Antenatal Risk Questionnaire (ANRQ)
Austin‚ et al. 2011
1. When you were growing up‚ did you feel your mother was emotionally supportive of you? (If you had no mother circle 6).
1- very much‚ 2‚ 3- somewhat‚ 4‚ 5- not at all‚ 6
2. a) Have you ever had 2 weeks or more when you felt particularly worried‚ miserable or depressed?
Yes ž No ž
2. b) Do you have any other history of mental health problems? (e.g. eating disorders‚ psychosis‚ bipolar disorder‚ schizophrenia. Please specify) :____________________________
Yes ž No ž
If Yes to 2a or 2b‚ did this:
c) Seriously interfere with your work and your relationships with friends and family?
1-not at all‚ 2‚ 3- somewhat‚ 4‚ 5- very much
d) Lead you to seek professional help? Yes ž No ž
Did you see a: Psychiatrist …‚ Psychologist/Counselor …‚ GP …
e) Did you take tablets/herbal medicine? Nož Yes ž Please specify: _______________
3. Is your relationship with your partner an emotionally supportive one? (If you have no partner circle 6)
1- very much‚ 2‚ 3- somewhat‚ 4‚ 5- not at all‚ 6
4. a) Have you had any stresses‚ changes or losses in the last 12 months (e.g separation‚ domestic violence‚ unemployment‚ bereavement ?) Yes ž No ž
Please list:________________________________________
4. b) How distressed were you by these stresses‚ changes or losses?
1-not at all‚ 2‚ 3- somewhat‚ 4‚ 5- very much
5. Would you generally consider yourself a worrier?
1-not at all‚ 2‚ 3- somewhat‚ 4‚ 5- very much
6. In general‚ do you become upset if you do not have order in your life (e.g. regular time table‚ a tidy house)?
1-not at all‚ 2‚ 3- somewhat‚ 4‚ 5- very much
7. Do you feel you have people you can depend on for support with your baby?
1- very much‚ 2‚ 3- somewhat‚ 4‚ 5- not at all
8. Were you emotionally abused when you were growing up? Yes ž No ž
9. Have you ever been sexually… or physically … abused? Yes ž No ž
If you would like to seek some help with any of these issues please discuss this with your midwife or doctor.
This instrument can be found at: Clinical Guideline & http://www.blackdoginstitute.org.au/docs/ANRQclinicians.pdf
Austin‚ M.P.‚ Kildea‚ S.‚ Sullivan‚ E. (2007). Maternal mortality and psychiatric morbidity in the perinatal period: challenges and opportunities for prevention in the Australian setting. Medical Journal of Australia‚ 186:364–367.
Austin‚ Marie-Paule.‚ Colton J.‚ Priest S.‚ Reilly‚ N.‚ Hadzi-Pavlovic‚ D. (2013). The antenatal risk questionnaire (ANRQ): acceptability and use for psychosocial risk assessment in the maternity setting. Women Birth. 26(1):17-25.