., Wisner, K. L., Moses-Kolko, E., Sit, D. K. Y., & Hanusa, B. H. (2009) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.08m04651 · Cited by 144
Maternal antenatal depression and infant disorganized attachment at 12 months
Hayes, L. J., Goodman, S. H., & Carlson, E. A. (2012) · Attachment & Human Development · doi:10.1080/14616734.2013.743256 · Cited by 137
Flynn, H. A., Blow, F. C., & Marcus, S. M. (2006) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2006.04.002 · Cited by 135
Patterns of Depression and Treatment in Pregnant and Postpartum Women
Bowen, A., Bowen, R., Butt, P. R., Rahman, K., & Muhajarine, N. (2012) · The Canadian Journal of Psychiatry · doi:10.1177/070674371205700305 · Cited by 133
Prenatal Depression in Women Hospitalized for Obstetric Risk
Brandon, A. R., Trivedi, M. H., Hynan, L. S., Miltenberger, P. D., Labat, D. B., Rifkin, J. B., & Stringer, C. A. (2008) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v69n0417 · Cited by 106 · cited 3×
“Depression has been noted to prolong length of hospital stay is nonobstetric [32,33] and obstetric populations [34]; however, it is unclear whether hospitalized women with high obstetric risk are more likely to experience depression [2,12].”
Clinical diagnosis of syndesmotic ankle instability: Evaluation of stress tests behind the curtains
Beumer, A., Swierstra, B. A., & Mulder, P. G. H. (2002) · Acta Orthopaedica Scandinavica · doi:10.1080/000164702321039642 · Cited by 103
Axis I Psychopathology and Functional Impairment at the Third Month of Pregnancy
Borri, C., Mauri, M., Oppo, A., Banti, S., Rambelli, C., Ramacciotti, D., & Montagnani, M. S. (2008) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v69n1012 · Cited by 102
Depression and anxiety in Singaporean high-risk pregnancies—prevalence and screening
Thiagayson, P., Krishnaswamy, G., Lim, M. L., Sung, S. C., Haley, C. L., Fung, D. S. S., Allen, J. C., & Chen, H. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2012.11.006 · Cited by 102
The Impact of a Brief Obstetrics Clinic-Based Intervention on Treatment Use for Perinatal Depression
Flynn, H. A., O'mahen, H. A., Massey, L., & Marcus, S. (2006) · Journal of Women's Health · doi:10.1089/jwh.2006.15.1195 · Cited by 99
Prevalence of postpartum depression in two municipalities in Norway.
Glavin, K., Smith, L., & Sørum, R. (2009) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.2008.00667.x · Cited by 94
Screening and Treatment for Depression During Pregnancy: A Cautionary Note
Carter, F. A., Carter, J. D., Luty, S. E., Wilson, D. A., FRAMPTON, C. M. A., & Joyce, P. R. (2005) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2005.01562.x · Cited by 92
Cripe, S. M., Frederick, I. O., Qiu, C., & Williams, M. A. (2011) · Paediatric and Perinatal Epidemiology · doi:10.1111/j.1365-3016.2010.01182.x · Cited by 86
From Antenatal to Postnatal Depression: Associated Factors and Mitigating Influences
Redshaw, M., & Henderson, J. (2013) · Journal of Women s Health · doi:10.1089/jwh.2012.4152 · Cited by 85
Dysphoria Among High-Risk Pregnant Hospitalized Women on Bed Rest: A Longitudinal Study
Maloni, J. A., Kane, J. H., Suen, L.-J., & Wang, K. K. (2002) · Nursing Research · doi:10.1097/00006199-200203000-00005 · Cited by 85 · cited 4×
“Our finding that depression symptoms and anxiety symptoms decreased throughout the course of the hospitalization is consistent with previous studies [13].”
InfluentialPrevalence of Maternal Depressive Symptoms in Low-Income Hispanic Women
Chaudron, L. H., Kitzman, H. J., Peifer, K. L., Morrow, S. A., Perez, L. M., & Newman, M. C. (2005) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v66n0402 · Cited by 85
Glavin, K., Smith, L., Falk, R. S., & Ellefsen, B. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2010.03332.x · Cited by 80
Outcomes from implementing systematic antepartum depression screening in obstetrics
Rowan, P. J., Greisinger, A. J., Brehm, B. J., Smith, F. A., & McReynolds, E. (2012) · Archives of Women s Mental Health · doi:10.1007/s00737-012-0262-6 · Cited by 58
Association between depression and hospital outcomes among older men
Prina, M. A., Huisman, M. A., Yeap, B. B., Hankey, G. J., Flicker, L. A., Brayne, C., & Almeida, O. P. (2012) · Canadian Medical Association Journal · doi:10.1503/cmaj.121171 · Cited by 55
Chen, H., Wang, J., Ch’ng, Y. C., Mingoo, R., Lee, T. M., & Ong, J. L. H. (2011) · ISRN Obstetrics and Gynecology · doi:10.5402/2011/309189 · Cited by 54
(1992) · PubMed · Cited by 37
Predicting Hospital Length of Stay for Geriatric Patients with Mood Disorders
Ismail, Z., Arenovich, T., Grieve, C., Willett, P., Sajeev, G., Mamo, D. C., MacQUEEN, G. M., & Mulsant, B. H. (2012) · The Canadian Journal of Psychiatry · doi:10.1177/070674371205701107 · Cited by 33
Review of interventions to prevent or treat postnatal depression
Morrell, C. (2006) · Clinical Effectiveness in Nursing · doi:10.1016/j.cein.2006.11.006 · Cited by 31
Nakamura, Y., Takeishi, Y., Atogami, F., & Yoshizawa, T. (2012) · Nursing and Health Sciences · doi:10.1111/j.1442-2018.2011.00676.x · Cited by 22
Maternal mood and sleep in children of women at risk for perinatal depression
Swanson, L. M., Flynn, H. A., Wilburn, K., Marcus, S. M., & Armitage, R. (2010) · Archives of Women s Mental Health · doi:10.1007/s00737-010-0177-z · Cited by 20
Psychiatric consultations in obstetric inpatients
Tsai, S., Lee, Y., Yang, C., & Sim, C. (1996) · Journal of obstetrics and gynaecology research · doi:10.1111/j.1447-0756.1996.tb01078.x · Cited by 18
Depression in pregnancy: time of screening and access to psychiatric care
Burton, A., Patel, S., Kaminsky, L. M., Rosario, G. D., Young, R., Fitzsimmons, A., & CANTERINO, J. C. (2011) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.3109/14767058.2010.547234 · Cited by 16
Palladino, C. L., Flynn, H. A., Richardson, C. R., Marcus, S. M., Johnson, T. R. B., & Davis, M. M. (2011) · Journal of Women s Health · doi:10.1089/jwh.2010.2380 · Cited by 13
Cited by
Sorted by citations
Management of psychotropic drugs during pregnancy
Chisolm, M. S., & Payne, J. L. (2016) · BMJ · doi:10.1136/bmj.h5918 · Cited by 137
Risk factors for antenatal anxiety: A systematic review of the literature
Bayrampour, H., Vinturache, A., Hetherington, E., Lorenzetti, D., & Tough, S. (2018) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2018.1492097 · Cited by 83
Atuhaire, C., Rukundo, G. Z., Nambozi, G., Ngonzi, J. N. J., Atwine, D., Cumber, S. N., & Brennaman, L. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-03967-3 · Cited by 110
Tsakiridis, I., Bousi, V., Dagklis, T., Sardeli, C., Nikolopoulou, V., & Papazisis, G. (2019) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-019-05270-1 · Cited by 80
Goetz, M., Schiele, C., Müller, M., Matthies, L. M., Deutsch, T. M., Spano, C., Graf, J., Zipfel, S., Bauer, A., Brucker, S. Y., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/17593 · Cited by 85
Metadata
- Authors
- Byatt, N., Hicks-Courant, K., Davidson, A., Levesque, R., Mick, E., Allison, J., & Moore Simas, T. A.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- University of Chicago Medical Center (US)
- Corresponding author
- Byatt, Nancy
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 36
- Issue
- 6
- Pages
- 644-649
- ISSN
- 0163-8343 (ISSN-L)
- PMC
- PMC4399814
- OpenAlex
- W2089442606
- Cited by
- 104
- References
- 43
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 5 · 2023: 10 · 2022: 16 · 2021: 11 · 2020: 10 · 2019: 12 · 2018: 11 · 2017: 4 · 2016: 7 · 2015: 6
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- General Hospital Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Research Resources
- National Center for Advancing Translational Sciences, National Institutes of Health (NIH) (KL2TR000160)
- 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 › Maternal and Perinatal Health Interventions
- Keywords
- antenatal depression, prenatal anxiety, high-risk pregnancy, postpartum mental health, Edinburgh Postnatal Depression Scale, GAD-7, psychotherapy, pregnancy complications
- MeSH terms
- Adult, Anxiety, Depression, Female, Hospitalization, Humans, Inpatients, Length of Stay, Pregnancy, Pregnancy Complications, Prospective Studies, Surveys and Questionnaires, Cohort Studies, Pregnancy, High-Risk, Postpartum Period, Young Adult, Peripartum Period
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
