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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and Côte d'Ivoire
PLoS ONE, Volume 7, No. 10, Article e48396, Year 2012
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Description
Background: Common mental disorders, particularly unipolar depressive disorders, rank among the top 5 with respect to the global burden of disease. As a major public health concern, antepartum depression and anxiety not only affects the individual woman, but also her offspring. Data on the prevalence of common mental disorders in pregnant women in sub-Saharan Africa are scarce. We provide results from Ghana and Côte d'Ivoire. Methods: We subsequently recruited and screened n = 1030 women in the third trimester of their pregnancy for depressed mood, general anxiety, and perceived disability using the Patient Health Questionnaire depression module (PHQ-9), the 7-item Anxiety Scale (GAD-7), and the World Health Organisation Disability Assessment Schedule II (WHO-DAS 2.0, 12-item version). In addition to estimates of means and prevalence, a hierarchical linear regression model was calculated to determine the influence of antepartum depression and anxiety on disability. Results: In Ghana, 26.6% of women showed substantially depressed mood. In Côte d'Ivoire, this figure was even higher (32.9%). Clear indications for a generalized anxiety disorder were observed in 11.4% and 17.4% of pregnant women, respectively. Comorbidity of both conditions was common, affecting about 7.7% of Ghanaian and 12.6% of Ivorian participants. Pregnant women in both countries reported a high degree of disability regarding everyday activity limitations and participation restrictions. Controlled for country and age, depression and anxiety accounted for 33% of variance in the disability score. Conclusions: Antepartum depression and anxiety were highly prevalent in our sample and contributed substantially to perceived disability. These serious threats to health must be further investigated and more data are needed to comprehensively quantify the problem in sub-Saharan Africa. © 2012 Bindt et al.
Authors & Co-Authors
Bindt, Carola
Unknown Affiliation
Appiah-Poku, J.
Unknown Affiliation
Te Bonle, Marguerite D.
Unknown Affiliation
Schoppen, Stefanie
Unknown Affiliation
Feldt, Torsten
Unknown Affiliation
Barkmann, Claus
Unknown Affiliation
Koffi, Mathurin
Unknown Affiliation
Baum, Jana
Unknown Affiliation
Nguah, Samuel Blay
Unknown Affiliation
Tagbor, Harry
Unknown Affiliation
Guo, Nan
Unknown Affiliation
N'Goran, Eliézer Kouakou
Unknown Affiliation
Ehrhardt, Stephan
Unknown Affiliation
Statistics
Citations: 81
Authors: 13
Affiliations: 9
Identifiers
Doi:
10.1371/journal.pone.0048396
e-ISSN:
19326203
Research Areas
Disability
Health System And Policy
Maternal And Child Health
Mental Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Locations
Ghana
Ivory Coast
Participants Gender
Female