Evidence map›Paper›PMID 25149040›Full record

ArticleGeneral hospital psychiatry

Depression and anxiety among high-risk obstetric inpatients.

Nancy Byatt, Katherine Hicks-Courant, Autumn Davidson, Ruth Levesque, Eric Mick, Jeroan Allison, Tiffany A Moore Simas

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05529381 (Anxiety and Depressive Symptoms of Pregnant Women Diagnosed to Have Placenta Previa / Accreta), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05529381 completednot on this map

Anxiety and Depressive Symptoms of Pregnant Women Diagnosed to Have Placenta Previa / Accreta

TypeobservationalSponsorAssiut UniversityRan2022 to 2024Enrolled73ConditionsAnxiety Depression, Placenta Previa
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nancy ByattDepartment of Psychiatry, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA; Department of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, MA, USA. Electronic address: nancy.byatt@umassmemorial.org.
Katherine Hicks-CourantDepartment of Psychiatry, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA; Department of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, MA, USA.
Autumn DavidsonUniversity of Chicago Medical Center, Chicago, IL, USA.
Ruth LevesqueDepartment of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, MA, USA.
Eric MickDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA.
Jeroan AllisonDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA.
Tiffany A Moore SimasDepartment of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, MA, USA.

Funding

University of Massachusetts Center for Clinical and Translational ScienceKL2TR000160 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2012 to 2014
$1.7M
NCATS NIH HHS KL2 TR000160NCATS NIH HHS KL2TR000160
6 · The paper itself

Abstract

objectiveTo assess the following among women hospitalized antenatally due to high-risk pregnancies: (1) rates of depression symptoms and anxiety symptoms, (2) changes in depression symptoms and anxiety symptoms and, (3) rates of mental health treatment.

methodsSixty-two participants hospitalized for high-risk obstetrical complications completed the Edinburgh Postnatal Depression Scale (EPDS), Generalized Anxiety Disorder 7-item scale (GAD-7) and Short-Form 12 weekly until delivery or discharge, and once postpartum.

resultsAverage length of total hospital stay was 8.3 ± 7.6 days for women who completed an initial admission survey (n = 62) and 16.3 ± 8.9 (n = 34), 25.4 ± 10.2 (n = 17) and 35 ± 10.9 days (n = 9) for those who completed 2, 3 and 4 surveys, respectively. EPDS was ≥ 10 in 27% (n=17) and GAD-7 was ≥ 10 in 13% (n = 8) of participants at initial survey. Mean anxiety (4.2 ± 6.5 vs. 5.2 ± 5.1, p = .011) and depression (4.4 ± 5.6 vs. 6.9 ± 4.8, p = .011) scores were lower postpartum compared to initial survey. Past mental health diagnosis predicted depression symptoms [odds ratio (OR) = 4.54; 95% confidence interval (CI) 1.91-7.17] and anxiety symptoms (OR = 5.95; 95% CI 3.04-8.86) at initial survey; however, 21% (n = 10) with no diagnostic history had EPDS ≥ 10. Five percent (n = 3) received mental health treatment during pregnancy.

conclusionHospitalized high-risk obstetrical patients may commonly experience depression symptoms and/or anxiety symptoms and not receive treatment. A history of mental health treatment or diagnosis was associated with depression symptoms or anxiety symptoms in pregnancy. Of women with an EPDS ≥ 10, > 50% did not report a past mental health diagnosis.

Indexed as

AdultAnxietyCohort StudiesDepressionFemaleHospitalizationHumansInpatientsLength of StayPeripartum PeriodPostpartum PeriodPregnancyPregnancy ComplicationsPregnancy, High-RiskProspective StudiesSurveys and QuestionnairesAnxietyDepressionHigh-riskHospitalizationPregnancy

Identifiers

PMID25149040
PMCPMC4399814

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.