{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:34:16Z","timestamp":1792787656121,"version":"4.5.0"},"reference-count":60,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"COVID-19 Op Gr: COVID-19 MH\/SU Developing Innovative Adaptations of Services\/Delivery competition) from the Canadian Institutes of Health Research","id":[{"id":"https:\/\/ror.org\/01gavpb45","id-type":"ROR","asserted-by":"crossref"}]},{"name":"The Ontario Brain Institute's Growing Expertise in Evaluation and Knowledge Translation Program","id":[{"id":"https:\/\/ror.org\/05ecdew94","id-type":"ROR","asserted-by":"crossref"}]},{"name":"PSI Foundation Mental Health Grant","award":["16-49"],"award-info":[{"award-number":["16-49"]}],"id":[{"id":"https:\/\/ror.org\/0385yzn06","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Hamilton Academic Health Sciences Organization (HAHSO) AFP Innovation Fund","award":["HAH-16-05"],"award-info":[{"award-number":["HAH-16-05"]}]},{"name":"Canadian Institute of Health Research (CIHR) Canada Graduate Research Scholarships \u2013 Master\u2019s program","award":["236-2025-2026-Q2-00055"],"award-info":[{"award-number":["236-2025-2026-Q2-00055"]}],"id":[{"id":"https:\/\/ror.org\/01gavpb45","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Canada Research Chairs Program","id":[{"id":"https:\/\/ror.org\/0517h6h17","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To estimate the prevalence of comorbid postpartum depression (PPD) and postpartum anxiety (PPA) in birthing parents seeking treatment for PPD in Ontario, Canada and who were enrolled in 1 of 9 randomized controlled trials (RCTs) of cognitive behavioural therapies (CBT) for PPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary analysis of 9 pooled RCTs containing baseline data from 1920 birthing parents and conducted between 2017 and 2025. All participants were living in Ontario, Canada with Edinburgh Postnatal Depression Scale (EPDS) Scores \u226510 and infants &lt;12 months old. Comorbid anxiety was assessed using the Generalized Anxiety Disorder-7 (GAD-7) scale, the Penn State Worry Questionnaire (PSWQ) and\/or the Mini International Neuropsychiatric Interview (MINI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty-six percent of participants with PPD (EPDS scores \u226510) had moderate to severe anxiety (GAD-7 scale score \u226510; 95% confidence interval (CI) 63\u201368%, 7 studies,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091654), and 69% with PPD met the cutoff for probable GAD (PSWQ scale score \u226561; 95% CI [63\u201374%], 2 studies,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009254). Seventy percent of participants with MINI-defined current major depressive disorder (MDD) met\n                      <jats:italic toggle=\"yes\">Diagnostic and Statistical Manual of Mental Disorders\u20144th Edition<\/jats:italic>\n                      -based criteria for any anxiety disorder (95% CI [64\u201376%], 6 studies,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009\n                      <jats:italic toggle=\"yes\">=<\/jats:italic>\n                      \u2009448). Nearly 60% of participants with current MDD met criteria for GAD on the MINI (95% CI [52\u201361%],\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009448).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>More than two-thirds of treatment-seeking individuals with PPD have clinically significant anxiety. Those with PPD, their families, and healthcare professionals should be aware of the high prevalence of anxiety in these individuals so that treatment plans can be optimized to best meet their needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      ClinicalTrials.gov (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/\">https:\/\/clinicaltrials.gov\/<\/jats:ext-link>\n                      ): NCT03039530, NCT03654261, NCT03285139, NCT04485000, NCT04928742, NCT04934488, NCT04913584, NCT05314361 and NCT05044455.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07067437261462698","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T14:32:42Z","timestamp":1782916362000},"page":"770-779","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of Comorbid Postpartum Depression and Anxiety in Birthing Parents Seeking Treatment for Postpartum Depression: Pr\u00e9valence de la pr\u00e9sence comorbide de la d\u00e9pression et de l\u2019anxi\u00e9t\u00e9 post-partum chez les parents ayant accouch\u00e9 qui ont consult\u00e9 en raison de la d\u00e9pression post-partum"],"prefix":"10.1177","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4950-8926","authenticated-orcid":false,"given":"Karley V.","family":"George","sequence":"first","affiliation":[{"name":"McMaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calan D.","family":"Savoy","sequence":"additional","affiliation":[{"name":"McMaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haley","family":"Layton","sequence":"additional","affiliation":[{"name":"McMaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Bieling","sequence":"additional","affiliation":[{"name":"McMaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7244-0222","authenticated-orcid":false,"given":"Ryan J.","family":"Van Lieshout","sequence":"additional","affiliation":[{"name":"McMaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41398-021-01663-6"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.12.005"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.187179"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-017-0857-8"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2011.00925.x"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.782"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291725000601"},{"key":"e_1_3_3_11_2","volume-title":"Manual for the State-Trait Anxiety Inventory (STAI)","author":"Spielberger CD","year":"1970","unstructured":"Spielberger CD, Gorsuch RL, Lushene RE, et al. 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