Depression and anxiety in Singaporean high-risk pregnancies - prevalence and screening

Pavaani Thiagayson, Gita Krishnaswamy, May Li Lim, Sharon Cohan Sung, Charlotte Louise Haley, Daniel Shuen Sheng Fung, John Carson Allen, Helen Chen

Research output: Contribution to journalArticle

27 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)112-116
Number of pages5
JournalGeneral Hospital Psychiatry
Volume35
Issue number2
DOIs
StatePublished - Mar 2013

Fingerprint

High-Risk Pregnancy
Anxiety
Depression
Postpartum Depression
Pregnant Women
Anxiety Disorders
Obstetrics
Psychiatry
Agoraphobia
Maternity Hospitals
Equipment and Supplies
Public Hospitals
Panic Disorder
Psychometrics
ROC Curve
Inpatients
Interviews
Morbidity
Pregnancy

Keywords

  • Anxiety
  • Depression
  • High-risk pregnancies
  • Prevalence
  • Screening

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Depression and anxiety in Singaporean high-risk pregnancies - prevalence and screening. / Thiagayson, Pavaani; Krishnaswamy, Gita; Lim, May Li; Sung, Sharon Cohan; Haley, Charlotte Louise; Fung, Daniel Shuen Sheng; Allen, John Carson; Chen, Helen.

In: General Hospital Psychiatry, Vol. 35, No. 2, 03.2013, p. 112-116.

Research output: Contribution to journalArticle

Thiagayson, P, Krishnaswamy, G, Lim, ML, Sung, SC, Haley, CL, Fung, DSS, Allen, JC & Chen, H 2013, 'Depression and anxiety in Singaporean high-risk pregnancies - prevalence and screening', General Hospital Psychiatry, vol. 35, no. 2, pp. 112-116. https://doi.org/10.1016/j.genhosppsych.2012.11.006
Thiagayson, Pavaani ; Krishnaswamy, Gita ; Lim, May Li ; Sung, Sharon Cohan ; Haley, Charlotte Louise ; Fung, Daniel Shuen Sheng ; Allen, John Carson ; Chen, Helen. / Depression and anxiety in Singaporean high-risk pregnancies - prevalence and screening. In: General Hospital Psychiatry. 2013 ; Vol. 35, No. 2. pp. 112-116.
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