Antenatal depression and anxiety in Indian women: A systematic review

There is good evidence to suggest that high prevalence of depression and anxiety in the postpartum period. However, very few studies have focused on antenatal depression and anxiety disorders and their associated risk factors. Further, there are only a handful of studies from India on common antenat...

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Main Authors: Swapnajeet Sahoo, Gursahiba Gill, Pooja Sikka, Ritu Nehra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Industrial Psychiatry Journal
Subjects:
Online Access:http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2023;volume=32;issue=2;spage=222;epage=233;aulast=Sahoo
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author Swapnajeet Sahoo
Gursahiba Gill
Pooja Sikka
Ritu Nehra
author_facet Swapnajeet Sahoo
Gursahiba Gill
Pooja Sikka
Ritu Nehra
author_sort Swapnajeet Sahoo
collection DOAJ
description There is good evidence to suggest that high prevalence of depression and anxiety in the postpartum period. However, very few studies have focused on antenatal depression and anxiety disorders and their associated risk factors. Further, there are only a handful of studies from India on common antenatal mental health disorders. With this background, we reviewed the existing evidence on antenatal depression and anxiety from the studies conducted in Indian pregnant women during the antenatal period and to explore the associated risk factors. All the major databases were searched systematically for English language studies on prevalence and risk factors for antenatal depression and anxiety in Indian pregnant females, published during the period January 2000 to May 2022. Quality assessment of studies was done with the modified version of Newcastle Ottawa Scale for cross-sectional studies. We found the overall prevalence of antenatal depression was ranged from 3.8% to 65% and antenatal anxiety from 13 to 55%. The most relevant risk factors associated with antenatal depression and anxiety during pregnancy were preference to have a male child, intimate partner violence, history of abortions, marital conflict, poor relationship with the husband/in-laws and lack of social support. To conclude, the systematic review suggests that depressive and anxiety disorders are quite common in Indian pregnant women in antepartum period with varying prevalence depending on various settings and scales used. Steps should be taken to promote obstetricians for regular mental health screening during the antenatal visits and prompt referral to mental health professionals when suspected.
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spelling doaj.art-ea699946783f4f6aa61fca9d006669cf2024-03-25T15:40:36ZengWolters Kluwer Medknow PublicationsIndustrial Psychiatry Journal0972-67480976-27952023-01-0132222223310.4103/ipj.ipj_156_22Antenatal depression and anxiety in Indian women: A systematic reviewSwapnajeet SahooGursahiba GillPooja SikkaRitu NehraThere is good evidence to suggest that high prevalence of depression and anxiety in the postpartum period. However, very few studies have focused on antenatal depression and anxiety disorders and their associated risk factors. Further, there are only a handful of studies from India on common antenatal mental health disorders. With this background, we reviewed the existing evidence on antenatal depression and anxiety from the studies conducted in Indian pregnant women during the antenatal period and to explore the associated risk factors. All the major databases were searched systematically for English language studies on prevalence and risk factors for antenatal depression and anxiety in Indian pregnant females, published during the period January 2000 to May 2022. Quality assessment of studies was done with the modified version of Newcastle Ottawa Scale for cross-sectional studies. We found the overall prevalence of antenatal depression was ranged from 3.8% to 65% and antenatal anxiety from 13 to 55%. The most relevant risk factors associated with antenatal depression and anxiety during pregnancy were preference to have a male child, intimate partner violence, history of abortions, marital conflict, poor relationship with the husband/in-laws and lack of social support. To conclude, the systematic review suggests that depressive and anxiety disorders are quite common in Indian pregnant women in antepartum period with varying prevalence depending on various settings and scales used. Steps should be taken to promote obstetricians for regular mental health screening during the antenatal visits and prompt referral to mental health professionals when suspected.http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2023;volume=32;issue=2;spage=222;epage=233;aulast=Sahooantenatal anxietyantenatal depressionindiarisk factorssystematic review
spellingShingle Swapnajeet Sahoo
Gursahiba Gill
Pooja Sikka
Ritu Nehra
Antenatal depression and anxiety in Indian women: A systematic review
Industrial Psychiatry Journal
antenatal anxiety
antenatal depression
india
risk factors
systematic review
title Antenatal depression and anxiety in Indian women: A systematic review
title_full Antenatal depression and anxiety in Indian women: A systematic review
title_fullStr Antenatal depression and anxiety in Indian women: A systematic review
title_full_unstemmed Antenatal depression and anxiety in Indian women: A systematic review
title_short Antenatal depression and anxiety in Indian women: A systematic review
title_sort antenatal depression and anxiety in indian women a systematic review
topic antenatal anxiety
antenatal depression
india
risk factors
systematic review
url http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2023;volume=32;issue=2;spage=222;epage=233;aulast=Sahoo
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AT poojasikka antenataldepressionandanxietyinindianwomenasystematicreview
AT ritunehra antenataldepressionandanxietyinindianwomenasystematicreview