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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2012
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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. |
format | Online Article Text |
id | pubmed-3482210 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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