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Psychosis risk among pregnant women in Ghana.
Adjorlolo, Samuel; Mensah, Gwendolyn; Badzi, Caroline Dinam.
  • Adjorlolo S; Department of Mental Health Nursing, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra, Ghana.
  • Mensah G; Research and Grant Institute of Ghana, Accra, Ghana.
  • Badzi CD; Department of Adult Health Nursing, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra, Ghana.
PLoS One ; 17(2): e0263011, 2022.
Article in English | MEDLINE | ID: covidwho-1910499
ABSTRACT

INTRODUCTION:

Psychotic illness, although is rare, has been reported in the perinatal period. Individuals diagnosed with psychotic illness tend to first exhibit psychotic-like experiences (PLEs), defined as subclinical psychotic symptoms that occur outside the context of sleep or drug use. However, there is a paucity of empirical data on PLEs in pregnancy to advance scholarly discourse and support professional practice. The current study investigated the prevalence and correlates of PLEs among pregnant women in Ghana, a West African state.

DESIGN:

A cross-sectional survey design was used to collect data from 702 pregnant women who responded to measures of PLEs, COVID-19 concerns and behavioral maladies such as anxiety and depressive symptoms. Descriptive and inferential statistics, namely chi square, exploratory factor analysis, MANOVA and multinomial logistic regression were used to analyze the data.

RESULTS:

The results showed that 54.2%, 27.3% and 18.5% of participants were at no/low, moderate and high risk for psychosis, respectively. A total of 44.4% participants were not distressed by PLEs, whereas 32.2% and 23.4% were a bit/quite and very distressed, respectively. Psychosis risk was elevated among pregnant women who were more concerned about the COVID-19 effects, scored high in suicidal ideation, depressive symptoms and sleep difficulties.

CONCLUSION:

The study showed that psychosis risk is present in pregnancy. IMPLICATIONS Screening for psychosis risk in pregnancy should be prioritized for pregnant women with behavioral maladies, including suicidal tendencies, depressive symptoms, sleep difficulties and heightened concerns about COVID-19.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Anxiety Disorders / Psychotic Disorders / Depression / Suicidal Ideation / COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Pregnancy / Young adult Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0263011

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Anxiety Disorders / Psychotic Disorders / Depression / Suicidal Ideation / COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Pregnancy / Young adult Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0263011