This study aims to identify what the most suitable and acceptable method is to create space to discuss psychiatric disorders symptoms in pregnant asylum seekers.
ID
Source
Brief title
Condition
- Pregnancy, labour, delivery and postpartum conditions
- Anxiety disorders and symptoms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The main study endpoint is to understand how to best detect symptoms of PTSD,
anxiety and depression in pregnant asylum seekers in the Netherlands and how to
implement screening in the current Dutch guidelines.
The main outcomes are the coded answers of the participants regarding the
questions asked duringthe focus group interviews
Secondary outcome
The secondary study parameters, are the results of the anonymous questionnaire.
Within the anonymous questionnaire, we ask the participants questions regarding
their past general, obstetric and psychosocial history.
The results will be statistically analysed using SPSS in order to provide an
overview of the results.
Background summary
Worldwide, in 2018, 70.8 million people fled their country of origin, out of
which 20,353 applied for asylum status in the Netherlands. According to the
International Organization for migration 48.8% of all international migrants
are women. Once a pregnant woman decides to flee her country of origin, she
often has been or can be exposed to traumatic experiences.
Post-traumatic stress disorder, anxiety and depression have indeed a high
prevalence in asylum-seeking women: 48.2%, 41,8% and 42% respectively.
Psychiatric disorders can increase the likelihood of preterm birth, small for
gestational age infants, admission to a neonatal care unit, and more caesarean
sections. In addition, suicide is one of the leading causes of maternal death
in the postpartum period among women with psychiatric disorders. The current
Dutch guidelines for midwives mention the importance of screening for PTSD,
anxiety disorder and depression within this population, however, what the best
way to do this is is currently not known.
Study objective
This study aims to identify what the most suitable and acceptable method is to
create space to discuss psychiatric disorders symptoms in pregnant asylum
seekers.
Study design
To answer the research question, 4 focus groups interviews with each 6 to 8
pregnant asylum seekers will be performed. The women will first perform a
mental health questionnaire and then during the interviews they will discuss
the acceptability, feasibility and suitability of this intervention to open up
the dialogue about PTSD, anxiety disorders and depression.
Study burden and risks
The totality of the time spent by each participant on the research will be in
total about 2 to 3 hours. The main risk associated with participation, is that
the questions asked via the screening test regarding past trauma could trigger
strong emotions, flashbacks, intrusive thoughts and dissociative thoughts. In
order to prevent such a possible incident and or be ready to handle such a
situation in the best way for the participants, a psychologist will be present
during the focus group interviews.
Hanzeplein 1
Groningen 9713 GZ
NL
Hanzeplein 1
Groningen 9713 GZ
NL
Listed location countries
Age
Inclusion criteria
Pregnant asylum-seeking women older than 18 years old who recently arrived in
the Netherlands.
Exclusion criteria
Pregnant asylum seekers who are younger than 18 years old.
Women showing psychotic symptoms
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL74120.042.20 |