scholarly journals Prevalence and Correlates of Prenatal Depression, Anxiety and Suicidal Behaviours in the Volta Region of Ghana

2021 ◽  
Vol 18 (11) ◽  
pp. 5857
Author(s):  
Nuworza Kugbey ◽  
Martin Ayanore ◽  
Phidelia Doegah ◽  
Masauso Chirwa ◽  
Susan A. Bartels ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Suicidal Behavior ◽  
Partner Violence ◽  
Severity Index ◽  
Healthcare Services ◽  
Prenatal Depression ◽  
Suicidal Behaviors ◽  
Chi Squared ◽  
Volta Region

Pregnancy is associated with several physical and psychosocial challenges that influence women’s health and wellbeing. However, prenatal mental health has received little attention. Therefore, this study examined the prevalence and correlates of prenatal depression, anxiety and current suicidal behaviors among pregnant women in the Volta Region of Ghana. Two hundred and fourteen (n = 214) pregnant women recruited from two hospitals responded to the hospital depression and anxiety scale (HADS), the insomnia severity index, and a set of psycho-behavioral, socioenvironmental and demographic characteristic questions. Chi-squared, bivariate and multivariate logistic regression were used for data analysis. Prevalence of prenatal depression, anxiety and current suicidal behaviors was 50.5%, 35.5% and 3.3%, respectively. After controlling for other variables, average monthly income, insomnia, non-nutritious food consumption (pica), and body image satisfaction were significantly associated with depression. Marital status, insomnia, lifetime suicidal behavior and partner support were significantly associated with anxiety. Current partner abuse was the only factor significantly associated with current suicidal behavior. The high prevalence rates of anxiety and depression among pregnant women and intimate partner violence remain important maternal health issues in the region. Therefore, brief mental health screening and counseling services should be integrated into prenatal healthcare services.

scholarly journals Feasibility of a Birth-cohort In Pakistan: Evidence For Better Lives Study

2021 ◽  
Author(s):  
Yasmeen Anwer ◽  
Fahad Abbasi ◽  
Ariba Dar ◽  
Abdullah Hafeez ◽  
Assad Hafeez ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Birth Cohort ◽  
Partner Violence ◽  
Postnatal Period ◽  
Practice Change ◽  
Birth Cohort Study ◽  
Third Trimester ◽  
Resource Poor

Abstract BackgroundEvidence for Better Lives Study (EBLS) is an endeavour to establish a global birth cohort with participants from resource poor settings across the globe. It aims to investigate mediators and moderators of child development and wellbeing; it envisages informing policy and practice change to promote child health and wellbeing globally. Pakistan is one of the resource poor settings taking part in this global birth cohort; we report the feasibility of establishing such a birth cohort in Pakistan.MethodFrom March 2019 to July 2019, 153 third trimester pregnant women were identified, using community health worker registers, and approached for baseline demographics and a number of maternal wellbeing, mental health, support related information and stress related biomarkers in a peri-urban area of Islamabad Capital Territory. From October 2019 to December 2019, we re-contacted and followed 121 between 8-24 weeks postnatal period. All interviews were done after consent and data was collected electronically. Results150 (98%) third trimester pregnant women consented and were interviewed, 111 (74%) provided bio-samples and 121 (80.6%) were followed up postnatally. Their mean age and years of schooling was 27.29 (5.18) and 7.77 (4.79) respectively. Majority (82.3%) of the participants were housewives. Nearly a tenth were first time mothers while 63% of women reported current pregnancy to have been unplanned. Overall wellbeing and mental health were reported to be poor (WHO-5 mean scores 49.41 (32.20) & PHQ-9 mean scores 8.23 (7.0)). About 22% of women reported four or more adverse childhood experiences; 12.2% reported intimate partner violence during their current pregnancy. During the postnatal follow up visits, 58% of the women reported breastfeeding their infants. ConclusionThe study demonstrated Pakistan site could identify, approach, interview and follow up women and children postnatally, with a high response rates for both the follow up visits and bio-samples. Thus, a larger scale pregnancy birth cohort study in Pakistan is feasible to conduct.

scholarly journals Trauma Exposure and Intimate Partner Violence Among Young Pregnant Women in Liberia

2019 ◽  
pp. 088626051988153 ◽  
Author(s):  
Katelyn M. Sileo ◽  
Trace S. Kershaw ◽  
Shantesica Gilliam ◽  
Erica Taylor ◽  
Apoorva Kommajosula ◽  
...  
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Pregnant Women ◽  
Attachment Style ◽  
Partner Violence ◽  
Traumatic Events ◽  
Intimate Partner ◽  
Wife Beating ◽  
Anxious Attachment ◽  
Theoretical Understanding

Intimate partner violence (IPV) is a global threat to women’s health and may be elevated among those exposed to traumatic events in post-conflict settings, such as Liberia. The purpose of this study was to examine potential mediators between lifetime exposure to traumatic events (i.e., war-related trauma, community violence) with recent experiences of IPV among 183 young, pregnant women in Monrovia, Liberia. Hypothesized mediators included mental health (depression, posttraumatic stress symptoms), insecure attachment style (anxious and avoidant attachment), and attitudes indicative of norms of violence (attitudes justifying wife beating). We tested a parallel multiple mediation model using the PROCESS method with bias-corrected and accelerated bootstrapping to test confidence intervals (CI). Results show that 45% of the sample had experienced any physical, sexual, or emotional IPV in their lifetime, and 32% in the 2 months prior to the interview. Exposure to traumatic events was positively associated with recent IPV severity (β = .40, p < .01). Taken together, depression, anxious attachment style, and justification of wife beating significantly mediated the relationship between exposure to traumatic events and experience of IPV (β = .15, 95% CI = [0.03, 0.31]). Only anxious attachment style (β = .07, 95% CI = [0.03, 0.16]) and justification of wife beating (β = .05, 95% CI = [0.01, 0.16]) were identified as individual mediators. This study reinforces pregnancy as an important window for both violence and mental health screening and intervention for young Liberian women. Furthermore, it adds to our theoretical understanding of mechanisms in which long-term exposure to traumatic events may lead to elevated rates of IPV in Liberia, and points to the need for trauma-informed counseling and multilevel gender transformative public health approaches to address violence against women.

Family Support and Mental Health in Pregnant Women Experiencing Interpersonal Partner Violence: An Analysis of Ethnic Differences

2005 ◽  
Vol 36 (1-2) ◽  
pp. 97-108 ◽  
Author(s):  
Shallimar M. Jones ◽  
G. Anne Bogat ◽  
William S. Davidson ◽  
Alexander von Eye ◽  
Alytia Levendosky
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Family Support ◽  
Ethnic Differences ◽  
Partner Violence

The Influence of Intimate Partner Violence on Pregnancy Symptoms

2018 ◽  
Vol 35 (3-4) ◽  
pp. 523-541 ◽  
Author(s):  
Özlem Can Gürkan ◽  
Zübeyde Ekşi ◽  
Derya Deniz ◽  
Hasan Çırçır
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Intimate Partner Violence ◽  
Pregnant Women ◽  
Partner Violence ◽  
Physical Violence ◽  
Intimate Partner ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Economic Abuse

The current literature contains few studies conducted on the effects of intimate partner violence (IPV) on pregnancy symptoms. Does being subjected to IPV during pregnancy increase the incidence of pregnancy-related symptoms? The aim of the present study was to explore the impact of IPV on pregnancy-related symptoms. The study was conducted as comparative, descriptive, and cross-sectional research with a total of 370 participants. Data were collected using the Domestic Violence Against Women Screening Form, the Pregnancy Symptoms Inventory (PSI), and a descriptive questionnaire. The types of IPV the women in the study had experienced during pregnancy were, in order of frequency, verbal abuse (31.1 %; n = 115), economic abuse (25.9 %; n = 96), physical violence (8.4 %; n = 31), and sexual abuse (5.9%; n = 22). The PSI scores for the pregnant women subjected to physical violence related to gastrointestinal system symptoms ( p < .05), cardiovascular system symptoms ( p < .05), mental health symptoms ( p = 0), neurological system symptoms ( p < .05), urinary system symptoms ( p < .01), and tiredness or fatigue ( p = 0); their total PSI scores ( p = 0) were significantly higher statistically than those of women who did not experience physical violence during pregnancy. The scores of the pregnant women subjected to sexual abuse related to mental health symptoms ( p < .05), and their total PSI scores ( p < .05) were significantly higher than those of women who did not experience sexual abuse. The scores of the pregnant women subjected to economic abuse related to tiredness or fatigue ( p < .01) and their mental health symptom scores ( p < .05) were significantly higher than those of women who did not experience economic abuse. Our results showed that women subjected to IPV during pregnancy experienced a higher incidence of pregnancy symptoms.

scholarly journals The COVIDPregDK Study: A national survey on pregnancy during the early COVID-19 pandemic in Denmark

2021 ◽  
pp. 140349482110487
Author(s):  
Lonny Stokholm ◽  
Katja Schrøder ◽  
Ellen A. Nør ◽  
Katrine H. Rubin ◽  
Jan S. Jørgensen ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Well Being ◽  
Healthcare Services ◽  
Background Information ◽  
Unborn Child ◽  
Pregnancy And Childbirth ◽  
Health Authorities ◽  
First Time ◽  
Mental Well Being

Aim: We aimed to describe the aim, data collection and content from a survey completed among pregnant women during the first peak of the COVID-19 pandemic in Denmark. Methods: The declaration of the COVID-19 pandemic in early 2020 challenged pregnant women’s mental well-being due to a concern for their unborn child and their need for healthcare services through pregnancy and birth. To explore how the COVID-19 pandemic and the intensified measures such as the lockdown of Denmark impacted pregnant women’s well-being and mental health, we conducted a questionnaire survey in the spring of 2020 when the COVID-19 pandemic was at its first peak, and the consequences for pregnant women and the unborn child were very uncertain. All women residing in Denmark and registered with an ongoing pregnancy on 24 April 2020 were invited to participate. The questionnaire included background information, variables on COVID-19 symptoms and validated batteries of questions on loneliness, anxiety, stress, quality of life, meditation and prayers. Additional questions were included to examine concerns related to pregnancy and childbirth during the pandemic. Cohort characteristics: Almost 18,000 women answered the questionnaire, which represents 60% of all invited women who experienced a national lockdown for the first time. Their median age was 30 years, and they were more likely to be multiparous. Conclusions: Data from the COVIDPregDK Study will enable us to gain valuable knowledge on how the pandemic, the intensified measures from the health authorities and the national lockdown affected pregnant women’s mental health and their concerns during the COVID-19 pandemic.

scholarly journals Prevalence of Antenatal Depression in a Teaching Hospital South/South Nigeria.

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Enyidah Nonyenim Solomon ◽  
Nonye-Enyidah Esther Ijeoma
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Partner Violence ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Demographic Questionnaire ◽  
Chi Squared ◽  
Relevant Variables ◽  
Socio Demographic Factors ◽  
Global Burden Of Diseases

Background: Over 30 million people living in Africa suffer from depression which also contributes to global burden of diseases with a steady rise in prevalence, affecting all groups, including pregnant women. Factors which account for the psychological effects of pregnancy on mothers include; maternal age, planned pregnancy, previous experiences, spouse support, and partner violence. These risk factors may lead to antenatal depression which endangers the mother and the pregnancy. To safeguard mothers from depression during pregnancy, these factors need to be determined. Objective: To determine the prevalence, risk factors and predictors of antenatal depression. Methods: Pregnant women attending antenatal care, who met the study inclusion criteria were interviewed and screened for depression using the risk factor and socio-demographic questionnaire and Edinburgh Postnatal Depression Scale (EPDS). Data obtained was fed into the statistical package for social sciences (SPSS) version 23.0 and cross-tabulation of the relevant variables obtained using chi-squared and t-test. P values <0.05 were statistically significant. Results: Of 500 respondents, 158 (31.6%) had depression. Risk factors of cohabiting with spouse, lack of financial support from spouse, fight with spouse, threat to life, history of still birth and child health challenges were determined, four of which turned out to be predictors of antenatal depression (AD). Conclusion: The high prevalence of 31.6% of antenatal depression calls for a review of obstetrics practice to include screening and diagnosis for antenatal depression. Keywords: Antenatal depression, socio-demographic factors, EPDS, Obstetrics risk factors, social support, predictors.

scholarly journals Experiences of Intimate Partner and Neighborhood Violence and Their Association With Mental Health in Pregnant Women

2015 ◽  
Vol 33 (6) ◽  
pp. 938-959 ◽  
Author(s):  
Veronica Barcelona de Mendoza ◽  
Emily W. Harville ◽  
Jane Savage ◽  
Gloria Giarratano
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Health Outcomes ◽  
Pregnant Women ◽  
Partner Violence ◽  
Intimate Partner ◽  
Poor Mental Health ◽  
Cumulative Exposure ◽  
Neighborhood Violence ◽  
Probable Depression

Both intimate partner violence and neighborhood crime have been associated with worse mental health outcomes, but less is known about cumulative effects. This association was studied in a sample of pregnant women who were enrolled in a study of disaster exposure, prenatal care, and mental and physical health outcomes between 2010 and 2012. Women were interviewed about their exposure to intimate partner violence and perceptions of neighborhood safety, crime, and disorder. Main study outcomes included symptoms of poor mental health; including depression, pregnancy-specific anxiety (PA), and posttraumatic stress disorder (PTSD). Logistic regression was used to examine predictors of mental health with adjustment for confounders. Women who experienced high levels of intimate partner violence and perceived neighborhood violence had increased odds of probable depression in individual models. Weighted high cumulative (intimate partner and neighborhood) experiences of violence were also associated with increased odds of having probable depression when compared with those with low violence. Weighed high cumulative violence was also associated with increased odds of PTSD. This study provides additional evidence that cumulative exposure to violence is associated with poorer mental health in pregnant women.

Crisis Counselors’ Perceptions and Assessment of Suicidal Behavior Among Hurricane Survivors Receiving Crisis Counseling Services

2015 ◽  
Vol 9 (3) ◽  
pp. 291-300 ◽  
Author(s):  
Lisa M. Brown ◽  
Julie L. Framingham ◽  
Kathryn A. Frahm ◽  
Laurie D. Wolf
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Counselor Training ◽  
Counseling Services ◽  
Suicidal Behaviors ◽  
Client Characteristics ◽  
Crisis Counseling ◽  
Psychological Reactions ◽  
Disaster Survivors

AbstractObjectiveThe aims of this study were to assess the awareness of risk for suicidal behaviors and perspectives of Project Recovery counselors who provided crisis counseling services to hurricane survivors.MethodsThe Short Posttraumatic Stress Disorder Rating Interview–Extended, a quantitative disaster mental health measure, was used to assess distress and dysfunction to the recent hurricanes. Project Recovery counselor data were collected through a 22-item qualitative interview.ResultsSeven out of 207 clients (3.4%) endorsed the quantitative item measuring suicidal ideation. Clients who reported suicidal ideation had significantly higher scores on items indicating a loss of enjoyment, feelings of depression, feeling less able to handle stress, and other mental health items. Counselor responses fell into 5 major themes: Assessment and Action, Client Characteristics, Services, Counselor Training and Preparedness, and Future Directions.ConclusionsSuicidal behavior is a serious mental health emergency, yet it remains a challenging issue as suicidal behaviors are complex and disaster survivors with suicidal ideation may experience intense psychological reactions to the event. In order to provide competent care to survivors experiencing suicidal thoughts or behaviors, the need for counselors to receive adequate training in suicide assessment and management is essential. (Disaster Med Public Health Preparedness. 2015;9:291–300)

Sign in / Sign up

Export Citation Format

Share Document