Obstet Gynecol Sci.  2022 Jul;65(4):287-302. 10.5468/ogs.21265.

Depression in pregnant and postpartum women during COVID-19 pandemic: systematic review and meta-analysis

Affiliations
  • 1Faculty of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Indonesia

Abstract

Coronavirus disease 2019 (COVID-19) emerged as a global pandemic in March 2020 and caused a big crisis, especially the health crisis. Pregnant and postpartum women experienced significant physical, social, and mental changes that put them at higher risk for several conditions during the pandemic. This study aimed to report the prevalence of depression in pregnant and postpartum women during the COVID-19 pandemic. Eligible studies were identified using several databases. Prevalence analysis was conducted using MedCalc ver. 19.5.1. This systematic review and metaanalysis was registered in PROSPERO on July 12, 2021 with registration number CRD42021266976. We included 54 studies with 95.326 participants. The overall prevalence of depression was 32.60% among pregnant and postpartum women during the COVID-19 pandemic. The rate was higher among pregnant women (31.49%) compared to postpartum women (27.64%). The prevalence of depression among pregnant and postpartum women increased during the COVID-19 pandemic.

Keyword

Depression; Pregnant women; Postpartum period; COVID-19; Meta-analysis

Figure

  • Fig. 1 The Preferred Reporting Items for Systematic Reviews and Meta-Analysis flow diagram. The diagram summarizes the search strategy and selection process applied to include articles eligible for this meta-analysis.

  • Fig. 2 Forest plot of 54 studies assessing the prevalence of depression in pregnant and postpartum women.

  • Fig. 3 Forest plot of 36 studies assessing the prevalence of depression in pregnant women.

  • Fig. 4 Forest plot of 19 studies assessing depression prevalence among postpartum women.


Reference

References

1. Khoury R, Bernstein PS, Debolt C, Stone J, Sutton DM, Simpson LL, et al. Characteristics and outcomes of 241 births to women with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection at five New York City medical centers. Obstet Gynecol. 2020; 136:273–82.
Article
2. World Health Organization (WHO). Rolling updates on coronavirus disease (COVID-19) [Internet]. Geneva: WHO;c2020. [cited 2021 July 15]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen .
3. Tsamakis K, Triantafyllis AS, Tsiptsios D, Spartalis E, Mueller C, Tsamakis C, et al. COVID-19 related stress exacerbates common physical and mental pathologies and affects treatment (review). Exp Ther Med. 2020; 20:159–62.
Article
4. Wastnedge EAN, Reynolds RM, van Boeckel SR, Stock SJ, Denison FC, Maybin JA, et al. Pregnancy and COVID-19. Physiol Rev. 2021; 101:303–18.
Article
5. Wang Q, Mo PKH, Song B, Di JL, Zhou FR, Zhao J, et al. Mental health and preventive behaviour of pregnant women in China during the early phase of the COVID-19 period. Infect Dis Poverty. 2021; 10:37.
Article
6. Hamzehgardeshi Z, Omidvar S, Amoli AA, Firouzbakht M. Pregnancy-related anxiety and its associated factors during COVID-19 pandemic in Iranian pregnant women: a web-based cross-sectional study. BMC Pregnancy Child-birth. 2021; 21:208.
Article
7. Alipour Z, Lamyian M, Hajizadeh E. Anxiety and fear of childbirth as predictors of postnatal depression in nulliparous women. Women Birth. 2012; 25:e37–43.
Article
8. Pearlstein T. Depression during pregnancy. Best Pract Res Clin Obstet Gynaecol. 2015; 29:754–64.
Article
9. Lupattelli A, Spigset O, Koren G, Nordeng H. Risk of vaginal bleeding and postpartum hemorrhage after use of antidepressants in pregnancy: a study from the Norwegian mother and child cohort study. J Clin Psychopharmacol. 2014; 34:143–8.
10. Yin X, Sun N, Jiang N, Xu X, Gan Y, Zhang J, et al. Prevalence and associated factors of antenatal depression: systematic reviews and meta-analyses. Clin Psychol Rev. 2021; 83:101932.
Article
11. Shorey S, Chee CYI, Ng ED, Chan YH, Tam WWS, Chong YS. Prevalence and incidence of postpartum depression among healthy mothers: a systematic review and meta-analysis. J Psychiatr Res. 2018; 104:235–48.
Article
12. Sidhu GS, Sidhu TK, Kaur P, Lal D, Sangha NK. Evaluation of peripartum depression in females. Int J Appl Basic Med Res. 2019; 9:201–5.
Article
13. Demissie DB, Bitew ZW. Mental health effect of COVID-19 pandemic among women who are pregnant and/or lactating: a systematic review and meta-analysis. SAGE Open Med. 2021; 9:20503121211026195.
Article
14. Wells G, Shea B, O’Connell D, Peterson J, Welch V, Losos M, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses [Internet]. Ottawa: Ottawa Hospital Research Institute;2015. [cited 2021 July 12]. Available from: http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm .
15. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372:n71.
16. Greenwood DC. Meta-analysis of Observational Studies. Tu YK, Greenwood D, editors. Modern Methods for Epidemiology. Dordrecht: Springer, Dordrecht;2012. p. 173–90.
Article
17. MedCalc Software. MedCalc, version 19.5.1. Ostend: MedCalc, Software Ltd;2020.
18. Ahlers-Schmidt CR, Hervey AM, Neil T, Kuhlmann S, Kuhlmann Z. Concerns of women regarding pregnancy and childbirth during the COVID-19 pandemic. Patient Educ Couns. 2020; 103:2578–82.
Article
19. An R, Chen X, Wu Y, Liu J, Deng C, Liu Y, et al. A survey of postpartum depression and health care needs among Chinese postpartum women during the pandemic of COVID-19. Arch Psychiatr Nurs. 2021; 35:172–7.
Article
20. Basu A, Kim HH, Basaldua R, Choi KW, Charron L, Kelsall N, et al. A cross-national study of factors associated with women’s perinatal mental health and wellbeing during the COVID-19 pandemic. PLoS ONE. 2021; 16:e0249780.
Article
21. Berthelot N, Lemieux R, Garon-Bissonnette J, Drouin-Maziade C, Martel É, Maziade M. Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic. Acta Obstet Gynecol Scand. 2020; 99:848–55.
Article
22. Brik M, Sandonis MA, Fernández S, Suy A, Parramon-Puig G, Maiz N, et al. Psychological impact and social support in pregnant women during lockdown due to SARS-CoV2 pandemic: a cohort study. Acta Obstet Gynecol Scand. 2021; 100:1026–33.
Article
23. Ceulemans M, Foulon V, Ngo E, Panchaud A, Winterfeld U, Pomar L, et al. Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic-A multinational cross-sectional study. Acta Obstet Gynecol Scand. 2021; 100:1219–29.
Article
24. Chrzan-Dętkoś M, Walczak-Kozłowska T, Lipowska M. The need for additional mental health support for women in the postpartum period in the times of epidemic crisis. BMC Pregnancy Childbirth. 2021; 21:114.
Article
25. Dong H, Hu R, Lu C, Huang D, Cui D, Huang G, et al. Investigation on the mental health status of pregnant women in China during the pandemic of COVID-19. Arch Gynecol Obstet. 2021; 303:463–9.
Article
26. Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. J Matern Fetal Neonatal Med. 2020; 35:205–11.
Article
27. Fallon V, Davies SM, Silverio SA, Jackson L, De Pascalis L, Harrold JA. Psychosocial experiences of postnatal women during the COVID-19 pandemic. A UK-wide study of prevalence rates and risk factors for clinically relevant depression and anxiety. J Psychiatr Res. 2021; 136:157–156.
Article
28. Farewell CV, Jewell J, Walls J, Leiferman JA. A mixed-methods pilot study of perinatal risk and resilience during COVID-19. J Prim Care Community Health. 2020; 11:2150132720944074.
Article
29. Farrell T, Reagu S, Mohan S, Elmidany R, Qaddoura F, Ahmed EE, et al. The impact of the COVID-19 pandemic on the perinatal mental health of women. J Perinat Med. 2020; 48:971–6.
Article
30. Gur RE, White LK, Waller R, Barzilay R, Moore TM, Kornfield S, et al. The disproportionate burden of the COVID-19 pandemic among pregnant black women. Psychiatry Res. 2020; 293:113475.
Article
31. Hiiragi K, Obata S, Misumi T, Miyagi E, Aoki S. Psychological stress associated with the COVID-19 pandemic in postpartum women in Yokohama, Japan. J Obstet Gynaecol Res. 2021; 47:2126–30.
32. Hui PW, Ma G, Seto MTY, Cheung KW. Effect of COVID-19 on delivery plans and postnatal depression scores of pregnant women. Hong Kong Med J. 2021; 27:113–7.
Article
33. Janevic T, Maru S, Nowlin S, McCarthy K, Bergink V, Stone J, et al. Pandemic birthing: childbirth satisfaction, perceived health care bias, and postpartum health during the COVID-19 pandemic. Matern Child Health J. 2021; 25:860–9.
Article
34. Jiang H, Jin L, Qian X, Xiong X, La X, Chen W, et al. Maternal mental health status and approaches for accessing antenatal care information during the COVID-19 epidemic in China: cross-sectional study. J Med Internet Res. 2021; 23:e18722.
Article
35. Khamees RE, Taha OT, Ali TYM. Anxiety and depression during pregnancy in the era of COVID-19. J Perinat Med. 2021; 49:674–7.
Article
36. King LS, Feddoes DE, Kirshenbaum JS, Humphreys KL, Gotlib IH. Pregnancy during the pandemic: the impact of COVID-19-related stress on risk for prenatal depression. Psychol Med. 2021. Mar. 30. [Epub]. https://doi.org/10.1017/S003329172100132X .
Article
37. Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord. 2020; 277:5–13.
Article
38. Li C, Huo L, Wang R, Qi L, Wang W, Zhou X, et al. The prevalence and risk factors of depression in prenatal and postnatal women in China with the outbreak of corona virus disease 2019. J Affect Disord. 2021; 282:1203–9.
Article
39. Li X, Lu P, Hu L, Huang T, Lu L. Factors associated with mental health results among workers with income losses exposed to COVID-19 in China. Int J Environ Res Public Health. 2020; 17:5627.
Article
40. Liang P, Wang Y, Shi S, Liu Y, Xiong R. Prevalence and factors associated with postpartum depression during the COVID-19 pandemic among women in Guangzhou, China: a cross-sectional study. BMC Psychiatry. 2020; 20:557.
Article
41. Lin W, Wu B, Chen B, Lai G, Huang S, Li S, et al. Sleep conditions associate with anxiety and depression symptoms among pregnant women during the epidemic of COVID-19 in Shenzhen. J Affect Disord. 2021; 281:567–73.
Article
42. Liu J, Hung P, Alberg AJ, Hair NL, Whitaker KM, Simon J, et al. Mental health among pregnant women with COVID-19-related stressors and worries in the united states. Birth. 2021; 48:470–9.
Article
43. Lubián López DM, Butrón Hinojo CA, Arjona Bernal JE, Fasero Laiz M, Alcolea Santiago J, Guerra Vilches V, et al. Resilience and psychological distress in pregnant women during quarantine due to the COVID-19 outbreak in Spain: a multicentre cross-sectional online survey. J Psychosom Obstet Gynaecol. 2021; 42:115–22.
Article
44. Matsushima M, Horiguchi H. The COVID-19 pandemic and mental well-being of pregnant women in Japan: need for economic and social policy interventions. Disaster Med Public Health Prep. 2022; 16:449–54.
Article
45. Medina-Jimenez V, Bermudez-Rojas ML, Murillo-Bargas H, Rivera-Camarillo AC, Muñoz-Acosta J, Ramirez-Abarca TG, et al. The impact of the COVID-19 pandemic on depression and stress levels in pregnant women: a national survey during the COVID-19 pandemic in Mexico. J Matern Fetal Neonatal Med. 2020. Nov. 26. [Epub]. https://doi.org/10.1080/14767058.2020.1851675 .
Article
46. Mo PKH, Fong VWI, Song B, Di J, Wang Q, Wang L. Association of perceived threat, negative emotions, and self-efficacy with mental health and personal protective behavior among Chinese pregnant women during the COVID-19 pandemic: cross-sectional survey study. J Med Internet Res. 2021; 23:e24053.
Article
47. Molgora S, Accordini M. Motherhood in the time of coronavirus: the impact of the pandemic emergency on expectant and postpartum women’s psychological well-being. Front Psychol. 2020; 11:567155.
Article
48. Ng QJ, Koh KM, Tagore S, Mathur M. Perception and feelings of antenatal women during COVID-19 pandemic: a cross-sectional survey. Ann Acad Med Singap. 2020; 49:543–52.
Article
49. Nodoushan RJ, Alimoradi H, Nazari M. Spiritual health and stress in pregnant women during the Covid-19 pandemic. SN Compr Clin Med. 2020; 2:2528–34.
Article
50. Obata S, Miyagi E, Haruyama Y, Umazume T, Kobashi G, Yoshimi A, et al. Psychological stress among pregnant and puerperal women in Japan during the coronavirus disease 2019 pandemic. J Obstet Gynaecol Res. 2021; 47:2990–3000.
Article
51. Oskovi-Kaplan ZA, Buyuk GN, Ozgu-Erdinc AS, Keskin HL, Ozbas A, Moraloglu Tekin O. The effect of COVID-19 pandemic and social restrictions on depression rates and maternal attachment in immediate postpartum women: a preliminary study. Psychiatr Q. 2021; 92:675–82.
Article
52. Ostacoli L, Cosma S, Bevilacqua F, Berchialla P, Bovetti M, Carosso AR, et al. Psychosocial factors associated with postpartum psychological distress during the COVID-19 pandemic: a cross-sectional study. BMC Pregnancy Childbirth. 2020; 20:703.
Article
53. Pariente G, Wissotzky Broder O, Sheiner E, Lanxner Battat T, Mazor E, Yaniv Salem S, et al. Risk for probable post-partum depression among women during the COVID-19 pandemic. Arch Womens Ment Health. 2020; 23:767–73.
Article
54. Perzow SED, Hennessey EP, Hoffman MC, Grote NK, Davis EP, Hankin BL. Mental health of pregnant and postpartum women in response to the COVID-19 pandemic. J Affect Disord Rep. 2021; 4:100123.
Article
55. Racine N, Hetherington E, McArthur BA, McDonald S, Edwards S, Tough S, et al. Maternal depressive and anxiety symptoms before and during the COVID-19 pandemic in Canada: a longitudinal analysis. Lancet Psychiatry. 2021; 8:405–15.
Article
56. Sade S, Sheiner E, Wainstock T, Hermon N, Yaniv Salem S, Kosef T, et al. Risk for depressive symptoms among hospitalized women in high-risk pregnancy units during the COVID-19 pandemic. J Clin Med. 2020; 9:2449.
Article
57. Silverman ME, Burgos L, Rodriguez ZI, Afzal O, Kalishman A, Callipari F, et al. Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City. Sci Rep. 2020; 10:22380.
Article
58. Suárez-Rico BV, Estrada-Gutierrez G, Sánchez-Martínez M, Perichart-Perera O, Rodríguez-Hernández C, González-Leyva C, et al. Prevalence of depression, anxiety, and perceived stress in postpartum Mexican women during the COVID-19 lockdown. Int J Environ Res Public Health. 2021; 18:4627.
Article
59. Sun G, Wang Q, Lin Y, Li R, Yang L, Liu X, et al. Perinatal depression of exposed maternal women in the COVID-19 pandemic in Wuhan, China. Front Psychiatry. 2020; 11:551812.
Article
60. Kahyaoglu Sut H, Kucukkaya B. Anxiety, depression, and related factors in pregnant women during the COVID-19 pandemic in Turkey: a web-based cross-sectional study. Perspect Psychiatr Care. 2021; 57:860–8.
Article
61. Thayer ZM, Gildner TE. COVID-19-related financial stress associated with higher likelihood of depression among pregnant women living in the united states. Am J Hum Biol. 2021; 33:e23508.
62. Tsakiridis I, Dagklis T, Mamopoulos A, Athanasiadis A, Pearson R, Papazisis G. Antenatal depression and anxiety during the COVID-19 pandemic: a cross-sectional study in pregnant women from routine health care contact in Greece. J Perinat Med. 2021; 49:656–63.
Article
63. Wu Y, Zhang C, Liu H, Duan C, Li C, Fan J, et al. Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China. Am J Obstet Gynecol. 2020; 223:240.
Article
64. Xu K, Zhang Y, Zhang Y, Xu Q, Lv L, Zhang J. Mental health among pregnant women under public health interventions during COVID-19 outbreak in Wuhan, China. Psychiatry Res. 2021; 301:113977.
Article
65. Yang X, Song B, Wu A, Mo PKH, Di J, Wang Q, et al. Social, cognitive, and ehealth mechanisms of COVID-19-related lockdown and mandatory quarantine that potentially affect the mental health of pregnant women in China: cross-sectional survey study. J Med Internet Res. 2021; 23:e24495.
Article
66. Zanardo V, Manghina V, Giliberti L, Vettore M, Severino L, Straface G. Psychological impact of COVID-19 quarantine measures in northeastern Italy on mothers in the immediate postpartum period. Int J Gynaecol Obstet. 2020; 150:184–8.
Article
67. Zeng X, Li W, Sun H, Luo X, Garg S, Liu T, et al. Mental health outcomes in perinatal women during the remission phase of COVID-19 in China. Front Psychiatry. 2020; 11:571876.
Article
68. Zhang CJP, Wu H, He Z, Chan NK, Huang J, Wang H, et al. Psychobehavioral responses, post-traumatic stress and depression in pregnancy during the early phase of COVID-19 outbreak. Psychiatr Res Clin Pract. 2021; 3:46–54.
Article
69. Zhou Y, Wang R, Liu L, Ding T, Huo L, Qi L, et al. The impact of lockdown policy on depressive symptoms among pregnant women in China: mediating effects of internet use and family support. Glob Health Res Policy. 2021; 6:11.
Article
70. Zilver SJM, Broekman BFP, Hendrix YMGA, de Leeuw RA, Mentzel SV, van Pampus MG, et al. Stress, anxiety and depression in 1466 pregnant women during and before the COVID-19 pandemic: a Dutch cohort study. J Psychosom Obstet Gynaecol. 2021; 42:108–14.
Article
71. Tokumitsu K, Sugawara N, Maruo K, Suzuki T, Shimoda K, Yasui-Furukori N. Prevalence of perinatal depression among Japanese women: a meta-analysis. Ann Gen Psychiatry. 2020; 19:41.
Article
72. Mu TY, Li YH, Pan HF, Zhang L, Zha DH, Zhang CL, et al. Postpartum depressive mood (PDM) among Chinese women: a meta-analysis. Arch Womens Ment Health. 2019; 22:279–87.
Article
73. Upadhyay RP, Chowdhury R, Salehi A, Sarkar K, Singh SK, Sinha B, et al. Postpartum depression in India: a systematic review and meta-analysis. Bull World Health Organ. 2017; 95:706–17C.
Article
74. Zeleke TA, Getinet W, Tadesse Tessema Z, Gebeyehu K. Prevalence and associated factors of post-partum depression in Ethiopia. A systematic review and meta-analysis. PLoS One. 2021; 16:e0247005.
Article
75. Tolossa T, Fetensa G, Yilma MT, Abadiga M, Wakuma B, Besho M, et al. Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020. Public Health Rev. 2020; 41:21.
Article
76. Özcan NK, Boyacıoğlu NE, Dinç H. Postpartum depression prevalence and risk factors in Turkey: a systematic review and meta-analysis. Arch Psychiatr Nurs. 2017; 31:420–8.
Article
77. Zegeye A, Alebel A, Gebrie A, Tesfaye B, Belay YA, Adane F, et al. Prevalence and determinants of antenatal depression among pregnant women in Ethiopia: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2018; 18:462.
Article
78. Mahendran R, Puthussery S, Amalan M. Prevalence of antenatal depression in South Asia: a systematic review and meta-analysis. J Epidemiol Community Health. 2019; 73:768–77.
Article
79. Nochaiwong S, Ruengorn C, Thavorn K, Hutton B, Awiphan R, Phosuya C, et al. Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: a systematic review and meta-analysis. Sci Rep. 2021; 11:10173.
Article
80. Kajdy A, Feduniw S, Ajdacka U, Modzelewski J, Baranowska B, Sys D, et al. Risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic: a web-based cross-sectional survey. Medicine (Baltimore). 2020; 99:e21279.
81. Shorey SY, Ng ED, Chee CYI. Anxiety and depressive symptoms of women in the perinatal period during the COVID-19 pandemic: a systematic review and meta-analysis. Scand J Public Health. 2021; 49:730–40.
Article
82. Fan S, Guan J, Cao L, Wang M, Zhao H, Chen L, et al. Psychological effects caused by COVID-19 pandemic on pregnant women: a systematic review with meta-analysis. Asian J Psychiatry. 2021; 56:102533.
Article
83. Ghazanfarpour M, Bahrami F, Rashidi Fakari F, Ashrafinia F, Babakhanian M, Dordeh M, et al. Prevalence of anxiety and depression among pregnant women during the COVID-19 pandemic: a meta-analysis. J Psychosom Obstet Gynaecol. 2021; 24:1–12.
Article
84. Tomfohr-Madsen LM, Racine N, Giesbrecht GF, Lebel C, Madigan S. Depression and anxiety in pregnancy during COVID-19: a rapid review and meta-analysis. Psychiatry Res. 2021; 300:113912.
Article
85. Sun F, Zhu J, Tao H, Ma Y, Jin W. A systematic review involving 11,187 participants evaluating the impact of COVID-19 on anxiety and depression in pregnant women. J Psychosom Obstet Gynaecol. 2021; 42:91–9.
Article
86. Yan H, Ding Y, Guo W. Mental health of pregnant and postpartum women during the coronavirus disease 2019 pandemic: a systematic review and meta-analysis. Front Psychol. 2020; 11:617001.
Article
87. Ding XX, Wu YL, Xu SJ, Zhu RP, Jia XM, Zhang SF, et al. Maternal anxiety during pregnancy and adverse birth outcomes: a systematic review and meta-analysis of prospective cohort studies. J Affect Disord. 2014; 159:103–10.
Article
88. Grote NK, Bridge JA, Gavin AR, Melville JL, Iyengar S, Katon WJ. A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry. 2010; 67:1012–24.
Article
89. Chmielewska B, Barratt I, Townsend R, Kalafat E, van der Meulen J, Gurol-Urganci I, et al. Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis. Lancet Glob Health. 2021; 9:e759–72.
Article
90. Desiyanti IW, Nuzuliana R. Mental health of pregnant women during the COVID-19 pandemic: scoping review. Women, Midwives and Midwifery. 2021; 1:57–72.
Article
91. Chen H, Selix N, Nosek M. Perinatal anxiety and depression during COVID-19. J Nurse Pract. 2021; 17:26–31.
Article
92. Ahmed MZ, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated psychological problems. Asian J Psychiatry. 2020; 51:102092.
Article
93. Dunstan DA, Scott N, Todd AK. Screening for anxiety and depression: reassessing the utility of the zung scales. BMC Psychiatry. 2017; 17:329.
Article
Full Text Links
  • OGS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr