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Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and Côte d'Ivoire

BACKGROUND: Common mental disorders, particularly unipolar depressive disorders, rank among the top 5 with respect to the global burden of disease. As a major public health concern, antepartum depression and anxiety not only affects the individual woman, but also her offspring. Data on the prevalenc...

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Autores principales: Bindt, Carola, Appiah-Poku, John, Te Bonle, Marguerite, Schoppen, Stefanie, Feldt, Torsten, Barkmann, Claus, Koffi, Mathurin, Baum, Jana, Nguah, Samuel Blay, Tagbor, Harry, Guo, Nan, N'Goran, Eliezer, Ehrhardt, Stephan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482210/
https://www.ncbi.nlm.nih.gov/pubmed/23110236
http://dx.doi.org/10.1371/journal.pone.0048396
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author Bindt, Carola
Appiah-Poku, John
Te Bonle, Marguerite
Schoppen, Stefanie
Feldt, Torsten
Barkmann, Claus
Koffi, Mathurin
Baum, Jana
Nguah, Samuel Blay
Tagbor, Harry
Guo, Nan
N'Goran, Eliezer
Ehrhardt, Stephan
author_facet Bindt, Carola
Appiah-Poku, John
Te Bonle, Marguerite
Schoppen, Stefanie
Feldt, Torsten
Barkmann, Claus
Koffi, Mathurin
Baum, Jana
Nguah, Samuel Blay
Tagbor, Harry
Guo, Nan
N'Goran, Eliezer
Ehrhardt, Stephan
author_sort Bindt, Carola
collection PubMed
description BACKGROUND: Common mental disorders, particularly unipolar depressive disorders, rank among the top 5 with respect to the global burden of disease. As a major public health concern, antepartum depression and anxiety not only affects the individual woman, but also her offspring. Data on the prevalence of common mental disorders in pregnant women in sub-Saharan Africa are scarce. We provide results from Ghana and Côte d'Ivoire. METHODS: We subsequently recruited and screened n = 1030 women in the third trimester of their pregnancy for depressed mood, general anxiety, and perceived disability using the Patient Health Questionnaire depression module (PHQ-9), the 7-item Anxiety Scale (GAD-7), and the World Health Organisation Disability Assessment Schedule II (WHO-DAS 2.0, 12-item version). In addition to estimates of means and prevalence, a hierarchical linear regression model was calculated to determine the influence of antepartum depression and anxiety on disability. RESULTS: In Ghana, 26.6% of women showed substantially depressed mood. In Côte d'Ivoire, this figure was even higher (32.9%). Clear indications for a generalized anxiety disorder were observed in 11.4% and 17.4% of pregnant women, respectively. Comorbidity of both conditions was common, affecting about 7.7% of Ghanaian and 12.6% of Ivorian participants. Pregnant women in both countries reported a high degree of disability regarding everyday activity limitations and participation restrictions. Controlled for country and age, depression and anxiety accounted for 33% of variance in the disability score. CONCLUSIONS: Antepartum depression and anxiety were highly prevalent in our sample and contributed substantially to perceived disability. These serious threats to health must be further investigated and more data are needed to comprehensively quantify the problem in sub-Saharan Africa.
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spelling pubmed-34822102012-10-29 Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and Côte d'Ivoire Bindt, Carola Appiah-Poku, John Te Bonle, Marguerite Schoppen, Stefanie Feldt, Torsten Barkmann, Claus Koffi, Mathurin Baum, Jana Nguah, Samuel Blay Tagbor, Harry Guo, Nan N'Goran, Eliezer Ehrhardt, Stephan PLoS One Research Article BACKGROUND: Common mental disorders, particularly unipolar depressive disorders, rank among the top 5 with respect to the global burden of disease. As a major public health concern, antepartum depression and anxiety not only affects the individual woman, but also her offspring. Data on the prevalence of common mental disorders in pregnant women in sub-Saharan Africa are scarce. We provide results from Ghana and Côte d'Ivoire. METHODS: We subsequently recruited and screened n = 1030 women in the third trimester of their pregnancy for depressed mood, general anxiety, and perceived disability using the Patient Health Questionnaire depression module (PHQ-9), the 7-item Anxiety Scale (GAD-7), and the World Health Organisation Disability Assessment Schedule II (WHO-DAS 2.0, 12-item version). In addition to estimates of means and prevalence, a hierarchical linear regression model was calculated to determine the influence of antepartum depression and anxiety on disability. RESULTS: In Ghana, 26.6% of women showed substantially depressed mood. In Côte d'Ivoire, this figure was even higher (32.9%). Clear indications for a generalized anxiety disorder were observed in 11.4% and 17.4% of pregnant women, respectively. Comorbidity of both conditions was common, affecting about 7.7% of Ghanaian and 12.6% of Ivorian participants. Pregnant women in both countries reported a high degree of disability regarding everyday activity limitations and participation restrictions. Controlled for country and age, depression and anxiety accounted for 33% of variance in the disability score. CONCLUSIONS: Antepartum depression and anxiety were highly prevalent in our sample and contributed substantially to perceived disability. These serious threats to health must be further investigated and more data are needed to comprehensively quantify the problem in sub-Saharan Africa. Public Library of Science 2012-10-26 /pmc/articles/PMC3482210/ /pubmed/23110236 http://dx.doi.org/10.1371/journal.pone.0048396 Text en © 2012 Bindt et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Bindt, Carola
Appiah-Poku, John
Te Bonle, Marguerite
Schoppen, Stefanie
Feldt, Torsten
Barkmann, Claus
Koffi, Mathurin
Baum, Jana
Nguah, Samuel Blay
Tagbor, Harry
Guo, Nan
N'Goran, Eliezer
Ehrhardt, Stephan
Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and Côte d'Ivoire
title Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and Côte d'Ivoire
title_full Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and Côte d'Ivoire
title_fullStr Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and Côte d'Ivoire
title_full_unstemmed Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and Côte d'Ivoire
title_short Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and Côte d'Ivoire
title_sort antepartum depression and anxiety associated with disability in african women: cross-sectional results from the cds study in ghana and côte d'ivoire
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482210/
https://www.ncbi.nlm.nih.gov/pubmed/23110236
http://dx.doi.org/10.1371/journal.pone.0048396
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