Risk factors for depression, anxiety, and PTSD symptoms in perinatal women during the COVID-19 Pandemic.
Risk factors for depression, anxiety, and PTSD symptoms in perinatal women during the COVID-19 Pandemic.
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DOI：
10.1016/j.psychres.2020.113552
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发表时间：
2021-01
影响因子：
11.3
通讯作者：
Mittal L
中科院分区：
文献类型：
--
作者：
Liu CH;Erdei C;Mittal L
孕妇和刚分娩的妇女容易受到COVID-19相关的心理压力。我们通过横断面研究设计，评估了1，123名美国女性在COVID-19大流行期间（2020年5月21日至8月17日）与COVID-19相关的健康担忧和悲伤，以及当前的心理健康症状（抑郁症，广泛性焦虑和PTSD）。在我们的受访者中，36.4%的人报告了临床上显著的抑郁水平，22.7%的人报告了广泛性焦虑，10.3%的人报告了创伤后应激障碍。根据自我报告的病史，预先存在心理健康诊断的女性在抑郁症、广泛性焦虑症和创伤后应激障碍（PTSD）临床显着水平上得分的可能性高出1.6至3.7。大约18%的人报告了高水平的COVID-19相关健康担忧，并且超过心理健康症状临床阈值的可能性高出2.6至4.2倍。大约9%的人报告了高水平的悲伤，并且超过心理健康症状临床阈值的可能性是4.7到5.5倍。在2019冠状病毒病大流行期间，患有精神健康诊断的围产期妇女的症状有所增加。尽管无法推断因果关系，但与COVID-19相关的健康担忧和悲伤经历可能会增加那些先前没有心理健康问题的人出现心理健康症状的可能性。提供者应该制定策略，在他们的实践中解决与健康有关的担忧和悲伤。
Pregnant women and women who recently gave birth are vulnerable to COVID-19-related psychosocial stresses. We assessed COVID-19-related health worries and grief, and current mental health symptoms (depression, generalized anxiety, and PTSD) in 1,123 U.S. women during the COVID-19 pandemic (May 21 to August 17, 2020) through a cross-sectional study design. Among our respondents, 36.4% reported clinically significant levels of depression, 22.7% for generalized anxiety, and 10.3% for PTSD. Women with pre-existing mental health diagnoses based on their self-reported history were 1.6-to-3.7 more likely to score at clinically significant levels of depression, generalized anxiety, and PTSD. Approximately 18% reported high levels of COVID-19-related health worries and were 2.6-to-4.2 times more likely to score above the clinical threshold for mental health symptoms. Approximately 9% reported high levels of grief and were 4.7-to-5.5 times more likely to score above the clinical threshold for mental health symptoms. Perinatal women with pre-existing mental health diagnoses show elevated symptoms during the COVID-19 pandemic. Although causation cannot be inferred, COVID-19-related health worries and grief experiences may increase the likelihood of mental health symptoms among those without pre-existing mental health concerns. Providers should develop strategies for addressing health-related worry and grief within their practice.
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影响因子：
11.3
作者：
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DOI：
10.4088/jcp.09m05381blu
发表时间：
2010-08
期刊：
The Journal of clinical psychiatry
影响因子：
--
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