| Title: |
Identifying acceptable and effective methods of assessing perinatal anxiety: the MAP study |
| Authors: |
Ayers, S.; Meades, R.; Sinesi, A.; Cheyne, H.; Maxwell, M.; Best, C.; Jomeen, J.; Walker, J.; Shakespeare, J.; Alderdice, F. |
| Publisher Information: |
National Institute for Health and Care Research |
| Publication Year: |
2025 |
| Collection: |
City University London: City Research Online |
| Subject Terms: |
BF Psychology; R Medicine; RC Internal medicine; RG Gynecology and obstetrics; RJ101 Child Health. Child health services; RT Nursing |
| Description: |
Background Anxiety is a common mental illness that can occur during and after pregnancy, which is associated with an increased risk of adverse outcomes for women and their infants. Despite this, there is no consensus on the best method of assessing anxiety. Objectives The methods of assessing perinatal anxiety (MAP) study aimed to identify the most acceptable, effective and feasible method for assessing anxiety in pregnancy and after birth. Design and methods The MAP study had four work packages: a qualitative and cognitive interview study (work package 1); a prospective longitudinal cohort study of women during pregnancy (early, mid- and late pregnancy) and post partum, with nested diagnostic interviews (work package 2) and implementation case studies (work package 3). Secondary analysis of cohort data was commissioned as an add-on project to examine the impact of socioeconomic deprivation on perinatal anxiety (work package 4). The MAP study evaluated four assessment measures based on clinical criteria and research evidence: the General Anxiety Disorder Questionnaire, 2-item, or 7-item version scale, Whooley questions, Stirling Antenatal Anxiety Scale and Clinical Outcomes in Routine Evaluation – 10 item version scale. Setting and participants Qualitative and cognitive interviews (work package 1) were conducted with 41 pregnant and postpartum women, recruited through patient and public involvement representative organisations and social media. The MAP cohort (work package 2) included 2243 women recruited through 12 National Health Service Trusts in England and 5 National Health Service Boards in Scotland. Diagnostic interviews were conducted with a consecutive subsample of 403 participants. Implementation case studies (work package 3) were conducted with two National Health Service sites in England and one in Scotland. Results Routine assessment of perinatal anxiety was acceptable to women and was viewed positively, although this was qualified by the extent to which the process was informed and personalised. ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| Relation: |
https://openaccess.city.ac.uk/id/eprint/36331/1/3048762.pdf; Ayers, S. https://openaccess.city.ac.uk/view/creators_id/susan=2Eayers=2E1.html orcid:0000-0002-6153-2460 orcid:0000-0002-6153-2460 , Meades, R. https://openaccess.city.ac.uk/view/creators_id/rose=2Emeades.html orcid:0000-0002-6944-6428 orcid:0000-0002-6944-6428 , Sinesi, A. , Cheyne, H., Maxwell, M., Best, C., Jomeen, J., Walker, J., Shakespeare, J. Alderdice, F.view all authorsEPJS_limit_names_shown_load( 'creators_name_36331_et_al', 'creators_name_36331_rest' ); (2025). Identifying acceptable and effective methods of assessing perinatal anxiety: the MAP study. Health and Social Care Delivery Research, 13(32), pp. 1-44. doi:10.3310/rrhd1124 https://doi.org/10.3310/rrhd1124 |
| DOI: |
10.3310/rrhd1124 |
| Availability: |
https://openaccess.city.ac.uk/id/eprint/36331/; https://openaccess.city.ac.uk/id/eprint/36331/1/3048762.pdf; https://doi.org/10.3310/rrhd1124 |
| Rights: |
cc_by_4 |
| Accession Number: |
edsbas.99794E7E |
| Database: |
BASE |