Prenatal Maternal Anxiety in South Asia: A Rapid Best-Fit Framework Synthesis
Background: Most research efforts toward prenatal maternal anxiety has been situated in high-income countries. In contrast, research from low- and middle-income countries has focused on maternal depression and prenatal maternal anxiety in low- and middle-income countries remains poorly understood.Ob...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-10-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2018.00467/full |
| _version_ | 1818283079327809536 |
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| author | Katherine Stuart Bright Jill M. Norris Nicole L. Letourneau Melanie King Rosario Shahirose S. Premji |
| author_facet | Katherine Stuart Bright Jill M. Norris Nicole L. Letourneau Melanie King Rosario Shahirose S. Premji |
| author_sort | Katherine Stuart Bright |
| collection | DOAJ |
| description | Background: Most research efforts toward prenatal maternal anxiety has been situated in high-income countries. In contrast, research from low- and middle-income countries has focused on maternal depression and prenatal maternal anxiety in low- and middle-income countries remains poorly understood.Objectives: To examine whether dimensions and attributes of current maternal anxiety assessment tools appropriately capture South Asia women's experiences of perinatal distress during pregnancy.Design: We conducted a rapid review with best fit framework synthesis, as we wished to map study findings to an a priori framework of dimensions measured by prenatal maternal anxiety tools.Data Sources: We searched MEDLINE, PsycINFO, and CINAHL and gray literature in November 2016. Studies were included if published in English, used any study design, and focused on women's experiences of prenatal/antenatal anxiety in South Asia.Review Methods: Study quality was assessed using the Effective Public Health Practice Project Quality Assessment Tool and Critical Appraisal Skills Programme Qualitative Checklist. Study findings were extracted to an a priori framework derived from pregnancy-related anxiety tools.Results: From 4,177 citations, 9 studies with 19,251 women were included. Study findings mapped to the a priori framework apart from body image. A new theme, gender inequality, emerged from the studies and was overtly examined through gender disparity, gender preference of fetus, or domestic violence.Conclusions: Gender inequality and societal acceptability of domestic violence in South Asian women contextualizes the experience of prenatal maternal anxiety. Pregnancy-related anxiety tools should include domains related to gender inequality to better understand their influence on pregnancy outcomes. |
| first_indexed | 2024-12-13T00:31:12Z |
| format | Article |
| id | doaj.art-9866abe65c9a4db79e276bcfe917faeb |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-13T00:31:12Z |
| publishDate | 2018-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-9866abe65c9a4db79e276bcfe917faeb2022-12-22T00:05:19ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402018-10-01910.3389/fpsyt.2018.00467413302Prenatal Maternal Anxiety in South Asia: A Rapid Best-Fit Framework SynthesisKatherine Stuart BrightJill M. NorrisNicole L. LetourneauMelanie King RosarioShahirose S. PremjiBackground: Most research efforts toward prenatal maternal anxiety has been situated in high-income countries. In contrast, research from low- and middle-income countries has focused on maternal depression and prenatal maternal anxiety in low- and middle-income countries remains poorly understood.Objectives: To examine whether dimensions and attributes of current maternal anxiety assessment tools appropriately capture South Asia women's experiences of perinatal distress during pregnancy.Design: We conducted a rapid review with best fit framework synthesis, as we wished to map study findings to an a priori framework of dimensions measured by prenatal maternal anxiety tools.Data Sources: We searched MEDLINE, PsycINFO, and CINAHL and gray literature in November 2016. Studies were included if published in English, used any study design, and focused on women's experiences of prenatal/antenatal anxiety in South Asia.Review Methods: Study quality was assessed using the Effective Public Health Practice Project Quality Assessment Tool and Critical Appraisal Skills Programme Qualitative Checklist. Study findings were extracted to an a priori framework derived from pregnancy-related anxiety tools.Results: From 4,177 citations, 9 studies with 19,251 women were included. Study findings mapped to the a priori framework apart from body image. A new theme, gender inequality, emerged from the studies and was overtly examined through gender disparity, gender preference of fetus, or domestic violence.Conclusions: Gender inequality and societal acceptability of domestic violence in South Asian women contextualizes the experience of prenatal maternal anxiety. Pregnancy-related anxiety tools should include domains related to gender inequality to better understand their influence on pregnancy outcomes.https://www.frontiersin.org/article/10.3389/fpsyt.2018.00467/fullevidence synthesislow- and middle-income countriesmental healthprenatal maternal anxietySouth Asia |
| spellingShingle | Katherine Stuart Bright Jill M. Norris Nicole L. Letourneau Melanie King Rosario Shahirose S. Premji Prenatal Maternal Anxiety in South Asia: A Rapid Best-Fit Framework Synthesis Frontiers in Psychiatry evidence synthesis low- and middle-income countries mental health prenatal maternal anxiety South Asia |
| title | Prenatal Maternal Anxiety in South Asia: A Rapid Best-Fit Framework Synthesis |
| title_full | Prenatal Maternal Anxiety in South Asia: A Rapid Best-Fit Framework Synthesis |
| title_fullStr | Prenatal Maternal Anxiety in South Asia: A Rapid Best-Fit Framework Synthesis |
| title_full_unstemmed | Prenatal Maternal Anxiety in South Asia: A Rapid Best-Fit Framework Synthesis |
| title_short | Prenatal Maternal Anxiety in South Asia: A Rapid Best-Fit Framework Synthesis |
| title_sort | prenatal maternal anxiety in south asia a rapid best fit framework synthesis |
| topic | evidence synthesis low- and middle-income countries mental health prenatal maternal anxiety South Asia |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2018.00467/full |
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