{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T16:39:14Z","timestamp":1773074354781,"version":"3.50.1"},"reference-count":41,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AJOG Global Reports"],"published-print":{"date-parts":[[2025,5]]},"DOI":"10.1016\/j.xagr.2025.100486","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T01:20:09Z","timestamp":1743297609000},"page":"100486","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors associated with a positive Tilburg Pregnancy Distress Scale among hospitalized Ghanaian obstetric patients"],"prefix":"10.1016","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0306-8214","authenticated-orcid":false,"given":"Dhanalakshmi","family":"Thiyagarajan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid","family":"Sarfo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alim","family":"Swarray-Deen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Compton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Lawrence","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Promise","family":"Sefogah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.xagr.2025.100486_bib0001","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.jad.2018.05.073","article-title":"Risk factors of new onset anxiety and anxiety exacerbation in the perinatal period: a systematic review and meta-analysis","volume":"238","author":"Furtado","year":"2018","journal-title":"J Affect Disord"},{"key":"10.1016\/j.xagr.2025.100486_bib0002","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.jpsychires.2022.10.060","article-title":"The Tilburg Pregnancy Distress Scale revised (TPDS-R): psychometric aspects in a longitudinal cohort study","volume":"156","author":"Gigase","year":"2022","journal-title":"J Psychiatr Res"},{"issue":"4","key":"10.1016\/j.xagr.2025.100486_bib0003","doi-asserted-by":"crossref","first-page":"47","DOI":"10.29245\/2578-2959\/2020\/4.1221","article-title":"An overview of maternal anxiety during pregnancy and the post-partum period","volume":"4","author":"Araji","year":"2020","journal-title":"J Ment Health Clin Psychol"},{"issue":"2","key":"10.1016\/j.xagr.2025.100486_bib0004","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.earlhumdev.2004.04.014","article-title":"Is pregnancy anxiety a distinctive syndrome?","volume":"79","author":"Huizink","year":"2004","journal-title":"Early Hum Dev"},{"issue":"7247","key":"10.1016\/j.xagr.2025.100486_bib0005","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1136\/bmj.320.7247.1420","article-title":"Distinguishing mental illness in primary care: we need to separate proper syndromes from generalised distress","volume":"320","author":"Middleton","year":"2000","journal-title":"BMJ\u202f: Br Med J"},{"key":"10.1016\/j.xagr.2025.100486_bib0006","unstructured":"Assessment of Significant Psychological Distress at the End of Pregnancy and Associated Factors | Archives of Women's Mental Health. Accessed October 27, 2024. https:\/\/link.springer.com\/article\/10.1007\/s00737-017-0795-9#Sec13"},{"issue":"6","key":"10.1016\/j.xagr.2025.100486_bib0007","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/j.wombi.2020.01.009","article-title":"Psychological distress in pregnancy and postpartum","volume":"33","author":"Obrochta","year":"2020","journal-title":"Women Birth"},{"issue":"25","key":"10.1016\/j.xagr.2025.100486_bib0008","doi-asserted-by":"crossref","first-page":"9066","DOI":"10.1080\/14767058.2021.2014450","article-title":"Association between diagnosed perinatal mood and anxiety disorders and adverse perinatal outcomes","volume":"35","author":"Accortt","year":"2021","journal-title":"J Matern-Fetal Neonatal Med"},{"issue":"2","key":"10.1016\/j.xagr.2025.100486_bib0009","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/YCO.0b013e3283503680","article-title":"Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice","volume":"25","author":"Schetter","year":"2012","journal-title":"Curr Opin Psychiatry"},{"key":"10.1016\/j.xagr.2025.100486_bib0010","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.neubiorev.2017.07.003","article-title":"Prenatal developmental origins of behavior and mental health: the influence of maternal stress in pregnancy","volume":"117","author":"Van den Bergh","year":"2020","journal-title":"Neurosci Biobehav Rev"},{"issue":"4","key":"10.1016\/j.xagr.2025.100486_bib0011","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1097\/PSY.0000000000001050","article-title":"Psychological distress during pregnancy and the development of pregnancy-induced hypertension: a prospective study","volume":"84","author":"Pop","year":"2022","journal-title":"Psychosom Med"},{"issue":"3","key":"10.1016\/j.xagr.2025.100486_bib0012","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1002\/wps.20777","article-title":"Prenatal mental health and the effects of stress on the foetus and the child. Should psychiatrists look beyond mental disorders?","volume":"19","author":"Glover","year":"2020","journal-title":"World Psychiatry"},{"key":"10.1016\/j.xagr.2025.100486_bib0013","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.jad.2020.09.063","article-title":"Maternal antenatal stress and mental and behavioral disorders in their children","volume":"278","author":"Tuovinen","year":"2021","journal-title":"J Affect Disord"},{"key":"10.1016\/j.xagr.2025.100486_bib0014","doi-asserted-by":"crossref","first-page":"156","DOI":"10.36401\/JQSH-23-28","article-title":"Factors affecting pregnancy complications in Ghana","volume":"7","author":"Wiafe","year":"2024","journal-title":"Glob J Qual Saf Healthc"},{"key":"10.1016\/j.xagr.2025.100486_bib0015","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1186\/1756-0500-4-353","article-title":"Cause of death among Ghanaian adolescents in Accra using autopsy data","volume":"4","author":"Ohene","year":"2011","journal-title":"BMC Res Notes"},{"key":"10.1016\/j.xagr.2025.100486_bib0016","unstructured":"Ghana. Datadot. Accessed October 27, 2024. https:\/\/data.who.int\/countries\/288"},{"issue":"5","key":"10.1016\/j.xagr.2025.100486_bib0017","doi-asserted-by":"crossref","first-page":"64","DOI":"10.3390\/tropicalmed7050064","article-title":"2.5 million annual deaths\u2014are neonates in low- and middle-income countries too small to be seen? A bottom-up overview on neonatal Morbi-mortality","volume":"7","author":"Rosa-Mangeret","year":"2022","journal-title":"Trop Med Infect Dis"},{"issue":"11","key":"10.1016\/j.xagr.2025.100486_bib0018","doi-asserted-by":"crossref","first-page":"5857","DOI":"10.3390\/ijerph18115857","article-title":"Prevalence and correlates of prenatal depression, anxiety and suicidal behaviours in the Volta Region of Ghana","volume":"18","author":"Kugbey","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"10.1016\/j.xagr.2025.100486_bib0019","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0280496","article-title":"Seeking and receiving help for mental health services among pregnant women in Ghana","volume":"18","author":"Adjorlolo","year":"2023","journal-title":"PLoS One"},{"issue":"2","key":"10.1016\/j.xagr.2025.100486_bib0020","doi-asserted-by":"crossref","DOI":"10.1177\/20551029231202316","article-title":"Perceptions and experiences of prenatal mental health: a qualitative study among pregnant women in Ghana","volume":"10","author":"Agyekum","year":"2023","journal-title":"Health Psychol Open"},{"issue":"1","key":"10.1016\/j.xagr.2025.100486_bib0021","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1186\/s12888-019-2261-x","article-title":"\u201cI just wish it becomes part of routine care\u201d: healthcare providers\u2019 knowledge, attitudes and perceptions of screening for maternal mental health during and after pregnancy: a qualitative study","volume":"19","author":"McCauley","year":"2019","journal-title":"BMC Psychiatry"},{"issue":"3","key":"10.1016\/j.xagr.2025.100486_bib0022","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1192\/bji.2020.16","article-title":"Perinatal mental health around the world: priorities for research and service development in Africa","volume":"17","author":"Ng'oma","year":"2020","journal-title":"BJPsych Int"},{"key":"10.1016\/j.xagr.2025.100486_bib0023","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/1471-2393-11-80","article-title":"Development of the Tilburg Pregnancy Distress Scale: the TPDS","volume":"11","author":"Pop","year":"2011","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"10.1016\/j.xagr.2025.100486_bib0024","doi-asserted-by":"crossref","first-page":"2425","DOI":"10.1186\/s12889-024-19935-3","article-title":"Predominant approaches to measuring pregnancy-related anxiety in Sub-Saharan Africa: a scoping review","volume":"24","author":"Fraga","year":"2024","journal-title":"BMC Public Health"},{"key":"10.1016\/j.xagr.2025.100486_bib0025","series-title":"Economics of education","first-page":"209","article-title":"Earnings and education","author":"Woodhall","year":"1987"},{"issue":"1","key":"10.1016\/j.xagr.2025.100486_bib0026","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0280470","article-title":"Maternal psychological distress and associated factors among pregnant women attending antenatal care at public hospitals, Ethiopia","volume":"18","author":"Tesfaye","year":"2023","journal-title":"PLoS One"},{"issue":"3","key":"10.1016\/j.xagr.2025.100486_bib0027","first-page":"e210","article-title":"Factors related to psychological distress in multiparous women in the first trimester: a cross-sectional study","volume":"30","author":"Wang","year":"2022","journal-title":"J Nurs Res"},{"issue":"2","key":"10.1016\/j.xagr.2025.100486_bib0028","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1002\/da.22218","article-title":"Determinants of postnatal depression in rural Ghana: findings from the don population based cohort study","volume":"32","author":"Weobong","year":"2015","journal-title":"Depress Anxiety"},{"issue":"2","key":"10.1016\/j.xagr.2025.100486_bib0029","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1002\/ijgo.13124","article-title":"Prevalence and key predictors of perinatal depression among postpartum women in Ghana","volume":"149","author":"Sefogah","year":"2020","journal-title":"Int J Gynaecol Obstet"},{"issue":"3","key":"10.1016\/j.xagr.2025.100486_bib0030","doi-asserted-by":"crossref","first-page":"172","DOI":"10.5694\/j.1326-5377.1992.tb137080.x","article-title":"Increased risk of postnatal depression after emergency caesarean section","volume":"157","author":"Boyce","year":"1992","journal-title":"Med J Aust"},{"issue":"3","key":"10.1016\/j.xagr.2025.100486_bib0031","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1111\/aogs.13275","article-title":"Delineating the association between mode of delivery and postpartum depression symptoms: a longitudinal study","volume":"97","author":"Eckerdal","year":"2018","journal-title":"Acta Obstet Gynecol Scand. Elsevier Ltd, Oxford, United Kingdom: Pergamon Books Ltd."},{"key":"10.1016\/j.xagr.2025.100486_bib0032","unstructured":"MMHD Situational Analysis.pdf. Accessed October 17, 2024. https:\/\/www.afro.who.int\/sites\/default\/files\/2024-02\/MMHD%20Situational%20Analysis.pdf"},{"key":"10.1016\/j.xagr.2025.100486_bib0033","series-title":"Health workforce requirements for universal health coverage and the sustainable development goals. (Human resources for health observer, 17)","year":"2016"},{"key":"10.1016\/j.xagr.2025.100486_bib0034","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.janxdis.2016.10.007","article-title":"Psychological perspectives on fear of childbirth","volume":"44","author":"Rondung","year":"2016","journal-title":"J Anxiety Disord"},{"issue":"5","key":"10.1016\/j.xagr.2025.100486_bib0035","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.1016\/S0002-9378(96)70042-X","article-title":"The preterm prediction study: maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks\u2019 gestation","volume":"175","author":"Copper","year":"1996","journal-title":"Am J Obstet Gynecol"},{"issue":"9","key":"10.1016\/j.xagr.2025.100486_bib0036","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1002\/da.22262","article-title":"Stress exposure across the life span cumulatively increases depression risk and is moderated by neuroticism","volume":"31","author":"Vinkers","year":"2014","journal-title":"Depress Anxiety"},{"issue":"11","key":"10.1016\/j.xagr.2025.100486_bib0037","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0080711","article-title":"No association between antenatal common mental disorders in low-obstetric risk women and adverse birth outcomes in their offspring: results from the CDS study in Ghana and C\u00f4te D'Ivoire","volume":"8","author":"Bindt","year":"2013","journal-title":"PLoS One"},{"issue":"6","key":"10.1016\/j.xagr.2025.100486_bib0038","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/j.midw.2013.08.001","article-title":"The experience of postnatal depression in West African mothers living in the United Kingdom: a qualitative study","volume":"30","author":"Gardner","year":"2014","journal-title":"Midwifery"},{"issue":"5","key":"10.1016\/j.xagr.2025.100486_bib0039","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1080\/02646838.2021.1934422","article-title":"Validation of the Tilburg Pregnancy Distress Scale among pregnant women in Capricorn District, South Africa","volume":"40","author":"Mashegoane","year":"2022","journal-title":"J Reprod Infant Psychol"},{"issue":"1","key":"10.1016\/j.xagr.2025.100486_bib0040","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1186\/s12884-021-03745-1","article-title":"Psychometric adequacy of the Persian adapted version of the Tilburg Pregnancy Distress Scale (P-TPDS)","volume":"21","author":"Salehi","year":"2021","journal-title":"BMC Pregnancy Childbirth. Geneva, Switzerland: WHO Press"},{"key":"10.1016\/j.xagr.2025.100486_bib0041","unstructured":"THE 17 GOALS | Sustainable Development. Accessed January 20, 2024. https:\/\/sdgs.un.org\/goals"}],"container-title":["AJOG Global Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666577825000474?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666577825000474?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T09:30:01Z","timestamp":1751016601000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666577825000474"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["S2666577825000474"],"URL":"https:\/\/doi.org\/10.1016\/j.xagr.2025.100486","relation":{},"ISSN":["2666-5778"],"issn-type":[{"value":"2666-5778","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Factors associated with a positive Tilburg Pregnancy Distress Scale among hospitalized Ghanaian obstetric patients","name":"articletitle","label":"Article Title"},{"value":"AJOG Global Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.xagr.2025.100486","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"100486"}}