Cited by 19Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcarePregnancy-related medical research

Anxiety and depression of high risk pregnant women hospitalized in two public hospital settings in Greece

Open access
Claire Gourounti, Vassiliki Karapanou, Natassa Karpathiotaki, G.N. Vaslamatzis·2015·International Archives of Medicine

Abstract

Objective: Many studies have examined the prevalence of anxiety and depression in low-risk pregnant women. However, very few studies have explored the prevalence of anxiety and depressive symptoms in high-risk pregnancy. The aim of this study was to investigate the prevalence of antenatal anxiety (AA) and antenatal depression (AD) in high-risk pregnant women hospitalized for a medical disorder.Methods: The sample of this study consisted of 133 pregnant women with gestational age from 9 to 37 weeks. Anxiety was measured with State-Trait Anxiety Inventory (STAI) and depression was measured with Edinburgh Postnatal Depression Scale (EPDS). Descriptive statistics, such as means, standard deviations, and frequencies, were used.Results: The means for STAI-state and -trait scores were 49.3 and 45.1, respectively. The mean score for EPDS was 12.5. Nine percent of the participants have answered that quite often or sometimes had the thought of harming themselves. Almost 50% of participants had depressive symptoms (EPDS >11) and the majority of participants had high anxiety level.Conclusion: The prevalence of antenatal anxiety and depression identified in this study is of concern. Screening tools for detecting antenatal anxiety and depressive symptoms in high-risk pregnant is crucial.

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  • Timing of survey administration relative to exposure was not reported in the majority of studies.

    “Timing of survey administration relative to exposure was not reported in the majority of studies44–46,50–52,56–58.”

    From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [45]

    The Sample and data collection process section says questionnaires were given to women while they were hospitalized and returned within two to three weeks, but does not specify when administration occurred relative to hospital admission. This single study cannot establish the citing sentence’s claim about the majority of studies. (LLM, conf=0.75)

    Experimental — accuracy not yet measured
  • Sample size calculations with power justifications were not reported by 13 included studies.

    “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.”
  • The anxiety outcome meta-analysis included 7 studies of 851 women.

    “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).”
  • The depression outcome meta-analysis included 17 studies of 1,998 women.

    “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).”

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Cites

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Research works printed but not linked: 6

  1. Gourounti K, Lykeridou K, Taskou C, Kafetsios K, Sandall J. (2012) A survey of worries of pregnant women: Reliability and validity of the Greek version of the Cambridge Worry Scale. Midwifery, 28(6): 746-753.
  2. Denis A, Michaux P, Callohan S. (2012) Factors implicated in moderating the risk for depression and anxiety in high risk pregnancy. Journal of Reproductive and Infant Psychology, 30(2): 124-134.
  3. Spielberger C. Anxiety: Current trends in research. London: Academic Press, 1972.
  4. Murray D, Cox J. (1990) Screening for depression during pregnancy with the Edinburgh Postnatal Depression Scale (EPDS). Journal of Reproductive and Infant Psychology, 8: 99- 107.
  5. Cox JL, Holden JM, Sagovsky R. (1987) Detection of postnatal depression: development of the 10 item Edinburgh Postnatal Depression Scale. British Journal Psychiatry, 140: 111-7
  6. Murray D, Cox J. (1990) Screening for depression during pregnancy with the Edinburgh Postnatal Depression Scale (EPDS). Journal of Reproductive and Infant Psychology, 8: 99- 107.

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Authors
Gourounti, C., Karapanou, V., Karpathiotaki, N., & Vaslamatzis, G. N.
Affiliations
  • Technological Educational Institute of Athens (GR)
  • National and Kapodistrian University of Athens (GR)
Corresponding author
Claire Gourounti
Venue
International Archives of Medicine
Published
2015
ISSN
1755-7682 (ISSN-L)
OpenAlex
W2254820896
Cited by
19
References
4
Citations by year
2025: 1 · 2024: 2 · 2023: 4 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 1 · 2016: 3 · 2015: 2
FWCI
2.14
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
International Archives of Medicine (publishedVersion, cc-by)
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
prenatal anxiety, antenatal depression, high-risk pregnancy, maternal mental health, prevalence, hospitalized pregnant women, self-harm ideation, screening tool, State-Trait Anxiety Inventory, Edinburgh Postnatal Depression Scale

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