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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / D'Addario , Vincenzo / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Konje, Justin C. / Kurjak M.D., Asim / Romero, Roberto / Zalud, MD PhD, Ivica


IMPACT FACTOR 2018: 1.361
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1619-3997
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Volume 41, Issue 2

Issues

Adult separation anxiety during pregnancy and its relationship to depression and anxiety

Valsamma Eapen
  • Corresponding author
  • School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
  • Infant, Child and Adolescent Mental Health Service, Academic Unit of Child Psychiatry, South West Sydney Local Health District, Liverpool, New South Wales, Australia
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/ Deborah Johnston
  • School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
  • Infant, Child and Adolescent Mental Health Service, Academic Unit of Child Psychiatry, South West Sydney Local Health District, Liverpool, New South Wales, Australia
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Alex Apler
  • School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
  • Infant, Child and Adolescent Mental Health Service, Academic Unit of Child Psychiatry, South West Sydney Local Health District, Liverpool, New South Wales, Australia
  • Other articles by this author:
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/ Susan Rees
  • School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
  • Centre for Population Mental Health Research, Psychiatry Research and Teaching Unit, South West Sydney Local Health District, Liverpool, New South Wales, Australia
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  • De Gruyter OnlineGoogle Scholar
/ Derrick M. Silove
  • School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
  • Centre for Population Mental Health Research, Psychiatry Research and Teaching Unit, South West Sydney Local Health District, Liverpool, New South Wales, Australia
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Published Online: 2012-09-11 | DOI: https://doi.org/10.1515/jpm-2012-0111

Abstract

Aims: The current study, the first of its kind, investigated the overlap between adult separation anxiety (ASA) and the symptoms of depression and anxiety in the context of pregnancy.

Methods: Women attending an antenatal clinic were screened using the Adult Separation Anxiety Scale (ASA-27). As most perinatal clinics use the Edinburgh Depression Scale (EDS), this study explored the relationship between ASA and the anxiety and depression symptoms by comparing the ASA-27 scores with the scores on the EDS. A subsample including both screen positives and screen negatives on ASA-27 was clinically interviewed using the Mini International Neuropsychiatric Interview (MINI).

Results: Women with ASA were significantly more likely to be screened positive for depression (EDS total score) and anxiety (EDS-3A anxiety subscale) than those without ASA. The diagnosis of ASA disorder in this population had only a moderate but significant association with the diagnoses of generalized anxiety disorder [χ2(1)=25.9, P=0.000, Φ=0.443] and major depression [χ2(1)=16, P=0.000, Φ=0.348] made using the MINI.

Conclusion: Adult separation anxiety warrants independent assessment in order to tailor appropriate interventions for the individual subtypes of anxiety in the perinatal period.

Keywords: Adult separation anxiety; antenatal anxiety; antenatal depression; perinatal mental health

About the article

Corresponding author: Valsamma Eapen, Infant, Child and Adolescent Psychiatry, Academic Unit of Child Psychiatry, South West Sydney Local Health District, ICAMHS, Mental Health Centre, L1, Liverpool Hospital, Elizabeth Street, Liverpool New South Wales, Australia, Tel.: +61-2-9616-4205, Fax: +61-2-9601-2773


Received: 2012-05-16

Accepted: 2012-08-13

Published Online: 2012-09-11

Published in Print: 2013-03-01


Citation Information: Journal of Perinatal Medicine, Volume 41, Issue 2, Pages 159–163, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/jpm-2012-0111.

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