{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T16:54:17Z","timestamp":1788454457037,"version":"build-2803163510"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pregnancy is considered prone to encountering frequent mood changes and emotional disturbances such as stress and mixed anxiety-depressive symptoms. Compromised maternal mental health in the pre-natal period may result in physical complications in newborns like low birth weight, preeclampsia and preterm births with the increased neonatal morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To estimate the prevalence of the depression, anxiety, stress, and the factors associated with it, among pregnant women attending antenatal clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study among pregnant women of all trimesters, who attended the antenatal clinic were included. Pregnant women with pre-existing mental health conditions (such as depression, anxiety, or stress) were excluded. Sample size was taken as 314. A semi-structured questionnaire derived from the DASS-21 (Depression, Anxiety and Stress Scale-21 questions) tool was used to assess depression, anxiety, and stress. The responses were classified into different severity levels: normal, mild, moderate, severe, and extremely severe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>92.9% of the mothers were aged above 20 years and among them 52.5% were uneducated. Majority of the participants were suffering from symptoms of anxiety (27.8%), followed by stress (22.92%) and depression (19.1%), most of them being mild and moderate. Factors significantly affecting depression, anxiety and stress were their occupation, co-morbidity, partner support and history of anxiety and depression. In most cases, emotional support from the participant\u2019s mother was sufficient (87.26%) and partner support was also satisfactory. (95.22%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study revealed the high prevalence of anxiety, depression and stress symptoms in antenatal mothers attending antenatal care services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ipj.ipj_491_24","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T08:00:08Z","timestamp":1752912008000},"page":"236-241","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence of depression, anxiety and stress symptoms and associated factors among antenatal women \u2013 A facility based cross-sectional study"],"prefix":"10.4103","volume":"34","author":[{"given":"Surendra Babu","family":"Darivemula","sequence":"first","affiliation":[{"name":"Department of Community Medicine, ESIC Medical College Hospital, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudha","family":"Bala","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, ESIC Medical College Hospital, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khadervali","family":"Nagoor","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, ACSR Medical College, Nellore, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devidas P.","family":"Tondare","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, ESIC Medical College Hospital, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajith Kumar","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, ESIC Medical College Hospital, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sruthi","family":"Molagara","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, ESIC Medical College Hospital, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"R1-20260422","first-page":"612","article-title":"Depression and anxiety during pregnancy: The role of the placenta","volume":"87","author":"Sundstr\u00f6m-Poromaa","year":"2008","journal-title":"Acta Obstet Gynecol Scand"},{"key":"R2-20260422","first-page":"602","article-title":"Prevalence and predictors of antenatal depression and anxiety in a Norwegian sample","volume":"40","author":"Haga","year":"2012","journal-title":"Scand J Public Health"},{"key":"R3-20260422","doi-asserted-by":"crossref","first-page":"e321","DOI":"10.4088\/JCP.12r07968","article-title":"The impact of maternal depression during pregnancy on 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