Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis
2017/03/17 by Cindy-Lee Dennis, Cindy‐Lee Dennis, Kobra Falah-Hassani +2 · 41 citations
Medicine · Psychology · #Maternal Mental Health During Pregnancy and Postpartum #Child and Adolescent Psychosocial and Emotional Development #Infant Development and Preterm Care
paper · pdf · doi:10.1192/bjp.bp.116.187179
Abstract
Background Maternal anxiety negatively influences child outcomes. Reliable estimates have not been established because of varying published prevalence rates. Aims To establish summary estimates for the prevalence of maternal anxiety in the antenatal and postnatal periods. Method We searched multiple databases including MEDLINE, Embase, and PsycINFO to identify studies published up to January 2016 with data on the prevalence of antenatal or postnatal anxiety. Data were extracted from published reports and any missing information was requested from investigators. Estimates were pooled using random-effects meta-analyses. Results We reviewed 23 468 abstracts, retrieved 783 articles and included 102 studies incorporating 221 974 women from 34 countries. The prevalence for self-reported anxiety symptoms was 18.2% (95% CI 13.6–22.8) in the first trimester, 19.1% (95% CI 15.9–22.4) in the second trimester and 24.6% (95% CI 21.2–28.0) in the third trimester. The overall prevalence for a clinical diagnosis of any anxiety disorder was 15.2% (95% CI 9.0–21.4) and 4.1% (95% CI 1.9–6.2) for a generalised anxiety disorder. Postnatally, the prevalence for anxiety symptoms overall at 1–24 weeks was 15.0% (95% CI 13.7–16.4). The prevalence for any anxiety disorder over the same period was 9.9% (95% CI 6.1–13.8), and 5.7% (95% CI 2.3–9.2) for a generalised anxiety disorder. Rates were higher in low- to middle-income countries. Conclusions Results suggest perinatal anxiety is highly prevalent and merits clinical attention. Research is warranted to develop evidence-based interventions.
Cited by
- Psychosocial experiences of postnatal women during the COVID-19 pandemic. A UK-wide study of prevalence rates and risk factors for clinically relevant depression and anxiety
- The COVID-19 Pandemic: Implications for Maternal Mental Health and Early Childhood Development
- Understanding the Economic Value of Interventions Addressing Perinatal Mental Health Problems: A Literature Review and Methodological Considerations
- Canadian Network for Mood and Anxiety Treatments 2024 Clinical Practice Guideline for the Management of Perinatal Mood, Anxiety, and Related Disorders: Guide de pratique 2024 du Canadian Network for Mood and Anxiety Treatments pour le traitement des troubles de l'humeur, des troubles anxieux et des troubles connexes périnatals
- Effectiveness of an online Japanese version of the mindfulness-based childbirth and parenting programme on prenatal mental health: A single group clinical trial
- Social determinants of perinatal mental health during the COVID-19 pandemic
- Postpartum anxiety: a state-of-the-art review
- Factors Affecting Mother‐Infant Bonding in Women with Gestational Diabetes Mellitus: A Cross‐Sectional Study
- “VID-KIDS” Video-Feedback Interaction Guidance for Depressed Mothers and Their Infants: Results of a Randomized Controlled Trial
- Perceptions of the Mamma Mia program, an internet-based prevention strategy for perinatal depression symptoms
- Differences in infant feeding methods at one month postpartum among women with psychiatric disorders and factors influencing exclusive breastfeeding
- Association of prenatal antidepressant use with internalizing behaviors from kindergarten to adolescence
- Metabolites of progesterone in pregnancy: Associations with perinatal anxiety
- Content and timing of the 6–8 week maternal postnatal check: a mixed-methods study
- A common neural response to perceiving but not implicitly regulating infant and adult affect in postpartum mothers
- Dynamic and bidirectional associations between maternal stress, anxiety, and social support: The critical role of partner and family support
- Music interventions to reduce stress and anxiety in pregnancy: a systematic review and meta-analysis. [europepmc]
- Anxiety scales used in pregnancy: systematic review. [europepmc]
- Fetal and Infant Outcomes in the Offspring of Parents With Perinatal Mental Disorders: Earliest Influences. [europepmc]
- The Prevalence of Anxiety Disorders During Pregnancy and the Postpartum Period: A Multivariate Bayesian Meta-Analysis. [europepmc]
- A Comprehensive Analysis of Post-partum Depression Risk Factors: The Role of Socio-Demographic, Individual, Relational, and Delivery Characteristics. [europepmc]
- Development of a Psychological Intervention to Address Anxiety During Pregnancy in a Low-Income Country. [europepmc]
- Pregnancy and Cancer: the INCIP Project. [europepmc]
- Caring for the carers: Ensuring the provision of quality maternity care during a global pandemic. [europepmc]
- Maternal psychological distress & mental health service use during the COVID-19 pandemic. [europepmc]
- Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. [europepmc]
- Perinatal mental health: a review of progress and challenges. [europepmc]
- Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women's Psychological Well-Being. [europepmc]
- Mental Health of Pregnant and Postpartum Women During the Coronavirus Disease 2019 Pandemic: A Systematic Review and Meta-Analysis. [europepmc]
- Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic-A multinational cross-sectional study. [europepmc]
- Implementation and Effectiveness of Nonspecialist-Delivered Interventions for Perinatal Mental Health in High-Income Countries: A Systematic Review and Meta-analysis. [europepmc]
- Psychosocial experiences of postnatal women during the COVID-19 pandemic. A UK-wide study of prevalence rates and risk factors for clinically relevant depression and anxiety. [europepmc]
- A cross-national study of factors associated with women's perinatal mental health and wellbeing during the COVID-19 pandemic. [europepmc]
- Prevalence of Depression, Anxiety, and Perceived Stress in Postpartum Mexican Women during the COVID-19 Lockdown. [europepmc]
- Reducing Postpartum Weight Retention: A Review of the Implementation Challenges of Postpartum Lifestyle Interventions. [europepmc]
- One Year Into the Pandemic: A Systematic Review of Perinatal Mental Health Outcomes During COVID-19. [europepmc]
- The Psychological Impact of COVID-19 Pandemic on Women's Mental Health during Pregnancy: A Rapid Evidence Review. [europepmc]
- The relationship between social support and mental health problems during pregnancy: a systematic review and meta-analysis. [europepmc]
- When the Bough Breaks: A systematic review and meta-analysis of mental health symptoms in mothers of young children during the COVID-19 pandemic. [europepmc]
- Prevalence of anxiety and post-traumatic stress (PTS) among the parents of babies admitted to neonatal units: A systematic review and meta-analysis. [europepmc]
- Perinatal mental health literacy: knowledge, attitudes, and help-seeking among perinatal women and the public - a systematic review. [europepmc]
Related