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Published (Version of record)CC BY V4.0, Open Access
Published (Version of record)CC BY V4.0, Open
Journal article
Evaluation of perinatal anxiety assessment measures: a cognitive interview study
BMC pregnancy and childbirth, Vol.24, 507
27/07/2024
PMID: 39068407
Appears in Recent Faculty of Health Publications
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Abstract
Background
Anxiety in pregnancy and postpartum is highly prevalent but under-recognised. To identify perinatal anxiety, assessment tools must be acceptable, relevant, and easy to use for women in the perinatal period.
Methods
To determine the acceptability and ease of use of anxiety measures to pregnant or postpartum women (n = 41) we examined five versions of four measures: the Generalised Anxiety Disorder scale (GAD) 2-item and 7-item versions; Whooley questions; Clinical Outcomes in Routine Evaluation (CORE-10); and Stirling Antenatal Anxiety Scale (SAAS). Cognitive interviews were used to examine ease of comprehension, judgement, retrieval and responding.
Results
All measures were acceptable. Some items were deemed less relevant to the perinatal period e.g., difficulties sleeping. Ease of comprehension, judgement, retrieval and responding varied, with all measures having strengths and weaknesses. The SAAS and CORE-10 had the lowest mean number of problematic components. The GAD had the highest mean number of problematic components. Non-binary response options were preferred. Preferences for time frames (e.g. one week, one month) varied. Qualitative data provides in-depth information on responses to each measure.
Conclusions
Findings can be used to inform clinical guidelines and research on acceptable anxiety assessment in pregnancy and after birth.
Details
- Title
- Evaluation of perinatal anxiety assessment measures: a cognitive interview study
- Creators
- Rose Meades - University of LondonAndrea SinesiLouise R Williams - University of LondonAmy DelicateHelen Cheyne - University of StirlingMargaret Maxwell - University of StirlingFiona Alderdice - University of OxfordJulie Jomeen - Southern Cross UniversityJudy ShakespeareCassandra Yuill - University of LondonSusan Ayers - University of Londonthe MAP Study Team
- Publication Details
- BMC pregnancy and childbirth, Vol.24, 507
- Publisher
- BioMed Central Ltd.
- Grant note
- This work was part of the Methods of Assessing Perinatal Anxiety (MAP) programme of research. MAP was supported by the National Institute for Health Research (NIHR), Health Services & Delivery Research Programme (NIHR 17/105/16).
- Identifiers
- 991013214012302368
- Copyright
- © The Author(s) 2024. Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License.
- Academic Unit
- Nursing; Faculty of Health
- Language
- English
- Resource Type
- Journal article