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Archives of Women's Mental Health

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29.08.2017 | Original Article

Prevalence and predictors of anxiety disorders amongst low-income pregnant women in urban South Africa: a cross-sectional study

verfasst von: Thandi van Heyningen, Simone Honikman, Landon Myer, Michael N. Onah, Sally Field, Mark Tomlinson

Erschienen in: Archives of Women's Mental Health | Ausgabe 6/2017

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Abstract

Anxiety is highly prevalent in many populations; however, the burden of anxiety disorders amongst pregnant women in low-resource settings is not well documented. We investigated the prevalence and predictors of antenatal anxiety disorders amongst low-income women living with psychosocial adversity. Pregnant women were recruited from an urban, primary level clinic in Cape Town, South Africa. The Mini-International Neuropsychiatric Interview diagnostic interview assessed prevalence of anxiety disorders. Four self-report questionnaires measured psychosocial characteristics. Logistic regression models explored demographic and socioeconomic characteristics, psychosocial risk factors and psychiatric comorbidity as predictors for anxiety disorders. Amongst 376 participants, the prevalence of any anxiety disorder was 23%. Although 11% of all women had post-traumatic stress disorder, 18% of the total sample was diagnosed with other anxiety disorders. Multivariable analysis revealed several predictors for anxiety including a history of mental health problems (adjusted odds ratio [AOR] 4.11; 95% confidence interval (CI) 2.03–8.32), Major depressive episode (MDE) diagnosis (AOR 3.83; CI 1.99–7.31), multigravidity (AOR 2.87; CI 1.17–7.07), food insecurity (AOR 2.57; CI 1.48–4.46), unplanned and unwanted pregnancy (AOR 2.14; CI 1.11–4.15), pregnancy loss (AOR 2.10; CI 1.19–3.75) and experience of threatening life events (AOR 1.30; CI 1.04–1.57). Increased perceived social support appeared to reduce the risk for antenatal anxiety (AOR 0.95; CI 0.91–0.99). A range of antenatal anxiety disorders are prevalent amongst pregnant women living in low-resource settings. Women who experience psychosocial adversity may be exposed to multiple risk factors, which render them vulnerable to developing antenatal anxiety disorders.

In South Africa, the term “coloured” refers to a grouping of people of mixed race ancestry that self-identify as a particular ethnic and cultural grouping.

This was a monthly income of R501 or less, equivalent to approximately US$34 per month. According to Statistics South Africa, people earning this amount or less would probably have to sacrifice some food items to be able to afford to buy essential non-food items. Approximately 37% of the South African population live in this income bracket (Statistics South Africa 2015).

Adewuya AO, Ola BA, Aloba OO, Mapayi BM (2006) Anxiety disorders among Nigerian women in late pregnancy: a controlled study. Arch Womens Ment Health 9:325–328. doi:10.1007/s00737-006-0157-5 CrossRefPubMed

Andersson L, Sundström-Poromaa I, Wulff M et al (2004) Implications of antenatal depression and anxiety for obstetric outcome. Obstet Gynecol 104:467–476. doi:10.1097/01.AOG.0000135277.04565.e9 CrossRefPubMed

Bauer A, Knapp M, Parsonage M (2016) Lifetime costs of perinatal anxiety and depression. J Affect Disord 192:83–90. doi:10.1016/j.jad.2015.12.005 CrossRefPubMed

Benjamin A (2014) Community counsellors’ experiences of trauma and resilience in a low-income community. Dissertation presented for the degress of Doctor of Philosopy in the Department of Psychology at Stellenbosch University. Stellenbosch, South Africa

Bhagwanani SG, Seagraves K, Dierker LJ, Lax M (1997) Relationship between prenatal anxiety and perinatal outcome in nulliparous women: a prospective study. J Natl Med Assoc 89:93–98PubMedPubMedCentral

Biaggi A, Conroy S, Pawlby S, Pariante CM (2016) Identifying the women at risk of antenatal anxiety and depression: a systematic review. J Affect Disord 191:62–77. doi:10.1016/j.jad.2015.11.014 CrossRefPubMedPubMedCentral

Bindt C, Appiah-poku J, Te Bonle M et al (2012) Antepartum depression and anxiety associated with disability in African women: cross-sectional results from the CDS study in Ghana and Côte d’Ivoire. PLoS One 7:e48396. doi:10.1371/journal.pone.0048396 CrossRefPubMedPubMedCentral

Blumberg SJ, Bialostosky K, Hamilton WL, Briefel RR (1999) The effectiveness of a short form of the Household Food Security Scale. Am J Public Health 89:1231–1234. doi:10.2105/AJPH.89.8.1231 CrossRefPubMedPubMedCentral

Brugha TS, Bebbington P, Tennant C, Hurry J (1985) The List of Threatening Experiences: a subset of 12 life even categories with considerable long-term contextual threat. Psychol Med 15:189–194. doi:10.1111/j.1600-0447.1990.tb01360.x CrossRefPubMed

Bruwer B, Emsley R, Kidd M et al (2008) Psychometric properties of the multidimensional scale of perceived social support in youth. Compr Psychiatry 49:195–201. doi:10.1016/j.comppsych.2007.09.002 CrossRefPubMed

Chen X, Ender P, Mitchell M, Wells C (2003) Regression with Stata, from https://stats.idre.ucla.edu/stat/stata/webbooks/reg/default.htm

Choi KW, Abler LA, Watt MH et al (2014) Drinking before and after pregnancy recognition among South African women: the moderating role of traumatic experiences. BMC Pregnancy Childbirth 14:97. doi:10.1186/1471-2393-14-97 CrossRefPubMedPubMedCentral

Choi KW, Sikkema KJ, Velloza J et al (2015) Maladaptive coping mediates the influence of childhood trauma on depression and PTSD among pregnant women in South Africa. Arch Womens Ment Health 18:731–738. doi:10.1007/s00737-015-0501-8 CrossRefPubMedPubMedCentral

Coelho HF, Murray L, Royal-lawson M, Cooper PJ (2011) Antenatal anxiety disorder as a predictor of postnatal depression: a longitudinal study. J Affect Disord 129:348–353. doi:10.1016/j.jad.2010.08.002 CrossRefPubMed

Crimestatssa.com Crime statistics: Phillipi precinct 2015. In: [Online]. Available: http://crimestatssa.com

Cronbach LJ (1951) Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334CrossRef

Dawes A, de Sas KZ, Kafaar Z, Richter L (2006) Partner violence. In: Pillay U, Roberts B, Rule S (eds) South African social attitudes. HSRC Press, Cape Town, pp 225–251

Day C, Gray A (2013) Health and related indicators. South African Heal Rev. 207–329

Dayan J, Creveuil C, Herlicoviez M et al (2002) Role of anxiety and depression in the onset of spontaneous preterm labor. Am J Epidemiol 155:293–301. doi:10.1016/j.amjmed.2014.11.036 CrossRefPubMed

de Fonseca-Machado MO, Monteiro JCDS, Haas VJ et al (2015) Intimate partner violence and anxiety disorders in pregnancy: the importance of vocational training of the nursing staff in facing them. Rev Lat Am Enfermagem 23:855–864. doi:10.1590/0104-1169.0495.2624 CrossRefPubMedCentral

Dewing S, Tomlinson M, le Roux I, et al. (2013) Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa. J Affect Disord 1–6. doi: 10.1016/j.jad.2013.04.040

Doss C, Summerfield G, Tsikata D (2014) Land, gender, and food security. Fem Econ 20:1–23CrossRef

Dunkle KL, Jewkes RK, Brown HC et al (2004) Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa. Am J Epidemiol 160:230–239. doi:10.1093/aje/kwh194 CrossRefPubMed

Eaton LA, Kalichman SC, Sikkema KJ et al (2012) Pregnancy, alcohol intake, and intimate partner violence among men and women attending drinking establishments in a Cape Town, South Africa township. J Community Health 37:208–216. doi:10.1007/s10900-011-9438-7 CrossRefPubMedPubMedCentral

Eaton LA, Pitpitan EV, Kalichman SC et al (2014) Food insecurity and alcohol use among pregnant women at alcohol-serving establishments in South Africa. Prev Sci 15:309–317. doi:10.1007/s11121-013-0386-6 CrossRefPubMedPubMedCentral

Fadzil A, Balakrishnan K, Razali R et al (2013) Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia. Asia-Pacific Psychiatry 5(Suppl 1):7–13. doi:10.1111/appy.12036 CrossRefPubMed

Faisal-Cury A, Rossi Menezes P (2007) Prevalence of anxiety and depression during pregnancy in a private setting sample. Arch Womens Ment Health 10:25–32. doi:10.1007/s00737-006-0164-6 CrossRefPubMed

Field T, Diego M, Hernandez-Reif M et al (2010) Comorbid depression and anxiety effects on pregnancy and neonatal outcome. Infant Behav Dev 33:23–29. doi:10.1016/j.infbeh.2009.10.004 CrossRefPubMed

Fisher J, De Mello C, Patel V et al (2012) Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ 90:139–149. doi:10.2471/BLT.11.091850 CrossRef

Gass JD, Stein DJ, Williams DR, Seedat S (2011) Gender differences in risk for intimate partner violence among South African adults. J Interpers Violence 26:2764–2789. doi:10.1177/0886260510390960 CrossRefPubMed

Goodman JH, Chenausky KL, Freeman MP (2014) Anxiety disorders during pregnancy: a systematic review. J Clin Psychiatry 75:e1153–e1184. doi:10.4088/JCP.14r09035 CrossRefPubMed

Grote NK, Bridge JA, Gavin AR et al (2010) A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry 67:1012–1024. doi:10.1001/archgenpsychiatry.2010.111.A CrossRefPubMedPubMedCentral

Hadley C, Tegegn A, Tessema F et al (2008) Food insecurity, stressful life events and symptoms of anxiety and depression in east Africa: evidence from the Gilgel Gibe growth and development study. J Epidemiol Community Health 62:980–986. doi:10.1136/jech.2007.068460 CrossRefPubMed

Hanlon C, Medhin G, Alem A et al (2009) Impact of antenatal common mental disorders upon perinatal outcomes in Ethiopia: the P-MaMiE population-based cohort study. Trop Med Int Heal 14:156–166. doi:10.1111/j.1365-3156.2008.02198.x CrossRef

Hartley M, Tomlinson M, Greco E et al (2011) Depressed mood in pregnancy: prevalence and correlates in two Cape Town peri-urban settlements. Reprod Health 8:9. doi:10.1186/1742-4755-8-9 CrossRefPubMedPubMedCentral

Headey DD (2013) The impact of the global food crisis on self-assessed food security. World Bank Econ Rev 27:1–27. doi:10.1093/wber/lhs033 CrossRef

Herba CM, Glover V, Ramchandani PG, Rondon MB (2016) Maternal depression and mental health in early childhood: an examination of underlying mechanisms in low-income and middle-income countries. The Lancet Psychiatry 3:983–992. doi:10.1016/S2215-0366(16)30148-1 CrossRefPubMed

Heron J, O’Connor TG, Evans J et al (2004) The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord 80:65–73. doi:10.1016/j.jad.2003.08.004 CrossRefPubMed

Herrman H, Saxena S, Moodie R, Geneva, WHO (2005) Promoting Mental Health: Concepts, Emerging Evidence, Practice. A Report from the World Health Organisation, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation (VicHealth) and The University of Melbourne. Geneva: WHO

Hirst KP, Moutier CY (2010) Postpartum major depression. Am Fam Physician 82:926–933PubMed

Honikman S, van Heyningen T, Field S et al (2012) Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa. PLoS Med. doi:10.1371/journal.pmed.1001222

Howard LM, Molyneaux E, Dennis C-L et al (2014) Non-psychotic mental disorders in the perinatal period. Lancet 384:1775–1788. doi:10.1016/S0140-6736(14)61276-9 CrossRefPubMed

Ivers LC, Cullen KA (2011) Food insecurity: special considerations for women. Am J Clin Nutr 94:1740–1744. doi:10.3945/ajcn.111.012617.1 CrossRef

Jewkes R, Abrahams N (2002) The epidemiology of rape and sexual coercion in South Africa: an overview. Soc Sci Med 55:1231–1244. doi:10.1016/S0277-9536(01)00242-8 CrossRefPubMed

Jewkes R, Penn-Kekana L, Levin J et al (2001) Prevalence of emotional, physical and sexual abuse of women in three South African provinces. S Afr Med J 91:421–428PubMed

Kaminer D (2001) The Truth and Reconciliation Commission in South Africa: relation to psychiatric status and forgiveness among survivors of human rights abuses. Br J Psychiatry 178:373–377. doi:10.1192/bjp.178.4.373 CrossRefPubMed

Kastello JC, Jacobsen KH, Gaffney KF et al (2015) Posttraumatic stress disorder among low-income women exposed to perinatal intimate partner violence. Arch Womens Ment Health. doi:10.1007/s00737-015-0594-0

Kurki T, Hiilesmaa V, Raitasalo R et al (2000) Depression and anxiety in early pregnancy and risk for preeclampsia. Obstet Gynecol 95:487–490PubMed

Littleton HL, Breitkopf CR, Berenson AB (2007) Correlates of anxiety symptoms during pregnancy and association with perinatal outcomes: a meta-analysis. Am J Obstet Gynecol 196:424–432. doi:10.1016/j.ajog.2007.03.042 CrossRefPubMed

Lund C, Breen A, Flisher AJ et al (2010) Poverty and common mental disorders in low and middle income countries: a systematic review. Soc Sci Med 71:517–528. doi:10.1016/j.socscimed.2010.04.027 CrossRefPubMedPubMedCentral

Mahenge B, Likindikoki S, Stöckl H, Mbwambo J (2013) Intimate partner violence during pregnancy and associated mental health symptoms among pregnant women in Tanzania: a cross-sectional study. BJOG an Int J Obstet Gynaecol:1–8. doi:10.1111/1471-0528.12185

Matthey S, Ross-Hamid C (2012) Repeat testing on the Edinburgh Depression Scale and the HADS-A in pregnancy: differentiating between transient and enduring distress. J Affect Disord:1–9. doi:10.1016/j.jad.2012.02.037

Matthey S, Barnett B, Howie P, Kavanagh DJ (2003) Diagnosing postpartum depression in mothers and fathers: whatever happened to anxiety? J Affect Disord 74:139–147. doi:10.1016/S0165-0327(02)00012-5 CrossRefPubMed

Milgrom J, Gemmill AW, Bilszta JL et al (2008) Antenatal risk factors for postnatal depression: a large prospective study. J Affect Disord 108:147–157. doi:10.1016/j.jad.2007.10.014 CrossRefPubMed

Misri S, Kendrick K, Oberlander TF et al (2010) Antenatal depression and anxiety affect postpartum parenting stress: a longitudinal, prospective study. Can J Psychiatr 55:222–228CrossRef

Moultrie A (2004) Indigenous trauma volunteers: survivors with a mission. Dissertation submitted in partial fulfilment of the requirements for the degree of Master of Social Science (Clinical Psychology). Department of Psychology Rhodes University Grahamstown. January, 2004

Mulder EJH, Robles De Medina PG, Huizink AC et al (2002) Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Hum Dev 70:3–14. doi:10.1016/S0378-3782(02)00075-0 CrossRefPubMed

Murray L, Woolgar M, Murray J, Cooper P (2003) Self-exclusion from health care in women at high risk for postpartum depression. J Public Health Med 25:131–137CrossRefPubMed

Murray LK, Dorsey S, Haroz E et al (2014) A common elements treatment approach for adult mental health problems in low- and middle-income countries. Cogn Behav Pr 21:111–123. doi:10.1016/j.cbpra.2013.06.005 CrossRef

Muthayya S, Rah JH, Sugimoto JD et al (2013) The global hidden hunger indices and maps: an advocacy tool for action. PLoS One 8:1–12. doi:10.1371/journal.pone.0067860 CrossRef

Muzik M, Bocknek EL, Broderick A, Richardson P Rosenblum KL, Thelen K, Seng JS (2012) Mother-infant bonding impairment across the first 6 months postpartum: the primacy of psychopathology in women with childhood abuse and neglect histories. Arch Womens Ment Health. doi:10.1007/s00737-012-0312-0

Myer L, Smit J, Le Roux L et al (2008a) Common mental disorders among HIV-infected individuals in South Africa: prevalence, predictors, and validation of brief psychiatric rating scales. AIDS Patient Care STDs 22:147–158. doi:10.1089/apc.2007.0102 CrossRefPubMed

Myer L, Stein DJ, Grimsrud A et al (2008b) Social determinants of psychological distress in a nationally-representative sample of South African adults. Soc Sci Med 66:1828–1840. doi:10.1016/j.socscimed.2008.01.025 CrossRefPubMedPubMedCentral

Nasreen H-E, Kabir ZN, Forsell Y, Edhborg M (2010) Low birth weight in offspring of women with depressive and anxiety symptoms during pregnancy: results from a population based study in Bangladesh. BMC Public Health. doi:10.1186/1471-2458-10-515

Nayak MB, Patel V, Bond JC, Greenfield TK (2010) Partner alcohol use, violence and women’s mental health: population-based survey in India. Br J Psychiatry:192–199. doi:10.1192/bjp.bp.109.068049

O’Connor TG, Heron J, Golding J et al (2002) Maternal antenatal anxiety and children’s behavioural/emotional problems at 4 years. Br J Psychiatry 180:502–508CrossRefPubMed

Onah MN, Field S, van Heyningen T, Honikman S (2016) Predictors of alcohol and other drug use among pregnant women in a peri-urban South African setting. Int J Ment Health Syst 10:38. doi:10.1186/s13033-016-0070-x CrossRefPubMedPubMedCentral

Reid KM, Taylor MG (2015) Social support, stress, and maternal postpartum depression: a comparison of supportive relationships. Soc Sci Res 54:246–262. doi:10.1016/j.ssresearch.2015.08.009 CrossRefPubMed

Russell BS, Eaton LA, Petersen-Williams P (2013) Intersecting epidemics among pregnant women: alcohol use, interpersonal violence, and hiv infection in South Africa. Curr HIV/AIDS Rep 10:103–110. doi:10.1007/s11904-012-0145-5 CrossRefPubMedPubMedCentral

Sawyer A, Ayers S, Smith H (2010) Pre- and postnatal psychological wellbeing in Africa: a systematic review. J Affect Disord 123:17–29. doi:10.1016/j.jad.2009.06.027 CrossRefPubMed

Scorgie F, Blaauw D, Dooms T et al (2015) “I get hungry all the time”: experiences of poverty and pregnancy in an urban healthcare setting in South Africa. Glob Health 11:37. doi:10.1186/s12992-015-0122-z CrossRef

Shamu S, Abrahams N, Temmerman M et al (2011) A systematic review of African studies on intimate partner violence against pregnant women: prevalence and risk factors. PLoS One 6:e17591. doi:10.1371/journal.pone.0017591 CrossRefPubMedPubMedCentral

Sheehan DV, Lecrubier Y, Sheehan KH et al (1998) The MINI-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59:22–33PubMed

Shisana O, Rice K, Zungu N, Zuma K (2010) Gender and poverty in South Africa in the era of HIV/AIDS: a quantitative study. J Women’s Heal 19:39–46. doi:10.1089/jwh.2008.1200 CrossRef

Shisana O, Simbayi LC, Rehle T, Zungu NP, Zuma K, Ngogo N, Jooste S, Pillay-van-Wyk V, Parker W, Pezi S, Davids A, Nwanyanwu O, Dinh TH, SABSSM III ImplementationTeam (2008) South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, 2008: The Health of Our Children. The Human Sciences Research Council (HSRC) Press, Pretoria, South Africa

Smith MV, Rosenheck RA, Cavaleri MA, Howell HB, Poschman K, Yonkers K (2004) Screening for and detection of depression, panic disorder, and PTSD in public-sector obstetric clinics. Psychiatr Serv 55(4):407–414

Sorsdahl K, Slopen N, Siefert K et al (2011) Household food insufficiency and mental health in South Africa. J Epidemiol Community Health 65:426–431. doi:10.1136/jech.2009.091462 CrossRefPubMed

Spies G, Stein D, Roos A et al (2009) Validity of the Kessler 10 (K-10) in detecting DSM-IV defined mood and anxiety disorders among pregnant women. Arch Womens Ment Health 12:69–74. doi:10.1007/s00737-009-0050-0 CrossRefPubMed

Statistics South Africa (2013) City of Cape Town—2011 Census—Ward 047. Cape Town, South Africa. http://www.capetown.gov.za/en/stats/Documents/2011Census/Wards/2011_Census_CT_Ward_047_Profile.pdf

Statistics South Africa (2015) Methodological report on rebasing of national poverty lines and development on pilot provincial poverty lines–Technical Report. Pretoria: Statistics South Africa, 26pp

Talge NM, Neal C, Glover V (2007) Antenatal maternal stress and long-term effects on child neurodevelopment: how and why? J Child Psychol Psychiatry 48:245–261. doi:10.1111/j.1469-7610.2006.01714.x CrossRefPubMed

Teixeira C, Figueiredo B, Conde A et al (2009) Anxiety and depression during pregnancy in women and men. J Affect Disord 119:142–148. doi:10.1016/j.jad.2009.03.005 CrossRefPubMed

Tesfaye M, Hanlon C, Wondimagegn D, Alem A (2010) Detecting postnatal common mental disorders in Addis Ababa, Ethiopia: validation of the Edinburgh Postnatal Depression Scale and Kessler Scales. J Affect Disord 122:102–108. doi:10.1016/j.jad.2009.06.020 CrossRefPubMed

Troeman ZC, Spies G, Cherner M et al (2011) Impact of childhood trauma on functionality and quality of life in HIV-infected women. Health Qual Life Outcomes 9:84. doi:10.1186/1477-7525-9-84 CrossRefPubMedPubMedCentral

Tsai AC, Bangsberg DR, Frongillo EA et al (2012) Food insecurity, depression and the modifying role of social support among people living with HIV/AIDS in rural Uganda. Soc Sci Med 74:2012–2019. doi:10.1016/j.socscimed.2012.02.033 CrossRefPubMedPubMedCentral

Uguz F, Onder E, Sahingoz M et al (2013) Maternal generalized anxiety disorder during pregnancy and fetal brain development: a comparative study on cord blood brain-derived neurotrophic factor levels. J Psychosom Res. doi:10.1016/j.jpsychores.2013.04.010

Van Den Bergh BRH, Mulder EJH, Mennes M, Glover V (2005) Antenatal maternal anxiety and stress and the neurobehavioural development of the fetus and child: links and possible mechanisms. A review. Neurosci Biobehav Rev 29:237–258. doi:10.1016/j.neubiorev.2004.10.007 CrossRefPubMed

van Heyningen T, Myer L, Onah M et al (2016) Antenatal depression and adversity in urban South Africa. J Affect Disord 203:121–129. doi:10.1016/j.jad.2016.05.052 CrossRefPubMed

Wadhwa PD, Sandman CA, Porto M et al (1993) The association between prenatal stress and infant birth weight and gestational age at birth: a prospective investigation. Am J Obstet Gynecol 169:858–865. doi:10.1016/0002-9378(93)90016-C CrossRefPubMed

Whitaker RC, Phillips SM, Orzol SM (2006) Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children. Pediatrics 118:e859–e868. doi:10.1542/peds.2006-0239 CrossRefPubMed

Zimet GD, Dahlem NW, Zimet SG, Farley GK (1988) The multidimensional scale of perceived social support. J Pers Assess 52:30–41CrossRef

Titel: Prevalence and predictors of anxiety disorders amongst low-income pregnant women in urban South Africa: a cross-sectional study
verfasst von: Thandi van Heyningen
Simone Honikman
Landon Myer
Michael N. Onah
Sally Field
Mark Tomlinson
Publikationsdatum: 29.08.2017
Verlag: Springer Vienna
Erschienen in: Archives of Women's Mental Health / Ausgabe 6/2017
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-017-0768-z

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Prevalence and predictors of anxiety disorders amongst low-income pregnant women in urban South Africa: a cross-sectional study

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