Self-reported mental health status of pregnant women in Sweden during the COVID-19 pandemic: a cross-sectional survey.
Self-reported mental health status of pregnant women in Sweden during the COVID-19 pandemic: a cross-sectional survey.
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DOI：
10.1186/s12884-022-04553-x
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发表时间：
2022-03-28
影响因子：
3.1
通讯作者：
Schwank S
中科院分区：
文献类型：
--
作者：
Ho-Fung C;Andersson E;Hsuan-Ying H;Acharya G;Schwank S
由于社会限制和产妇保健服务的变化，新冠肺炎疫情给孕妇带来了前所未有的担忧和挑战。我们的目的是调查新冠肺炎疫情对瑞典孕妇的心理健康影响，并在这一特定背景下探索与围产期心理健康不良相关的因素。这是一项针对居住在瑞典的孕妇的全国性横断面调查。从2020年5月到2021年2月，通过非营利组织的网站和社交媒体渠道发放了经过验证的问卷。分别采用爱丁堡产后抑郁量表(EPDS)、广泛性焦虑量表(GAD-7)和影响事件量表(IES-R)评定围产期抑郁、焦虑和急性应激反应。研究还获得了社会人口学特征和自我心理幸福感。采用多因素Logistic回归模型对影响心理健康结局的因素进行分析。在470名参与者中，43.2%(n = 203)报告抑郁(≥13)，25.7%(n = 121)中度至重度焦虑( ≥ -7评分为10)，23.7%(n = 110)中度至重度急性应激反应(IES-R ≥ 33)。27.4%的参与者(n = 129人)对他们在大流行期间的心理健康表示担忧。有患病家庭成员的孕妇的心理健康状况较无患病的孕妇差(中位数[四分位数范围]：14.0vs11.0[6.25-15.0]，p <； .001；GAD7得分中位数：7.0vs6.0[3.0vs3.0-9.0]，p = .003)；智商得分中位数：2 0.0[9.0-38.0]比15.0[7.0-30.0]，p = .048)。Logistic回归分析显示，不良心理健康结局的危险因素是有患病的家庭成员患有任何疾病、失业和经历重大压力生活事件。在大流行期间拥有更高的教育水平和更年轻的年龄是有保护作用的。在新冠肺炎大流行期间，抑郁和焦虑在瑞典孕妇中非常普遍，这表明需要为这一弱势群体提供专业的心理健康支持。失业是一个相关的危险因素，而年轻和高教育水平是保护性的，这表明社会经济因素在调节新冠肺炎大流行对围产期心理健康的影响方面发挥了重要作用。网上版载有补充材料，可在10.1186/s12884-022-04553-x查阅。
The COVID-19 pandemic has contributed to unprecedented worries and challenges for pregnant women due to social restrictions and changes in maternity care provision. We aimed to investigate the mental health impact of COVID-19 pandemic on pregnant women in Sweden and explore factors associated with poor perinatal mental health in this specific context. This was a nation-wide cross-sectional survey of pregnant women living in Sweden. Validated questionnaires were distributed through non-profit organizations´ websites and social media channels from May 2020 to February 2021. Perinatal depression, anxiety, and acute stress reaction were assessed using the Edinburgh Postnatal Depression Scale (EPDS), Generalized Anxiety Disorder-7 (GAD-7) and Impact Event Scale (Revised) (IES-R), respectively. Sociodemographic characteristics and self-perceived mental well-being were also obtained. Factors associated with mental health outcomes were analyzed using multivariate logistic regression model. Among a total of 470 participants, 43.2% (n = 203) reported depression (EPDS ≥13), 25.7% (n = 121) moderate to severe anxiety (GAD-7 score ≥ 10), and 23.7% (n = 110) moderate to severe acute stress reaction (IES-R ≥ 33). 27.4% participants (n = 129) expressed concerns regarding their mental well-being during the pandemic. Pregnant mothers who had sick family members reported poorer mental health outcomes than those who did not (median [Interquartile range (IQR)] EPDS scores: 14.0 [8.75–18.0] vs 11.0 [6.25–15.0], p < .001; median (IQR) GAD7 scores: 7.0 [4.0–12.25] vs 6.0 [3.0–9.0], p = .003); median (IQR) IES-R scores: 20.0 [9.0–38.0] vs 15.0 [7.0–30.0], p = .048). Logistic regression analyses revealed that risk factors for poor mental health outcomes were having a sick family member with any illness, unemployment, and experiencing a substantially stressful life event. Having a higher educational level and a younger age during the pandemic were protective. Depression and anxiety were highly prevalent among pregnant women in Sweden during the COVID-19 pandemic, indicating a need for professional mental health support for this vulnerable group of population. Unemployment was an associated risk factor whereas younger age and higher educational level were protective suggesting an important role of socio-economic factors in modulating the impact of COVID-19 pandemic on perinatal mental health. The online version contains supplementary material available at 10.1186/s12884-022-04553-x.
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影响因子：
1.8
作者：
Persson, Anna;Lindmark, Sofia;Magnusson, Asa
通讯作者：
Magnusson, Asa
DOI：
10.3390/ijerph18052228
发表时间：
2021-02-24
影响因子：
--
作者：
Humer E;Pieh C;Probst T;Kisler IM;Schimböck W;Schadenhofer P
通讯作者：
Schadenhofer P
DOI：
10.1016/s2214-109x(21)00079-6
发表时间：
2021-06
期刊：
The Lancet. Global health
影响因子：
--
作者：
Chmielewska B;Barratt I;Townsend R;Kalafat E;van der Meulen J;Gurol-Urganci I;O'Brien P;Morris E;Draycott T;Thangaratinam S;Le Doare K;Ladhani S;von Dadelszen P;Magee L;Khalil A
通讯作者：
Khalil A
影响因子：
3.4
作者：
Massoudi, Pamela;Hwang, C. Philip;Wickberg, Birgitta
通讯作者：
Wickberg, Birgitta
影响因子：
3.4
作者：
Kotlar B;Gerson EM;Petrillo S;Langer A;Tiemeier H
通讯作者：
Tiemeier H