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36 results

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  • Assessment of perinatal anxiety: diagnostic accuracy of five measures

  • Susan Ayers, Rose Coates, Andrea Sinesi, Helen Cheyne, Margaret Maxwell, Catherine Best, Stacey McNicol, Louise R. Williams, Nazihah Uddin, Una Hutton, Grace Howard, Judy Shakespeare, James J. Walker, Fiona Alderdice, Julie Jomeen, the MAP Study Team
  • Journal:
    The British Journal of Psychiatry / Volume 224 / Issue 4 / April 2024
    Published online by Cambridge University Press:
    25 January 2024, pp. 132-138
    Print publication:
    April 2024
    • Article
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  • Background

    Anxiety in pregnancy and after giving birth (the perinatal period) is highly prevalent but under-recognised. Robust methods of assessing perinatal anxiety are essential for services to identify and treat women appropriately.

    Aims

    To determine which assessment measures are most psychometrically robust and effective at identifying women with perinatal anxiety (primary objective) and depression (secondary objective).

    Method

    We conducted a prospective longitudinal cohort study of 2243 women who completed five measures of anxiety and depression (Generalized Anxiety Disorder scale (GAD) two- and seven-item versions; Whooley questions; Clinical Outcomes in Routine Evaluation (CORE-10); and Stirling Antenatal Anxiety Scale (SAAS)) during pregnancy (15 weeks, 22 weeks and 31 weeks) and after birth (6 weeks). To assess diagnostic accuracy a sample of 403 participants completed modules of the Mini-International Neuropsychiatric Interview (MINI).

    Results

    The best diagnostic accuracy for anxiety was shown by the CORE-10 and SAAS. The best diagnostic accuracy for depression was shown by the CORE-10, SAAS and Whooley questions, although the SAAS had lower specificity. The same cut-off scores for each measure were optimal for identifying anxiety or depression (SAAS ≥9; CORE-10 ≥9; Whooley ≥1). All measures were psychometrically robust, with good internal consistency, convergent validity and unidimensional factor structure.

    Conclusions

    This study identified robust and effective methods of assessing perinatal anxiety and depression. We recommend using the CORE-10 or SAAS to assess perinatal anxiety and the CORE-10 or Whooley questions to assess depression. The GAD-2 and GAD-7 did not perform as well as other measures and optimal cut-offs were lower than currently recommended.

  • Kant, Animal Minds, and Conceptualism

  • James Hutton
  • Journal:
    Canadian Journal of Philosophy / Volume 50 / Issue 8 / November 2020
    Published online by Cambridge University Press:
    05 January 2021, pp. 981-998

  • Kant holds that some nonhuman animals “are acquainted with” objects, despite lacking conceptual capacities (“understanding”). What does this tell us about his theory of human cognition? Numerous authors have argued that this is a significant point in favour of Nonconceptualism—the claim that, for Kant, sensible representations of objects do not depend on the understanding. Against this, I argue that Kant’s views about animal minds can readily be accommodated by a certain kind of Conceptualism. It remains viable to think that, for Kant, (i) humans’ sensible representations necessarily represent objects as temporally structured in ways that allow us to have thoughts about them, and (ii) such representations are produced, and could only be produced, by the understanding. This allows Conceptualists to maintain that humans’ sensible representations depend on the understanding, while accepting that animals have sensible representations of objects too. We must, therefore, reassess both the warrant for Nonconceptualism and the shape Conceptualist readings must take.

The Animals of New Zealand
  • An Account of the Dominion's Air-Breathing Vertebrates
  • Frederick Wollaston Hutton, James Drummond
  • Published online:
    05 May 2012
    Print publication:
    03 November 2011
  • Frederick Wollaston Hutton (1836–1905) was a geologist and a supporter of Darwinian theory. He emigrated to New Zealand in 1866, became Professor of Biology at Canterbury College, and won awards both in Britain and Australasia for his work on the natural history of New Zealand. He published scientific papers on biology and zoology as well as geology and, with James Drummond, wrote two popular works, Nature in New Zealand (1902) and The Animals of New Zealand (1904). The latter was extremely successful. It was revised and expanded the following year, and this fourth edition was published in 1923. The book focuses on native vertebrates, so the bulk of the content relates to birds, of which Hutton had published a catalogue in 1871. It also describes marine mammals, reptiles, and bats, and gives brief coverage to introduced species. There are 154 illustrations, and indexes of Maori, English and scientific names.

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