Anxiety disorders and obsessive compulsive disorder 9 months after perinatal loss |
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| Affiliation: | 1. Department of Family Medicine, University of Michigan, 1018 Fuller Street, Ann Arbor, MI 48104-1213;2. Department of Obstetrics and Gynecology, University of Michigan, 1018 Fuller Street, Ann Arbor, MI 48104-1213;3. Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA;4. Women and Infants Mental Health Clinic, Department of Psychiatry, University of Michigan;5. Department of Family Medicine and Department of Biostatistics University of Michigan;1. Department of Psychology, University of Aarhus, Bartholins Allé 9, 8000 Aarhus C, Denmark;2. National Centre for Psychotraumatology, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark;3. Department of Psychiatry, Academic Medical Center, University of Amsterdam, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands;4. Arq Psychotrauma Expert Group, Nienoord 5, 1112 XE Diemen, the Netherlands;5. Psychology Research Institute, School of Psychology, Faculty of Life and Health Sciences, University of Ulster, Londonderry, United Kingdom |
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| Abstract: | ObjectivePerinatal loss (stillbirth after 20 weeks of gestational age or infant death in the first month) impacts one to two infants per hundred live births in the United States and can be a devastating experience for parents. We assessed prevalence of anxiety disorders and obsessive compulsive disorder (OCD) among bereaved and live-birth mothers.MethodsWe collaborated with the Michigan Department of Community Health to survey Michigan mothers with perinatal death or live birth. We measured symptoms of generalized anxiety disorder, social phobia, panic disorder and OCD using validated written self-report screens and collected data on maternal demographics, psychiatric history, social support and intimate partner violence.ResultsA total 609/1400 mothers (44%) participated, returning surveys 9 months postdelivery. Two hundred thirty-two mothers had live birth, and 377 had perinatal loss. In unadjusted analyses, bereaved mothers had higher odds of all four disorders. In logistic regression adjusted for covariates, bereaved mothers still had higher odds of moderate–severe generalized anxiety disorder [odds ratio (OR): 2.39, confidence interval (CI): 1.10–5.18, P= .028] and social phobia (OR: 2.32, CI: 1.52–3.54, P< .0005) but not panic disorder or OCD.ConclusionBereaved mothers struggle with clinically significant anxiety disorders in the first year after perinatal loss; improved identification and treatment are essential to improve mental health for this vulnerable population. |
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