Narayan Lisha, Johnson Corinne T, Marsay Carina Y
Department of Psychiatry, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
S Afr J Psychiatr. 2024 Jul 23;30:2250. doi: 10.4102/sajpsychiatry.v30i0.2250. eCollection 2024.
Non-psychotic mental disorders are common during the perinatal period. In South Africa, there are few studies on antenatal anxiety and these results vary. Antenatal anxiety does not only add to the burden of perinatal co-morbidity but has subsequent immediate and long-term effects on the mother, birth outcomes and her offspring.
The aim of this study was to determine the prevalence of anxiety symptoms in pregnant women during the antenatal period and to determine associated factors.
The study was conducted at an antenatal clinic located in Chris Hani Baragwanath Academic Hospital (CHBAH), Soweto, Johannesburg. Data were collected from March to December 2022.
This was a prospective, cross-sectional study in which 200 pregnant women were interviewed. A biographical questionnaire and the generalised anxiety disorder questionnaire (GAD-7) were administered.
The prevalence of anxiety symptoms in pregnant women attending the antenatal clinic was 33%. Participants with anxiety were younger, employed and had lower perceived social support. Women with planned and wanted pregnancies had a lower prevalence of anxiety.
One-third of the pregnant women screened positive for anxiety symptoms on the GAD-7. This is significantly higher compared to other studies carried out in the same facility previously. High-risk groups should be screened for anxiety.
This study prompts further studies and guiding policies on routine screening of pregnant women for anxiety and other mental illnesses during pregnancy.
非精神病性精神障碍在围产期很常见。在南非，关于产前焦虑的研究较少，且结果各异。产前焦虑不仅会增加围产期合并症的负担，还会对母亲、分娩结局及其后代产生直接和长期的影响。
本研究的目的是确定孕期妇女产前焦虑症状的患病率，并确定相关因素。
该研究在约翰内斯堡索韦托克里斯·哈尼·巴拉格瓦纳特学术医院（CHBAH）的产前诊所进行。数据收集于2022年3月至12月。
这是一项前瞻性横断面研究，对200名孕妇进行了访谈。使用了一份传记问卷和广泛性焦虑障碍问卷（GAD-7）。
在产前诊所就诊的孕妇中，焦虑症状的患病率为33%。有焦虑症状的参与者更年轻、有工作，且感知到的社会支持较低。计划内且想要孩子的孕妇焦虑患病率较低。
在GAD-7问卷筛查中，三分之一的孕妇焦虑症状呈阳性。这一比例明显高于该机构之前进行的其他研究。应针对高危人群进行焦虑筛查。
本研究促使进一步开展关于孕期妇女焦虑和其他精神疾病常规筛查的研究并制定指导政策。
