Naja Sarah, Al Kubaisi Noora, Singh Rajvir, Bougmiza Iheb
Hamad Medical Corporation, Doha, Qatar.
Primary Health Care Corporation, Doha, Qatar.
Heliyon. 2020 Oct 23;6(10):e05264. doi: 10.1016/j.heliyon.2020.e05264. eCollection 2020 Oct.
Cumulative evidence suggests that early identification of anxiety in pregnancy is important, given that antenatal anxiety has been linked to morbid outcomes in expecting mothers and their offspring. However, the burden of antenatal anxiety is not yet known in Qatar. This research aims to measure the prevalence and determinants of generalized and pregnancy-related anxiety among pregnant women.
Eight hundred pregnant women completed a structured interview and self-administrated questionnaires after being selected through probability sampling from nine primary healthcare centers distributed across Qatar. We subjected the data to Binary and Multiple Logistic Regression Analysis. Furthermore, we conducted a Confirmatory Factor Analysis for the utilized scales.
Out of eight hundred participants, 26.5% reported high pregnancy-related anxiety, while 16.4% had a generalized anxiety disorder. A high level of perceived social support and resilience was shown to mitigate generalized and pregnancy-related anxiety. However, we revealed that different determinants influence the two types of anxiety.
There is no recognized optimal cut-off point to distinguish 'high risk' in pregnancy-related anxiety scales.
Pregnancy-related anxiety is more prevalent than generalized anxiety among pregnant women in Qatar, indicating that stakeholders must include screening for pregnancy-related anxiety in Qatar's clinical guidelines. Tailored interventional studies could focus on increasing resilience and social support to decrease the burden of antenatal anxiety.
越来越多的证据表明，孕期焦虑的早期识别很重要，因为产前焦虑与准妈妈及其后代的不良结局有关。然而，卡塔尔产前焦虑的负担尚不清楚。本研究旨在测量孕妇中广泛性焦虑和与妊娠相关焦虑的患病率及决定因素。
通过概率抽样从卡塔尔各地分布的9个初级医疗保健中心选取800名孕妇，她们完成了结构化访谈和自填式问卷。我们对数据进行二元和多元逻辑回归分析。此外，我们对所使用的量表进行了验证性因素分析。
在800名参与者中，26.5%报告有高度的与妊娠相关的焦虑，而16.4%患有广泛性焦虑症。高水平的感知社会支持和心理韧性被证明可以减轻广泛性焦虑和与妊娠相关的焦虑。然而，我们发现不同的决定因素影响这两种类型的焦虑。
在与妊娠相关的焦虑量表中，没有公认的最佳临界点来区分“高风险”。
在卡塔尔，孕妇中与妊娠相关的焦虑比广泛性焦虑更普遍，这表明利益相关者必须在卡塔尔的临床指南中纳入对与妊娠相关焦虑的筛查。针对性的干预研究可以专注于增强心理韧性和社会支持，以减轻产前焦虑的负担。
