Document Detail


Generalized anxiety disorder: course and risk factors in pregnancy.
MedLine Citation:
PMID:  21269708     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There are limited studies of generalized anxiety disorder (GAD) across pregnancy.
METHODS: Women (n = 2793) were enrolled in the Yale Pink and Blue study, a cohort enriched with subjects who suffered from major depressive disorder (MDD) within the past five years or used antidepressants in the past year. Subjects were evaluated with the Composite International Diagnostic Interview at three time points: twice in pregnancy and once after delivery. We defined a generalized anxiety disorder (GAD) episode as per DSM IV but with required duration reduced to one month or longer. Course and correlates of GAD were examined in women who had: 1) no GAD during the 6 months prior or in pregnancy (Group A), 2) GAD in the 6 months prior to but not in pregnancy (Group B), 3) GAD in pregnancy only (Group C) and 4) GAD both in the 6 months prior to and during pregnancy (Group D).
RESULTS: 9.5% of the cohort suffered from GAD at some point in pregnancy. Anxiety symptoms were highest in the first trimester and decreased across pregnancy. Regression analysis revealed that previous GAD episodes, education, social support and a history of child abuse distinguished between membership in the four groups.
LIMITATIONS: The sample may not be representational, as it was enhanced with those at risk, and had relatively low representation of socio-economically disadvantaged women.
CONCLUSIONS: Identification of anxious patients during pregnancy may provide an opportunity to engage those in need of psychiatric treatment.
Authors:
Anne Buist; Nathan Gotman; Kimberly Ann Yonkers
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-01-26
Journal Detail:
Title:  Journal of affective disorders     Volume:  131     ISSN:  1573-2517     ISO Abbreviation:  J Affect Disord     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-16     Completed Date:  2011-09-19     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  7906073     Medline TA:  J Affect Disord     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  277-83     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier B.V. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anxiety Disorders / etiology*,  psychology
Female
Humans
Interview, Psychological
Odds Ratio
Pregnancy
Pregnancy Complications / etiology,  psychology*
Pregnancy Trimesters / psychology
Psychiatric Status Rating Scales
Regression Analysis
Risk Factors
Social Support
Young Adult
Grant Support
ID/Acronym/Agency:
R01 HD045735/HD/NICHD NIH HHS; R01 HD045735-05/HD/NICHD NIH HHS
Comments/Corrections

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