Prevalence of Perinatal Mood and Anxiety Disorders among Internally Displaced Persons: A Comparative Study

Khatoon, Mehtab (2024) Prevalence of Perinatal Mood and Anxiety Disorders among Internally Displaced Persons: A Comparative Study. Doctoral thesis, Asia e University, Malaysia.

	Text Thesis Mehtab Khatoon.pdf Restricted to Repository staff only Download (5MB)
	Text Thesis Mehtab Khatoon-1-24.pdf Download (814kB)

Abstract

This study investigates the prevalence and severity levels of peripartum mood and anxiety disorders among two populations, namely, non-displaced population and the internally displaced population. It’s a case study in the camp for internally displaced persons in Khyber Pakhtunkhwa, Pakistan, which is undertaken through a cross- sectional comparative study in both populations. The study’s samples comprised 400 women of reproductive age: 100 pregnant and 100 postnatal nondisplaced women, 100 pregnant and 100 postnatal internally-displaced women. The data are analysed by a convergent of mixed quantitative and qualitative methodologies with screening tools including the Patient Health Questionnaire-9 (PHQ-9), Edinburgh Postnatal Depression Scale (EPDS), Generalized Anxiety Disorder-7 (GAD-7), Perinatal Anxiety Screening Scale (PASS), and Mood Disorder Questionnaire (MDQ). Seven Focus group discussions (FGDS) were conducted in Pushto, involving 57 perinatal internally displaced women. Quantitative data were analyzed using SPSS-version 29.0, while qualitative data underwent thematic-content analysis. The findings reveals that a higher prevalence of Perinatal Mood and Anxiety Disorders (PMADS) is among internally displaced women compared to their nondisplaced counterparts. For depression, 72% of internally-displaced pregnant women and 54% of nondisplaced pregnant women are affected, with postnatal depression rates at 90% and 78%, respectively. Additionally, bipolar disorder symptoms were observed in 15% of internally displaced pregnant women, and 8% of non-displaced pregnant women. Perinatal anxiety disorders are significantly higher among internally displaced women, with 36% of internally displaced pregnant women and 12% of nondisplaced pregnant women affected. Among postnatal women, 19% of internally displaced and 6% of nondisplaced women experience perinatal anxiety disorder. The collected data demonstrated reliability, confirmed by Cronbach's Alpha Statistics. Moreover, the statistical t-test analysis revealed significant differences as well. Focus group discussions (FGDS) revealed high awareness and prevalence of perinatal mood and anxiety disorders among internally displaced women, with significant triggers and coping mechanisms identified. Perinatal Mood and Anxiety Disorders (PMADS) were more prevalent and severe in internally displaced women compared to non-displaced women. Key risk factors include obstetric complications, trauma, economic instability, and stigma. Culturally responsive, trauma-informed care is essential for internally displaced women.

Item Type:	Thesis (Doctoral)
Uncontrolled Keywords:	Perinatal Mood and Anxiety Disorders (PMADs), Internally Displaced Population (IDPs), Edinburgh Postnatal Depression Scale (EPDS), Perinatal Anxiety Screening Scale (PASS), Mood Disorder Questionnaire (MDQ)
Subjects:	R Medicine > RG Gynecology and obstetrics
Divisions:	School of Graduate Studies
Depositing User:	Muhamad Aizat Nazmi Mohd Nor Hamin
Date Deposited:	09 Apr 2026 03:43
Last Modified:	09 Apr 2026 03:43
URI:	http://ur.aeu.edu.my/id/eprint/1453

Actions (login required)

View Item