The co-existence of depression,anxiety and post-traumatic stress symptoms in the perinatal period: A systematic review |
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| Institution: | 1. Department of Obstetrics and Gynaecology, Malta Mater Dei Hospital, Dun Karm Street, Msida MSD 2090, Malta;2. Faculty of Health Sciences, Mater Dei Hospital, Room 34, Block A, Level 1, Msida MSD 2090, Malta;3. Nursing Department, School of Medical and Dental Sciences, University of Birmingham, Room EF14, Birmingham, United Kingdom;4. Department of Occupational Therapy, St.Vincent de Paul, Malta;5. Institute of Health & Society, Newcastle University, Baddiley-Clarke Building, Richardson Road, Newcastle upon Tyne NE2 4AX, United Kingdom;1. Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Chemnitzer Str. 46, 01187 Dresden, Germany;2. Faculty of Medicine of the Technische Universität Dresden, Department of Child and Adolescent Psychiatry, Schubertstraße 42, 01307 Dresden, Germany;3. Behavioral Epidemiology, Technische Universität Dresden, Chemnitzer Str. 46, 01187 Dresden, Germany;4. SRH Fachhochschule für Gesundheit Gera, Neue Straße 28-30, 07548 Gera, Germany;1. Personal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London WC2A 2AE, UK;2. Centre for Mental Health, London, UK;1. Faculty of Nursing, Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alberta, Canada;2. Department of Family and Community Medicine, University of Toronto, Ada and Slaight Family Director of Maternity Care, Ray D. Wolfe Department of Family Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada;3. Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada;4. College of Nursing, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada;5. Population, Public, and Aboriginal Health, Alberta Health Services, Calgary, Alberta, Canada;6. Faculty of Science (Computer Science), MacEwan University, Edmonton, Alberta, Canada;7. School of Nursing and Department of Clinical Epidemiology & Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada;8. St. John of God Chair Perinatal & Women’s Mental Health, School of Psychiatry, University of New South Wales, Sydney, Australia;1. School of Health, Nigde University, Nigde, Turkey;2. Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey;3. Centre for Maternal and Child Health Research, City University London, UK |
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| Abstract: | Objectiveto identify and appraise the current international evidence regarding the presence and prevalence of the co-existence of depression, anxiety and post-traumatic stress symptoms in the antenatal and post partum period.Methodsusing a list of keywords, Medline, CINHAL, Cochrane Library, EMBASE, PsychINFO, Web of Science and the Index of Theses and Conference Proceedings (Jan 1960 – Jan 2015) were systematically searched. Experts in the field were contacted to locate papers that were in progress or in press. Reference lists from relevant review articles were searched. Inclusion criteria included full papers published in English reporting concurrent depression, anxiety and post-traumatic stress symptoms in pregnant and post partum women. A validated data extraction review tool was used.Findings3424 citations were identified. Three studies met the full inclusion criteria. All reported findings in the postnatal period. No antenatal studies were identified. The prevalence of triple co-morbidity was relatively low ranging from 2% to 3%.Conclusions and implications for practicetriple co-morbidity does occur, although the prevalence appears to be low. Due to the presentation of complex symptoms, women with triple co-morbidity are likely to be difficult to identify, diagnose and treat. Clinical staff should be aware of the potential of complex symptomatology. |
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| Keywords: | Depression Anxiety Post-traumatic stress symptoms Triple co-morbidity Co-existence Post partum |
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