Prevalence of Common Mental Disorders among pregnant women-Evidence from population-based study in rural Haryana, India.
Common Mental Disorders
India
pregnancy
rural
Journal
Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
17
12
2020
revised:
21
02
2021
accepted:
12
03
2021
entrez:
29
7
2021
pubmed:
30
7
2021
medline:
30
7
2021
Statut:
ppublish
Résumé
Mental disorders during pregnancy is one of the major public health problem because of its effect on both mother and child. The objective of the study was to assess the burden of common mental disorders (CMDs) among pregnant women in rural Haryana, North India. A community-based cross-sectional study was conducted in 28 villages of rural Haryana in 2016. Pregnant women in the study area with period of gestation 25-34 weeks were enrolled and assessed for presence of CMDs in two phases. Primary Care Evaluation of Mental Disorders-Patient Health Questionnaire was used for screening and Mini International Neuropsychiatric Interview (MINI) for diagnosis of CMDs. A total of 457 pregnant women were included in the study. Mean age of pregnant women was 23.9 years (SD- 3.9). Prevalence of CMDs was 15.3% (95% CI, 12.0-18.6). Of these, major depression was 2.8% (95% CI, 1.4- 4.4), and Generalized Anxiety Disorder was 15.1% (95% CI, 11.8-18.4) as per MINI. On multivariate analysis, no statistically significant association was found between CMDs during pregnancy with any obstetric, sociodemographic determinants, and child health outcomes. High prevalence of CMDs, especially anxiety, observed among pregnant women in rural area necessitates the need for integration of screening of CMDs during routine antenatal care in India.
Sections du résumé
BACKGROUND
BACKGROUND
Mental disorders during pregnancy is one of the major public health problem because of its effect on both mother and child.
OBJECTIVES
OBJECTIVE
The objective of the study was to assess the burden of common mental disorders (CMDs) among pregnant women in rural Haryana, North India.
METHODS
METHODS
A community-based cross-sectional study was conducted in 28 villages of rural Haryana in 2016. Pregnant women in the study area with period of gestation 25-34 weeks were enrolled and assessed for presence of CMDs in two phases. Primary Care Evaluation of Mental Disorders-Patient Health Questionnaire was used for screening and Mini International Neuropsychiatric Interview (MINI) for diagnosis of CMDs.
RESULTS
RESULTS
A total of 457 pregnant women were included in the study. Mean age of pregnant women was 23.9 years (SD- 3.9). Prevalence of CMDs was 15.3% (95% CI, 12.0-18.6). Of these, major depression was 2.8% (95% CI, 1.4- 4.4), and Generalized Anxiety Disorder was 15.1% (95% CI, 11.8-18.4) as per MINI. On multivariate analysis, no statistically significant association was found between CMDs during pregnancy with any obstetric, sociodemographic determinants, and child health outcomes.
CONCLUSION
CONCLUSIONS
High prevalence of CMDs, especially anxiety, observed among pregnant women in rural area necessitates the need for integration of screening of CMDs during routine antenatal care in India.
Identifiants
pubmed: 34322431
doi: 10.4103/jfmpc.jfmpc_2485_20
pii: JFMPC-10-2319
pmc: PMC8284220
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2319-2324Informations de copyright
Copyright: © 2021 Journal of Family Medicine and Primary Care.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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