A Mixed-Methods Pilot Study of Perinatal Risk and Resilience During COVID-19
A Mixed-Methods Pilot Study of Perinatal Risk and Resilience During COVID-19
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DOI：
10.1177/2150132720944074
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发表时间：
2020-07-01
影响因子：
3.6
通讯作者：
Leiferman, Jenn A.
中科院分区：
文献类型：
--
作者：
Farewell, Charlotte V.;Jewell, Jennifer;Leiferman, Jenn A.
简介/目标：国家指南强调需要改进围产期情绪障碍的检测和治疗。遭受灾难可能会加剧围产期情绪障碍，甚至产生代际影响。这项试点研究的主要目的是使用混合方法更好地了解 2019 年冠状病毒病 (COVID-19) 大流行对心理健康和福祉的影响，以及围产期妇女的心理弹性来源。方法：研究团队使用同步探索性混合方法设计来调查主要目标。 31 名孕妇和产后妇女参加了电话采访，并被邀请完成一项在线调查，其中包括经过验证的心理健康和幸福指标。结果：大约 12% 的样本报告有高度抑郁症状，60% 的人报告有中度或重度焦虑。百分之四十的样本表示感到孤独。与压力相关的主要主题是围产期护理的不确定性、母亲和婴儿的暴露风险、信息来源的信息不一致以及缺乏支持网络。参与者确定了各种恢复力的来源，包括使用虚拟交流平台、进行自我护理行为（例如充足的睡眠、体力活动和健康饮食）、伴侣情感支持、户外活动、感恩以及遵守结构和惯例。 结论：自 COVID-19 爆发以来，许多孕妇和产后妇女报告称正在与压力、抑郁和焦虑症状作斗争。这项试点研究的结果开始为未来的干预工作提供信息，以最好地支持这一高度脆弱的人群。
Introduction/Objectives:National guidelines underscore the need for improvement in the detection and treatment of mood disorders in the perinatal period. Exposure to disasters can amplify perinatal mood disorders and even have intergenerational impacts. The primary aim of this pilot study was to use mixed-methods to better understand the mental health and well-being effects of the coronavirus disease 2019 (COVID-19) pandemic, as well as sources of resilience, among women during the perinatal period.Methods:The study team used a simultaneous exploratory mixed-methods design to investigate the primary objective. Thirty-one pregnant and postpartum women participated in phone interviews and were invited to complete an online survey which included validated mental health and well-being measures.Results:Approximately 12% of the sample reported high depressive symptomatology and 60% reported moderate or severe anxiety. Forty percent of the sample reported being lonely. The primary themes related to stress were uncertainty surrounding perinatal care, exposure risk for both mother and baby, inconsistent messaging from information sources and lack of support networks. Participants identified various sources of resilience, including the use of virtual communication platforms, engaging in self-care behaviors (eg, adequate sleep, physical activity, and healthy eating), partner emotional support, being outdoors, gratitude, and adhering to structures and routines.Conclusions:Since the onset of COVID-19, many pregnant and postpartum women report struggling with stress, depression, and anxiety symptomatology. Findings from this pilot study begin to inform future intervention work to best support this highly vulnerable population.