Medical research archives · 2026
A single center cross-sectional study examining the prevalence of inpatient postpartum anxiety and post-traumatic stress symptoms using the State-Trait Anxiety Inventory and Post-Traumatic Stress Disorder Checklist for DSM-5.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sotillo Claudia Lucia, Michel Guillermina, Shah Sana, Smith Margaret, Ciechanowicz Sarah, Bekemeyer Z, Jethwa Aleesha Jasmin, Carvalho Brendan, Guo Nan, Ostacher Michael Joshua, Kaysen Debra Lee, Panelli Danielle Mari, Sultan Pervez
Аннотация
BACKGROUND: Mental health conditions are now the leading cause of maternal mortality in the United States, prompting calls for universal postpartum anxiety and post-traumatic stress disorder screening. However, standardized guidelines for screening implementation remain deficient. This cross-sectional study evaluated the prevalence of inpatient postpartum anxiety and post-traumatic stress disorder while exploring associated risk factors.
OBJECTIVES: Over a three-week period, we prospectively assessed adult postpartum patients following all delivery modes (vaginal and cesarean, live and stillbirth) at a single academic institution in the US. Screening was performed within 36 hours of delivery using the State-Trait Anxiety Inventory (score cut off ≥80) and post-traumatic stress disorder checklist for DSM-5 (score cut off ≥28). Data collection included demographic, medical, anesthesia, obstetric and neonatal variables, with assessments conducted in-person or via telephone for any spoken language.
STUDY DESIGN: Cross-sectional study.
RESULTS: Among 275 eligible patients, 263 (95.6%) completed the screening measures. The prevalence of positive postpartum anxiety and post-traumatic stress disorder screening was 12.5% and 4.9% respectively, with 3.8% of patients screening positive for both conditions. Worse State-Trait Anxiety Inventory scores were associated with ASA ≥3, pre-term birth and neonatal Apgar scores at 5 minutes <7. Worse post-traumatic stress disorder scores were associated with ASA ≥3, primiparity, spontaneous vaginal delivery, pre-eclampsia, pre-term birth, blood transfusion, Apgar score <7 and neonatal intensive care unit admission. Factors after adjustment associated with positive anxiety screening were a psychiatric history or medication use. No factors after adjustment were associated with positive PTSD screening.
CONCLUSIONS: Positive screening for inpatient postpartum anxiety was two and a half times more prevalent than for post-traumatic stress disorder. Positive anxiety screening was independently associated with psychiatric history or medication use. Targeted screening for post-traumatic stress disorder may be more appropriate, particularly among patients with pre-existing psychiatric conditions, complicated pregnancies or neonatal morbidity. Future research should focus on determining optimal screening parameters and timing, and intervention guidelines to better support high-risk obstetric populations.
OBJECTIVES: Over a three-week period, we prospectively assessed adult postpartum patients following all delivery modes (vaginal and cesarean, live and stillbirth) at a single academic institution in the US. Screening was performed within 36 hours of delivery using the State-Trait Anxiety Inventory (score cut off ≥80) and post-traumatic stress disorder checklist for DSM-5 (score cut off ≥28). Data collection included demographic, medical, anesthesia, obstetric and neonatal variables, with assessments conducted in-person or via telephone for any spoken language.
STUDY DESIGN: Cross-sectional study.
RESULTS: Among 275 eligible patients, 263 (95.6%) completed the screening measures. The prevalence of positive postpartum anxiety and post-traumatic stress disorder screening was 12.5% and 4.9% respectively, with 3.8% of patients screening positive for both conditions. Worse State-Trait Anxiety Inventory scores were associated with ASA ≥3, pre-term birth and neonatal Apgar scores at 5 minutes <7. Worse post-traumatic stress disorder scores were associated with ASA ≥3, primiparity, spontaneous vaginal delivery, pre-eclampsia, pre-term birth, blood transfusion, Apgar score <7 and neonatal intensive care unit admission. Factors after adjustment associated with positive anxiety screening were a psychiatric history or medication use. No factors after adjustment were associated with positive PTSD screening.
CONCLUSIONS: Positive screening for inpatient postpartum anxiety was two and a half times more prevalent than for post-traumatic stress disorder. Positive anxiety screening was independently associated with psychiatric history or medication use. Targeted screening for post-traumatic stress disorder may be more appropriate, particularly among patients with pre-existing psychiatric conditions, complicated pregnancies or neonatal morbidity. Future research should focus on determining optimal screening parameters and timing, and intervention guidelines to better support high-risk obstetric populations.