Term: Maternal Psychological Distress

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Glossary Definition

Last Updated: 2012-11-05

Definition:

Any form of diagnosed psychological distress (e.g., anxiety and/or depression) occurring in the two year period prior to giving birth. This definition requires at least three medical claims with the ICD-9-CM diagnosis code = 300 in two years prior to birth. The definition is as follows:

• one or more hospitalizations with a diagnosis for depressive disorder, affective psychoses, neurotic depression, or adjustment reaction (ICD-9-CM codes 296.2-296.8, 300.4, 309, 311; ICD-10-CA codes F31, F32, F33, F34.1, F38.0, F38.1, F41.2, F43.1, F43.2, F43.8, F53.0, F93.0) OR
  
• one or more physician visits with a diagnosis for depressive disorder, affective psychoses, or adjustment reaction (ICD-9-CM codes 296, 309, or 311) OR
  
• one or more hospitalizations with a diagnosis for anxiety disorders (ICD-9-CM code 300; ICD-10-CA codes F32.0, F34.1, F40, F41, F42, F44, F45.0, F451, F452, F48, F68.0, F99) OR
  
• one or more prescriptions for an antidepressant or mood stabilizer (ATC codes N03AB02, N03AB52, N03AF01, N05AN01, N06A) OR
  
• one or more physician visits with a diagnosis for anxiety disorders (ICD-9-CM code 300) and one or more prescriptions for an antidepressant or mood stabilizer (ATC codes N03AB02, N03AB52, N03AF01, N05AN01, N06A) OR
  
• one or more hospitalizations with a diagnosis for anxiety states, phobic disorders, or obsessive-compulsive disorders (ICD-9-CM codes 300.0, 300.2, 300.3; ICD-10-CA codes F40, F41.0, F41.1, F41.3, F41.8, F41.9, F42) OR
  
• three or more physician visits with a diagnosis for anxiety disorders (ICD-9-CM code 300).

Related terms 

• Anxiety /Anxiety States
• Depression
• ICD-10-CA
• ICD-9-CM
• International Classification of Diseases, 10th Revision, with Canadian Enhancements (ICD-10-CA)
• International Classification of Diseases, 9th Revision, with Clinical Modifications (ICD-9-CM)
• Mood and Anxiety Disorders
• Postpartum Psychological Distress
• Prenatal Psychological Distress

References 

• Heaman M, Kingston D, Helewa M, Brownell M, Derksen S, Bogdanovic B, McGowan K, Bailly A. Perinatal Services and Outcomes in Manitoba. Winnipeg, MB: Manitoba Centre for Health Policy, 2012. [Report] [Summary] [Updates and Errata] (View)