Antepartum depression and anxiety associated with disability in African women: cross-sectional results from the CDS study in Ghana and Côte d'Ivoire.
<h4>Background</h4>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. Da...
Guardado en:
| Autores principales: | , , , , , , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2012
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/0ebed177680944798a9caf8563032639 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:0ebed177680944798a9caf8563032639 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:0ebed177680944798a9caf85630326392021-11-18T08:10:49ZAntepartum depression and anxiety associated with disability in African women: cross-sectional results from the CDS study in Ghana and Côte d'Ivoire.1932-620310.1371/journal.pone.0048396https://doaj.org/article/0ebed177680944798a9caf85630326392012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23110236/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Carola BindtJohn Appiah-PokuMarguerite Te BonleStefanie SchoppenTorsten FeldtClaus BarkmannMathurin KoffiJana BaumSamuel Blay NguahHarry TagborNan GuoEliezer N'GoranStephan EhrhardtInternational CDS Study GroupPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 10, p e48396 (2012) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Carola Bindt John Appiah-Poku Marguerite Te Bonle Stefanie Schoppen Torsten Feldt Claus Barkmann Mathurin Koffi Jana Baum Samuel Blay Nguah Harry Tagbor Nan Guo Eliezer N'Goran Stephan Ehrhardt International CDS Study Group Antepartum depression and anxiety associated with disability in African women: cross-sectional results from the CDS study in Ghana and Côte d'Ivoire. |
| description |
<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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 |
article |
| author |
Carola Bindt John Appiah-Poku Marguerite Te Bonle Stefanie Schoppen Torsten Feldt Claus Barkmann Mathurin Koffi Jana Baum Samuel Blay Nguah Harry Tagbor Nan Guo Eliezer N'Goran Stephan Ehrhardt International CDS Study Group |
| author_facet |
Carola Bindt John Appiah-Poku Marguerite Te Bonle Stefanie Schoppen Torsten Feldt Claus Barkmann Mathurin Koffi Jana Baum Samuel Blay Nguah Harry Tagbor Nan Guo Eliezer N'Goran Stephan Ehrhardt International CDS Study Group |
| author_sort |
Carola Bindt |
| 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_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_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_sort |
antepartum depression and anxiety associated with disability in african women: cross-sectional results from the cds study in ghana and côte d'ivoire. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2012 |
| url |
https://doaj.org/article/0ebed177680944798a9caf8563032639 |
| work_keys_str_mv |
AT carolabindt antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT johnappiahpoku antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT margueritetebonle antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT stefanieschoppen antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT torstenfeldt antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT clausbarkmann antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT mathurinkoffi antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT janabaum antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT samuelblaynguah antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT harrytagbor antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT nanguo antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT eliezerngoran antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT stephanehrhardt antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire AT internationalcdsstudygroup antepartumdepressionandanxietyassociatedwithdisabilityinafricanwomencrosssectionalresultsfromthecdsstudyinghanaandcotedivoire |
| _version_ |
1718422089837314048 |