International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

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 Volume 10, Issue 4 (April 2023), Pages: 197-206

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 Original Research Paper

The prevalence of depression and generalized anxiety disorder among pregnant women in primary healthcare centers of Al Madinah Al Munawara City 2020-2021

 Author(s): 

 Wejdan Hassan Bagadood 1, *, May H. Bagadood 2

 Affiliation(s):

 1Family Medicine Program, Ministry of Health, Medina, Saudi Arabia
 2Faculty of Nursing, Umm Al-Qura University, Makkah, Saudi Arabia

  Full Text - PDF          XML

 * Corresponding Author. 

  Corresponding author's ORCID profile: https://orcid.org/0000-0003-2178-5938

 Digital Object Identifier: 

 https://doi.org/10.21833/ijaas.2023.04.024

 Abstract:

Pregnancy and physiological and psychological variations can impact mental and emotional changes and thereby trigger depression and anxiety in expectant mothers. Being overly concerned about an individual’s financial, social, and health issues can promote depression and anxiety among pregnant women.  Managing those associated factors during and after pregnancy is crucial. Although several studies reported depression and anxiety disorder in pregnant women, there are limited studies available in Saudi Arabia. Thus, this study measured the prevalence of both depression and anxiety among pregnant women in Al-Madinah Al-Muawarah, Saudi Arabia. A total of 250 surveys were conducted from five primary care centers randomly. A simple stratified sampling technique was used. General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire (PHQ-9) were used as research instruments for data collection. Of the seven items from GAD-7, the higher rate related to the response “not at all” for the following items; “Being so restless that it is hard to sit still” by 165 (66.5%) was obtained followed by “Becoming easily annoyed or irritated” 118 (47.2%). Similarly, from the nine items from the PHQ-9, the higher rate response was obtained with “not at all” for the following items; “Thoughts that you would be better off dead, or hurting yourself” by 243 (98.0%), followed the second-highest rate was obtained regarding “Several Days” for the following items; “Trouble falling or staying asleep, or sleeping too much” by 116 (46.8%). The current study is consistent with previous studies.

 © 2023 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords: Pregnancy, Prevalence, Depression, Generalized anxiety disorder, Midwives

 Article History: Received 22 May 2022, Received in revised form 21 January 2023, Accepted 2 February 2023

 Acknowledgment 

No Acknowledgment.

 Compliance with ethical standards

 Ethical consideration

This study was approved by the Research Ethical Committee of the General Directorate of Health Affairs of Medina City. After that permission was sought from and granted by each primary health care provider to conduct the interviews. All the participants were informed of their rights to participate or otherwise, and their information was retained confidentially, and only use for this study, and anonymity was preserved.

 Conflict of interest: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

 Citation:

 Bagadood WH and Bagadood MH (2023). The prevalence of depression and generalized anxiety disorder among pregnant women in primary healthcare centers of Al Madinah Al Munawara City 2020-2021. International Journal of Advanced and Applied Sciences, 10(4): 197-206

 Permanent Link to this page

 Figures

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 Tables

 Table 1 Table 2 Table 3 Table 4 Table 5 Table 6

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 References (38)

  1. Alqahtani AH, Al Khedair K, Al-Jeheiman R, Al-Turki HA, and Al Qahtani NH (2018). Anxiety and depression during pregnancy in women attending clinics in a University Hospital in Eastern province of Saudi Arabia: Prevalence and associated factors. International Journal of Women's Health, 10: 101-108. https://doi.org/10.2147/IJWH.S153273   [Google Scholar] PMid:29503587 PMCid:PMC5826248
  2. Anniverno R, Bramante A, Mencacci C, and Durbano F (2013). Anxiety disorders in pregnancy and the postpartum period. In: Durbano F (Ed.), New insights into anxiety disorders: 259-285. InTech, Rijeka, Croatia. https://doi.org/10.5772/52786   [Google Scholar]
  3. Bante A, Mersha A, Zerdo Z, Wassihun B, and Yeheyis T (2021). Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch Zuria district, Gamo zone, Southern Ethiopia. PLOS ONE, 16(3): e0248331. https://doi.org/10.1371/journal.pone.0248331   [Google Scholar] PMid:33690693 PMCid:PMC7946223
  4. Bayrampour H, Hapsari AP, and Pavlovic J (2018). Barriers to addressing perinatal mental health issues in midwifery settings. Midwifery, 59: 47-58. https://doi.org/10.1016/j.midw.2017.12.020   [Google Scholar] PMid:29353691
  5. Bayrampour H, McDonald S, and Tough S (2015). Risk factors of transient and persistent anxiety during pregnancy. Midwifery, 31(6): 582-589. https://doi.org/10.1016/j.midw.2015.02.009   [Google Scholar] PMid:25823754
  6. Beattie J, Hall H, Biro MA, East C, and Lau R (2017). Effects of mindfulness on maternal stress, depressive symptoms and awareness of present moment experience: A pilot randomised trial. Midwifery, 50: 174-183. https://doi.org/10.1016/j.midw.2017.04.006   [Google Scholar] PMid:28463789
  7. Biaggi A, Conroy S, Pawlby S, and Pariante CM (2016). Identifying the women at risk of antenatal anxiety and depression: A systematic review. Journal of Affective Disorders, 191: 62-77. https://doi.org/10.1016/j.jad.2015.11.014   [Google Scholar] PMid:26650969 PMCid:PMC4879174
  8. Brugha TS, Smith J, Austin J, Bankart J, Patterson M, Lovett C, and Slade P (2016). Can community midwives prevent antenatal depression? An external pilot study to test the feasibility of a cluster randomized controlled universal prevention trial. Psychological Medicine, 46(2): 345-356. https://doi.org/10.1017/S003329171500183X   [Google Scholar] PMid:26482473 PMCid:PMC4682479
  9. Buss C, Davis EP, Hobel CJ, and Sandman C (2011). Maternal pregnancy-specific anxiety is associated with child executive function at 6–9 years age. Stress, 14(6): 665-676. https://doi.org/10.3109/10253890.2011.623250   [Google Scholar] PMid:21995526 PMCid:PMC3222921
  10. DiPietro JA (2010). Psychological and psychophysiological considerations regarding the maternal–fetal relationship. Infant and Child Development: An International Journal of Research and Practice, 19(1): 27-38. https://doi.org/10.1002/icd.651   [Google Scholar] PMid:20228872 PMCid:PMC2835168
  11. Falah-Hassani K, Shiri R, and Dennis CL (2016). Prevalence and risk factors for comorbid postpartum depressive symptomatology and anxiety. Journal of Affective Disorders, 198: 142-147. https://doi.org/10.1016/j.jad.2016.03.010   [Google Scholar] PMid:27016657
  12. González-Mesa E, Kabukcuoglu K, Blasco M, Körükcü O, Ibrahim N, González-Cazorla A, and Cazorla O (2020). Comorbid anxiety and depression (CAD) at early stages of the pregnancy. A multicultural cross-sectional study. Journal of affective disorders, 270: 85-89. https://doi.org/10.1016/j.jad.2020.03.086   [Google Scholar] PMid:32275225
  13. Goodman JH, Chenausky KL, and Freeman MP (2014). Anxiety disorders during pregnancy: A systematic review. The Journal of Clinical Psychiatry, 75(10): e1153-84. https://doi.org/10.4088/JCP.14r09035   [Google Scholar] PMid:25373126
  14. Gutteling BM, de Weerth C, Willemsen-Swinkels SH, Huizink AC, Mulder EJ, Visser GH, and Buitelaar JK (2005). The effects of prenatal stress on temperament and problem behavior of 27-month-old toddlers. European Child and Adolescent Psychiatry, 14(1): 41-51. https://doi.org/10.1007/s00787-005-0435-1   [Google Scholar] PMid:15756515
  15. Huizink AC, Robles de Medina PG, Mulder EJ, Visser GH, and Buitelaar JK (2003). Stress during pregnancy is associated with developmental outcome in infancy. Journal of Child Psychology and Psychiatry, 44(6): 810-818. https://doi.org/10.1111/1469-7610.00166   [Google Scholar] PMid:12959490
  16. Jafri SAM, Ali M, Ali R, Shaikh S, Abid M, and Aamir IS (2017). Prevalence of depression among pregnant women attending antenatal clinics in Pakistan. Acta Psychopathol, 3(5): 54.   [Google Scholar]
  17. Jha S, Salve HR, Goswami K, Sagar R, and Kant S (2018). Burden of common mental disorders among pregnant women: A systematic review. Asian Journal of Psychiatry, 36: 46-53. https://doi.org/10.1016/j.ajp.2018.06.020   [Google Scholar] PMid:29966886
  18. Keramat A, Malary M, Moosazadeh M, Bagherian N, and Rajabi-Shakib MR (2021). Factors influencing stress, anxiety, and depression among Iranian pregnant women: The role of sexual distress and genital self-image. BMC Pregnancy and Childbirth, 21(1): 1-12. https://doi.org/10.1186/s12884-021-03575-1   [Google Scholar] PMid:33499805 PMCid:PMC7836496
  19. Kroenke K, Spitzer RL, and Williams JB (2001). The PHQ‐9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9): 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x   [Google Scholar] PMid:11556941 PMCid:PMC1495268
  20. Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, and Herzberg PY (2008). Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Medical Care, 46(3): 266-274. https://doi.org/10.1097/MLR.0b013e318160d093   [Google Scholar] PMid:18388841
  21. Naja S, Al Kubaisi N, Singh R, and Bougmiza I (2020). Generalized and pregnancy-related anxiety prevalence and predictors among pregnant women attending primary health care in Qatar, 2018–2019. Heliyon, 6(10): e05264. https://doi.org/10.1016/j.heliyon.2020.e05264   [Google Scholar] PMid:33134579 PMCid:PMC7586091
  22. Nath A, Venkatesh S, Balan S, Metgud CS, Krishna M, and Murthy GVS (2019). The prevalence and determinants of pregnancy-related anxiety amongst pregnant women at less than 24 weeks of pregnancy in Bangalore, Southern India. International Journal of Women's Health, 11: 241-248. https://doi.org/10.2147/IJWH.S193306   [Google Scholar] PMid:31114392 PMCid:PMC6489575
  23. Niederkrotenthaler T, Laido Z, Kirchner S, Braun M, Metzler H, Waldhör T, and Till B (2022). Mental health over nine months during the SARS-CoV2 pandemic: Representative cross-sectional survey in twelve waves between April and December 2020 in Austria. Journal of Affective Disorders, 296: 49-58. https://doi.org/10.1016/j.jad.2021.08.153   [Google Scholar] PMid:34587549 PMCid:PMC8426850
  24. Noonan M, Doody O, Jomeen J, and Galvin R (2017). Midwives’ perceptions and experiences of caring for women who experience perinatal mental health problems: An integrative review. Midwifery, 45: 56-71. https://doi.org/10.1016/j.midw.2016.12.010   [Google Scholar] PMid:28039845
  25. Parker C (2015). NICE antenatal and postnatal mental health clinical guidelines. Progress in Neurology and Psychiatry, 19(5): 4-5. https://doi.org/10.1002/pnp.393   [Google Scholar]
  26. Premji SS, Lalani S, Shaikh K, Mian A, Forcheh N, Dosani A, and MiGHT (2020). Comorbid anxiety and depression among pregnant Pakistani women: Higher rates, different vulnerability characteristics, and the role of perceived stress. International Journal of Environmental Research and Public Health, 17(19): 7295. https://doi.org/10.3390/ijerph17197295   [Google Scholar] PMid:33036215 PMCid:PMC7579342
  27. Raosoft I (2020). Sample size calculator by Raosoft, Inc. Available online at: http://www.raosoft.com/samplesize.html
  28. Schetter CD and Tanner L (2012). Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current Opinion in Psychiatry, 25(2): 141-148. https://doi.org/10.1097/YCO.0b013e3283503680   [Google Scholar] PMid:22262028 PMCid:PMC4447112
  29. Sheeba B, Nath A, Metgud CS, Krishna M, Venkatesh S, Vindhya J, and Murthy GVS (2019). Prenatal depression and its associated risk factors among pregnant women in Bangalore: A hospital based prevalence study. Frontiers in Public Health, 7: 108. https://doi.org/10.3389/fpubh.2019.00108   [Google Scholar] PMid:31131270 PMCid:PMC6509237
  30. Soto Balbuena MC, Rodríguez Muñoz MDLF, Escudero Gomis AI, Ferrer Barriendos FJ, Le HN, Fernández Blanco MDC, and Fernández Hortal B (2018). Incidence, prevalence and risk factors related to anxiety symptoms during pregnancy. Psicothema, 30(3): 257-263.   [Google Scholar]
  31. Spielberger CD, Gorsuch RL, and Lushene RE (1970). The state trait anxiety inventory. Consulting Psychologists Press, Palo Alto, USA.   [Google Scholar]
  32. Spitzer RL, Kroenke K, Williams JB, and Löwe B (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10): 1092-1097. https://doi.org/10.1001/archinte.166.10.1092   [Google Scholar] PMid:16717171
  33. Ströhle A (2009). Physical activity, exercise, depression and anxiety disorders. Journal of Neural Transmission, 116: 777-784. https://doi.org/10.1007/s00702-008-0092-x   [Google Scholar] PMid:18726137
  34. Thiagayson P, Krishnaswamy G, Lim ML, Sung SC, Haley CL, Fung DSS, and Chen H (2013). Depression and anxiety in Singaporean high-risk pregnancies-prevalence and screening. General Hospital Psychiatry, 35(2): 112-116. https://doi.org/10.1016/j.genhosppsych.2012.11.006   [Google Scholar] PMid:23265951
  35. Torpy JM, Burke AE, and Golub RM (2011). Generalized anxiety disorder. JAMA, 305(5): 522-522. https://doi.org/10.1001/jama.305.5.522   [Google Scholar] PMid:21285432
  36. Van den Bergh BR, Mulder EJ, Mennes M, and Glover V (2005). Antenatal maternal anxiety and stress and the neurobehavioural development of the fetus and child: Links and possible mechanisms. A review. Neuroscience and Biobehavioral Reviews, 29(2): 237-258. https://doi.org/10.1016/j.neubiorev.2004.10.007   [Google Scholar] PMid:15811496
  37. WHO (2008). Maternal health and child health and development in low and middle income countries. World Health Organization, Geneva, Switzerland.   [Google Scholar]
  38. WHO (2021). Depression. World Health Organization, Geneva, Switzerland.   [Google Scholar]