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Article

Evaluation of perinatal anxiety assessment measures: a cognitive interview study

Details

Citation

Meades R, Sinesi A, Williams LR, Delicate A, Cheyne H, Maxwell M, Alderdice F, Jomeen J, Shakespeare J, Yuill C, Ayers S & Studt Team M (2024) Evaluation of perinatal anxiety assessment measures: a cognitive interview study. BMC Pregnancy and Childbirth, 24, Art. No.: 507. https://doi.org/10.1186/s12884-024-06641-6

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 Âé¶¹´«Ã½AV 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.

Keywords
Pregnancy; Postpartum; Anxiety; Screening; Assessment

Notes
The MAP Study Team consisted of: Catherine Best, Agnes Hann, Debra Salmon, Nazihah Uddin, James Walker, Simon Gilbody & Cassandra Yuill

Journal
BMC Pregnancy and Childbirth: Volume 24

StatusPublished
Funders
Publication date31/07/2024
Publication date online31/07/2024
Date accepted by journal14/06/2024
URL
PublisherSpringer Science and Business Media LLC
ISSN1471-2393
eISSN1471-2393

People (4)

Dr Catherine Best

Dr Catherine Best

Associate Professor, Health Sciences Âé¶¹´«Ã½AV

Professor Helen Cheyne

Professor Helen Cheyne

Personal Chair, CHeCR

Professor Margaret Maxwell

Professor Margaret Maxwell

Professor, CHeCR

Mr Andrea Sinesi

Mr Andrea Sinesi

Research Fellow, CHeCR

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