The impact of non-invasive prenatal testing on anxiety in women considered at high or low risk for aneuploidy after combined first trimester screening

Prenat Diagn. 2017 Oct;37(10):975-982. doi: 10.1002/pd.5110. Epub 2017 Aug 14.

Abstract

Objective: The aim of this study was to (1) examine the psychological impact of non-invasive prenatal testing (NIPT) in women with a high-risk (≥1 : 300) and low-risk (≤1 : 301) result on combined first trimester screening (cFTS) and (2) to examine factors influencing anxiety and decision-making in both risk populations.

Method: Questionnaires and structured interviews were administered to low (n = 50) and high (n = 63) risk women at the time of NIPT blood draw (point A) and again at least 1 week after receiving their NIPT result (point B). Anxiety levels were measured at these two time points using the State-Trait Anxiety Inventory.

Results: Both high-risk and low-risk cFTS groups demonstrated similar intrinsic (trait) anxiety levels (36 ± 10 vs 35 ± 10; p = 0.70). High-risk women had significantly higher levels of state anxiety at point A than low-risk women (42 ± 11 vs 36 ± 11; p < 0.01). Both groups had a statistically significant reduction (p < 0.01), to similar final levels of state anxiety at point B (30 ± 11 vs 29 ± 8; p = 0.61).

Conclusion: Women receiving a high-risk result on cFTS have higher levels of state anxiety than their low-risk counterparts. Following a low-risk NIPT result, the anxiety levels in both populations are reduced to similar levels. © 2017 John Wiley & Sons, Ltd.

MeSH terms

  • Adult
  • Aneuploidy*
  • Anxiety / epidemiology*
  • Anxiety / prevention & control
  • Anxiety / psychology
  • DNA / blood
  • Decision Making
  • Female
  • Gestational Age
  • Humans
  • New South Wales / epidemiology
  • Nuchal Translucency Measurement
  • Polymorphism, Single Nucleotide / genetics
  • Pregnancy
  • Pregnancy Complications / psychology
  • Pregnancy Trimester, First
  • Prenatal Diagnosis / methods*
  • Prenatal Diagnosis / psychology*
  • Risk Factors
  • Surveys and Questionnaires

Substances

  • DNA