Author:
Meades Rose,Sinesi Andrea,Williams Louise R.,Delicate Amy,Cheyne Helen,Maxwell Margaret,Alderdice Fiona,Jomeen Julie,Shakespeare Judy,Yuill Cassandra,Ayers Susan,Best Catherine,Hann Agnes,Salmon Debra,Uddin Nazihah,Walker James,Gilbody Simon,
Abstract
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.
Publisher
Springer Science and Business Media LLC
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