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Detecting Anxiety in Pregnancy: Validation of the Anxiety Subscale of the Edinburgh Postnatal Depression Scale (EDS-3A) in Spanish Women.

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Title: Detecting Anxiety in Pregnancy: Validation of the Anxiety Subscale of the Edinburgh Postnatal Depression Scale (EDS-3A) in Spanish Women.
Authors: Val, Alba, Míguez, M. Carmen
Source: Journal of Child & Family Studies. Jun2025, Vol. 34 Issue 6, p1676-1685. 10p.
Subjects: Anxiety diagnosis, Cross-sectional method, Predictive tests, Receiver operating characteristic curves, Research methodology evaluation, Interviewing, Questionnaires, Spaniards, Classification of mental disorders, Disease prevalence, Descriptive statistics, Research methodology, Women's health, Medical screening, Sensitivity & specificity (Statistics), Generalized anxiety disorder, Pregnancy
Abstract: Anxiety is one of the most common mental health disorders during pregnancy, therefore, screening instruments are needed. The Edinburgh Postnatal Depression Scale (EPDS) is one of the most widely used self-report measures. However, it has an anxiety subscale (EDS-3A) which has so far been validated in only a few countries. The aim of this study is to validate the EDS-3A as a screening instrument to detect anxiety during pregnancy in Spanish women. A cross-sectional study was carried out with a total sample of 317 pregnant women. Anxiety was assessed using the EDS-3A and the DSM-5 Structured Clinical Interview (SCID-5). The area under the ROC curve (AUC), sensitivity, specificity, the positive predictive value (PPV) and the negative predictive value (NPV) were evaluated. The optimal cut-off point of the EDS-3A, according to the SCID-5, to detect generalized anxiety during pregnancy, was 7 or higher (AUC 0.82, sensitivity of 61.5%, specificity of 86.3%, PPV of 38.7% and NPV 94.1%). The prevalence of anxious symptoms found with the EDS-3A was 19.6%. The prevalence of GAD was 12.3%. The EDS-3A is an adequate instrument for screening anxiety in Spanish pregnant women. It can be considered a useful tool in clinical practice in the field of perinatal mental health given its characteristics of free availability, easy administration and brevity. Highlights: Anxiety during pregnancy is associated with consequences for mothers and children, therefore, it is necessary instruments for screening. We validated the EDS-3A as a screening instrument to detect generalized anxiety during pregnancy in Spanish women. The prevalence of generalized anxiety has been analyzed by using a screening instrument and a clinical interview, showing that anxiety is very common during pregnancy. EDS-3A is an adequate tool for identifying anxiety symptoms in Spanish pregnant women. The same instrument (EPDS) allows for rapid detection of anxious and depressive symptoms during pregnancy. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Detecting Anxiety in Pregnancy: Validation of the Anxiety Subscale of the Edinburgh Postnatal Depression Scale (EDS-3A) in Spanish Women.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+%26+Family+Studies%22">Journal of Child & Family Studies</searchLink>. Jun2025, Vol. 34 Issue 6, p1676-1685. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Anxiety+diagnosis%22">Anxiety diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Predictive+tests%22">Predictive tests</searchLink><br /><searchLink fieldCode="DE" term="%22Receiver+operating+characteristic+curves%22">Receiver operating characteristic curves</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology+evaluation%22">Research methodology evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Spaniards%22">Spaniards</searchLink><br /><searchLink fieldCode="DE" term="%22Classification+of+mental+disorders%22">Classification of mental disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health%22">Women's health</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Sensitivity+%26+specificity+%28Statistics%29%22">Sensitivity & specificity (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Generalized+anxiety+disorder%22">Generalized anxiety disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy%22">Pregnancy</searchLink>
– Name: Abstract
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  Data: Anxiety is one of the most common mental health disorders during pregnancy, therefore, screening instruments are needed. The Edinburgh Postnatal Depression Scale (EPDS) is one of the most widely used self-report measures. However, it has an anxiety subscale (EDS-3A) which has so far been validated in only a few countries. The aim of this study is to validate the EDS-3A as a screening instrument to detect anxiety during pregnancy in Spanish women. A cross-sectional study was carried out with a total sample of 317 pregnant women. Anxiety was assessed using the EDS-3A and the DSM-5 Structured Clinical Interview (SCID-5). The area under the ROC curve (AUC), sensitivity, specificity, the positive predictive value (PPV) and the negative predictive value (NPV) were evaluated. The optimal cut-off point of the EDS-3A, according to the SCID-5, to detect generalized anxiety during pregnancy, was 7 or higher (AUC 0.82, sensitivity of 61.5%, specificity of 86.3%, PPV of 38.7% and NPV 94.1%). The prevalence of anxious symptoms found with the EDS-3A was 19.6%. The prevalence of GAD was 12.3%. The EDS-3A is an adequate instrument for screening anxiety in Spanish pregnant women. It can be considered a useful tool in clinical practice in the field of perinatal mental health given its characteristics of free availability, easy administration and brevity. Highlights: Anxiety during pregnancy is associated with consequences for mothers and children, therefore, it is necessary instruments for screening. We validated the EDS-3A as a screening instrument to detect generalized anxiety during pregnancy in Spanish women. The prevalence of generalized anxiety has been analyzed by using a screening instrument and a clinical interview, showing that anxiety is very common during pregnancy. EDS-3A is an adequate tool for identifying anxiety symptoms in Spanish pregnant women. The same instrument (EPDS) allows for rapid detection of anxious and depressive symptoms during pregnancy. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=186336897
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        Value: 10.1007/s10826-025-03099-8
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 1676
    Subjects:
      – SubjectFull: Anxiety diagnosis
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Predictive tests
        Type: general
      – SubjectFull: Receiver operating characteristic curves
        Type: general
      – SubjectFull: Research methodology evaluation
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      – SubjectFull: Interviewing
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      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Spaniards
        Type: general
      – SubjectFull: Classification of mental disorders
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Women's health
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Sensitivity & specificity (Statistics)
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      – SubjectFull: Generalized anxiety disorder
        Type: general
      – SubjectFull: Pregnancy
        Type: general
    Titles:
      – TitleFull: Detecting Anxiety in Pregnancy: Validation of the Anxiety Subscale of the Edinburgh Postnatal Depression Scale (EDS-3A) in Spanish Women.
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            NameFull: Val, Alba
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              M: 06
              Text: Jun2025
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              Y: 2025
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