Symptoms of the anxiety disorders in a perinatal psychiatric sample: a chart review.
Symptoms of anxiety are a central feature of perinatal mental health, yet the anxiety disorders have received considerably less attention than depression in both perinatal research and practice. The present investigation involved a retrospective review of the clinical records of 334 patients seen at a psychiatric day hospital program serving pregnant and postpartum women. We examined the frequency with which the patients in this setting reported symptoms of anxiety, clinical correlates of elevated anxiety, and patterns of diagnosis in the clinical record. The results suggest that anxiety symptoms are very common in this population and that the presence of anxiety is associated with a more severe clinical profile, including higher rates of suicidality and increased use of psychotropic medications during pregnancy and postpartum. Although anxiety symptom levels were markedly elevated in this sample, anxiety disorders were diagnosed at relatively low rates. Implications for clinical practice, including discharge and treatment planning, are discussed.
*Department of Psychology, Skidmore College, Saratoga Springs, NY; †Department of Psychiatry and Human Behavior, Brown University Medical School, Providence, RI; ‡Butler Hospital, Providence, RI; §Women & Infants' Hospital of Rhode Island, Providence, RI; and ||George Washington University, Washington, DC.
Casey A
CA
Schofield
Cynthia L
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Battle
Margaret
M
Howard
Samia
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Ortiz-Hernandez
D000328:Adult; D000342:Affective Symptoms / Q000175:diagnosis* / Q000453:epidemiology; D001007:Anxiety / Q000175:diagnosis* / Q000453:epidemiology; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D049590:Postpartum Period / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies; D057566:Self Report; D055815:Young Adult