Evidence map›Paper›PMID 35428199›Full record

SynthesisBMC pregnancy and childbirth2022

Measurement of pregnancy-related anxiety worldwide: a systematic review.

Kristin Hadfield, Samuel Akyirem, Luke Sartori, Abdul-Malik Abdul-Latif, Dominic Akaateba, Hamideh Bayrampour, Anna Daly, Kelly Hadfield, Gilbert Abotisem Abiiro

Abstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
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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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Kristin HadfieldTrinity Centre for Global Health, School of Psychology, Trinity College Dublin, Dublin, Ireland. kristin.hadfield@tcd.ie.
Samuel AkyiremYale School of Nursing, Yale University, New Haven, USA.
Luke SartoriBarts and The London School of Medicine and Dentistry, Queen Mary University of London, London, England.
Abdul-Malik Abdul-LatifInstitute of Interdisciplinary Research, University for Development Studies, Tamale, Ghana.
Dominic AkaatebaGhana Medical Help, Accra, Ghana.
Hamideh BayrampourDepartment of Family Practice, University of British Columbia, Vancouver, Canada.
Anna DalyTrinity Centre for Global Health, School of Psychology, Trinity College Dublin, Dublin, Ireland.
Kelly HadfieldGhana Medical Help, Accra, Ghana.
Gilbert Abotisem AbiiroDepartment of Health Services, Policy, Planning, Management and Economics, School of Public Health, University for Development Studies, Tamale, Ghana.

Funding

Medical Research Council MR/T03906X/1
6 · The paper itself

Abstract

backgroundThe perinatal period is often characterized by specific fear, worry, and anxiety concerning the pregnancy and its outcomes, referred to as pregnancy-related anxiety. Pregnancy-related anxiety is uniquely associated with negative maternal and child health outcomes during pregnancy, at birth, and early childhood; as such, it is increasingly studied. We examined how pregnancy-related anxiety is measured, where measures were developed and validated, and where pregnancy-related anxiety has been assessed. We will use these factors to identify potential issues in measurement of pregnancy-related anxiety and the geographic gaps in this area of research.

methodsWe searched the Africa-Wide, CINAHL, MEDLINE, PsycARTICLES, PsycINFO; PubMed, Scopus, Web of Science Core Collection, SciELO Citation Index, and ERIC databases for studies published at any point up to 01 August 2020 that assessed pregnancy-related anxiety. Search terms included pregnancy-related anxiety, pregnancy-related worry, prenatal anxiety, anxiety during pregnancy, and pregnancy-specific anxiety, among others. Inclusion criteria included: empirical research, published in English, and the inclusion of any assessment of pregnancy-related anxiety in a sample of pregnant women. This review is registered on PROSPERO (CRD42020189938).

resultsThe search identified 2904 records; after screening, we retained 352 full-text articles for consideration, ultimately including 269 studies in the review based on the inclusion and exclusion criteria. In total, 39 measures of pregnancy-related anxiety were used in these 269 papers, with 18 used in two or more studies. Less than 20% of the included studies (n = 44) reported research conducted in low- and middle-income country contexts. With one exception, all measures of pregnancy-related anxiety used in more than one study were developed in high-income country contexts. Only 13.8% validated the measures for use with a low- or middle-income country population.

conclusionsTogether, these results suggest that pregnancy-related anxiety is being assessed frequently among pregnant people and in many countries, but often using tools that were developed in a context dissimilar to the participants' context and which have not been validated for the target population. Culturally relevant measures of pregnancy-related anxiety which are developed and validated in low-income countries are urgently needed.

Indexed as

Anxiety DisordersParturitionAnxietyChildChild, PreschoolFemaleHumansInfant, NewbornPovertyPregnancyPregnant PeopleBackgroundCross-culturalMaternal mental healthMeasurementPregnancyPregnancy-related anxietyReliability and validitySystematic review

Identifiers

PMID35428199
PMCPMC9013052

What OpenQuestion holds

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Registered trials

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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.