Discrimination and structural validity evaluation of Zung self-rating depression scale for pregnant women in China

Abstract Background: Perinatal anxiety and depression can severely damage both maternal and infant’s health and result in negative effects. In this study, we investigated the current state of anxiety and depression among pregnant women in Tibet and Guangzhou and identified its risk factors, which would provide guidance for clinical daily work.Methods: From September 2018 to May 2019, 169 pregnant women in Tibet and 199 of them in Guangzhou were selected. Zung's Self Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to assess the degree of anxiety and depression, respectively. All the data were collected by the questionnaire.Results: The SAS and SDS scores in Guangzhou were 42.4±8.5 and 48.0±9.5 respectively, while the same score became 46.6±8.0 and 54.7±8.9 in Tibet. Scores of pregnant women in Tibet were significantly higher than in Guangzhou (P < 0.05). Trimester, nationality, delivery times and educational experience were considered to be influence factors for anxiety and depression among pregnant women.Conclusions: Pregnant women living in plateaus areas of China have higher SAS and SDS scores than in plain areas, especially for those with a low level of educational experience. More attention should be paid in future work.

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A Psychometric Investigation of the Self-Rating Depression Scale in Counseling Centers

PsycEXTRA Dataset ◽

10.1037/e413782005-302 ◽

1999 ◽

Author(s):

Timothy B. Smith ◽

Ilene Rosenstein ◽

Michael Granaas

Keyword(s):

Depression Scale ◽

The Self ◽

Counseling Centers ◽

Self Rating ◽

Psychometric Investigation

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Screening of Depression in Primary Healthcare With the Zung Self-rating Depression Scale: Detection of the Optimal Cut-off Point

10.26226/morressier.5a7070e3d462b80290b57759 ◽

2018 ◽

Author(s):

Tsiros Georgios

Keyword(s):

Primary Healthcare ◽

Depression Scale ◽

Self Rating ◽

Scale Detection

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Validation of the Zung Self-Rating Depression Scale in Primary Health Care Setting in Greece

10.26226/morressier.5a7070e3d462b80290b57745 ◽

2018 ◽

Author(s):

Tsiros Georgios

Keyword(s):

Health Care ◽

Primary Health Care ◽

Care Setting ◽

Depression Scale ◽

Health Care Setting ◽

Primary Health Care Setting ◽

Self Rating ◽

Primary Health

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Caribbean Consortium for Research in Environmental and Occupational Health (CCREOH) Cohort Study: influences of complex environmental exposures on maternal and child health in Suriname

BMJ Open ◽

10.1136/bmjopen-2019-034702 ◽

2020 ◽

Vol 10 (9) ◽

pp. e034702

Author(s):

Wilco Zijlmans ◽

Jeffrey Wickliffe ◽

Ashna Hindori-Mohangoo ◽

Sigrid MacDonald-Ottevanger ◽

Paul Ouboter ◽

...

Keyword(s):

Cohort Study ◽

Occupational Health ◽

Pregnant Women ◽

Fish Consumption ◽

Depression Scale ◽

Environmental Exposures ◽

International Standards ◽

Long Term Effects ◽

The Impact ◽

Environmental And Occupational Health

PurposeThe Caribbean Consortium for Research in Environmental and Occupational Health prospective environmental epidemiologic cohort study addresses the impact of chemical and non-chemical environmental exposures on mother/child dyads in Suriname. The study determines associations between levels of environmental elements and toxicants in pregnant women, and birth outcomes and neurodevelopment in their children.ParticipantsPregnant women (N=1143) were enrolled from December 2016 to July 2019 from three regions of Suriname: Paramaribo (N=738), Nickerie (N=204) and the tropical rainforest interior (N=201). Infants (N=992) were enrolled at birth. Follow-up will take place until children are 48 months old.Findings to dateBiospecimens and questionnaire data on physiological and psychosocial health in pregnant women have been analysed. 39.1% had hair mercury (Hg) levels exceeding values considered safe by international standards. Median hair Hg concentrations in women from Paramaribo (N=522) were 0.64 µg/g hair (IQRs 0.36–1.09; range 0.00–7.12), from Nickerie (N=176) 0.73 µg/g (IQR 0.45–1.05; range 0.00–5.79) and the interior (N=178) 3.48 µg/g (IQR 1.92–7.39; range 0.38–18.20). 96.1% of women ate fish, respective consumption of the three most consumed carnivorous species, Hoplias aimara, Serrasalmus rhombeus and Cichla ocellaris, known to have high Hg levels, was 44.4%, 19.3% and 26.3%, respectively, and was greater among the interior subcohort. 89% frequently consumed the vegetable tannia, samples of which showed presence of worldwide banned pesticides. 24.9% of pregnant women had Edinburgh Depression Scale scores indicative of probable depression.Future plansFish consumption advisories are in development, especially relevant to interior women for whom fish consumption is likely to be the primary source of Hg exposure. Effects of potentially beneficial neuroprotective factors in fish that may counter neurotoxic effects of Hg are being examined. A pesticide literacy assessment in pregnant women is in progress. Neurodevelopmental assessments and telomere length measurements of the children to evaluate long-term effects of prenatal exposures to toxicant mixtures are ongoing.

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The hidden burden of adolescent pregnancies in rural Sri Lanka; findings of the Rajarata Pregnancy Cohort

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03977-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Thilini Chanchala Agampodi ◽

Nuwan Darshana Wickramasinghe ◽

Hemali Gayathri Jayakodi ◽

Gayani Shashikala Amarasinghe ◽

Janith Niwanthaka Warnasekara ◽

...

Keyword(s):

Mental Health ◽

Sri Lanka ◽

Pregnant Women ◽

Adolescent Mothers ◽

Depression Scale ◽

Ultra Sound ◽

Physical And Mental Health ◽

Pregnancy Cohort ◽

Contraceptive Usage ◽

Adolescent Pregnancies

Abstract Background Adolescent fertility is a main indicator of the Sustainable Developmental Goal (SGD) three. Although Sri Lanka is exemplary in maternal health, the utilization of Sexual and Reproductive Health services (SRH) by adolescents is less documented. We describe the hidden burden, associated biological and psychosocial factors and utilization patterns of pre-conceptional services among pregnant adolescents in rural Sri Lanka. Methods The study is based on the baseline assessment of the Rajarata Pregnancy Cohort (RaPCo) in Anuradhapura. Pregnant women newly registered from July to September 2019 were recruited to the study. The period of gestation was confirmed during the second follow-up visit (around 25–28 weeks of gestation) using ultra sound scan data. A history, clinical examination, anthropometric measurements, blood investigations were conducted. Mental health status was assessed using the Edinburgh Postpartum Depression Scale (EPDS). Results Baseline data on gestation was completed by 3,367 pregnant women. Of them, 254 (7.5%) were adolescent pregnancies. Among the primigravida mothers (n = 1037), 22.4% (n = 233) were adolescent pregnancies. Maternal and paternal low education level, being unmarried, and less time since marriage were statistically significant factors associated with adolescent pregnancies (p < 0.05). Contraceptive usage before pregnancy, utilization of pre-conceptional health care services, planning pregnancy and consuming folic acid was significantly low among adolescents (p < 0.001). They also had low body mass index (p < 0.001) and low hemoglobin levels (p = 0.03). Adolescent mothers were less happy of being pregnant (p = 0.006) and had significantly higher levels of anxiety (p = 0.009). Conclusion One fifth of women in their first pregnancy in this study population are adolescents. Nulli-parous adolescents exert poor social stability and compromised physical and mental health effects. The underutilization and/or unavailability of SRH services is clearly associated with adolescent pregnancies.

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The difference of disrupted rhythms of life, work and entertainment between patients with FGIDs and healthy people and their associations with psychological disorders under COVID-19 pandemic

International Journal of Social Psychiatry ◽

10.1177/0020764021992835 ◽

2021 ◽

pp. 002076402199283

Author(s):

Jing Wang ◽

Ping He ◽

Tianwei Deng ◽

Xiaoming Xu ◽

Duowu Zou ◽

...

Keyword(s):

Mood Disorders ◽

Functional Gastrointestinal Disorders ◽

Depression Scale ◽

Healthy People ◽

Gastrointestinal Disorders ◽

Related Factors ◽

Healthy Group ◽

Self Rating ◽

The Difference ◽

Life Work

Aims: To investigate the differences in disrupted rhythms between healthy people and patients with functional gastrointestinal disorders (FGIDs) and their associations with mood disorders during the coronavirus disease 2019 (COVID-19) pandemic. Methods: The rhythm scales were composed of subscales 1 and 2 for the assessment of life-work and entertainment rhythms, respectively; Zung’s Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to assess mood disorders. Results: A total of 671 patients with FGIDs and 4373 healthy people successfully participated. The scores of subscales 1 and 2 for patients with FGIDs were significantly higher than those for healthy people ( p < .005). The SAS and SDS scores, their prevalence rates were significantly higher than those for the healthy group (all p < .001). Health status, current occupation, life-work rhythm, SDS, and SAS were independent related factors of FGIDs. The score of life-work-entertainment rhythm was significantly positively correlated with SDS and SAS (both p < .001). Conclusion: Disrupted rhythms in patients with FGIDs under the COVID-19 pandemic were more frequently and significantly positively associated with mood disorders.

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Self-Rating Depression Scale in an Outpatient Clinic

Archives of General Psychiatry ◽

10.1001/archpsyc.1965.01730060026004 ◽

1965 ◽

Vol 13 (6) ◽

pp. 508 ◽

Cited By ~ 647

Author(s):

WILLIAM W. K. ZUNG

Keyword(s):

Outpatient Clinic ◽

Depression Scale ◽

Self Rating

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Multimodality Functional Magnetic Resonance Imaging Assisted Treatment of Primary Insomnia and Anxiety and Depression

Journal of Medical Imaging and Health Informatics ◽

10.1166/jmihi.2021.3712 ◽

2021 ◽

Vol 11 (6) ◽

pp. 1658-1667

Author(s):

Guanfeng Chen ◽

Risheng Huang ◽

Bingqing Sun ◽

Jingfa Zhu ◽

Hongchun Zhang ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Functional Magnetic Resonance Imaging ◽

Depression Scale ◽

Functional Differentiation ◽

Primary Insomnia ◽

Functional Magnetic Resonance ◽

Resonance Imaging ◽

Nerve Activity ◽

Self Rating

Based on multimodal functional magnetic resonance imaging technology, explore the changes of local brain function in the whole brain range of patients with primary insomnia at rest, and conduct correlation analysis to explore the relationship between this locality and function and clinical features. Provide further imaging evidence for the exploration of the neural mechanism of primary insomnia. Using multimodal functional magnetic resonance imaging, self-rating anxiety scale, self-rating depression scale to assess the status anxiety factor and trait anxiety of STAI in patients with primary insomnia (88 cases) and normal sleepers (82 cases). Factors and total scores, depressive mental disorders and total scores were statistically significantly different from the normal sleep group. The study found that patients with primary insomnia under the multimodal functional magnetic resonance imaging assisted treatment have abnormal local functional activities in multiple brain regions such as emotions and sensorimotor regions. We explored the brain of patients with primary insomnia from the perspective of functional differentiation. Changes in nerve activity are conducive to further understanding the characteristics of nerve activity in primary insomnia.

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