Coping strategies mediate the associations between COVID-19 experiences and mental health outcomes in pregnancy.
Coping strategies mediate the associations between COVID-19 experiences and mental health outcomes in pregnancy.
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DOI：
10.1007/s00737-021-01135-2
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Gonzalez A
中科院分区：
文献类型：
--
作者：
Khoury JE;Atkinson L;Bennett T;Jack SM;Gonzalez A
COVID-19大流行导致孕妇的心理健康问题增加。有效的应对策略可能会减少COVID-19对心理健康的影响。本研究旨在（1）了解COVID-19压力源如何与不同的应对策略相关，以及（2）确定应对策略是否作为解释COVID-19压力体验与妊娠期心理健康问题之间关联的机制。参与者是来自加拿大安大略的304名孕妇。抑郁，焦虑，失眠，和感知压力进行了评估，使用有效的措施。COVID相关压力源（即，经济困难、社会孤立）、COVID-19的主观负面影响以及应对COVID-19所用的应对策略进行了问卷调查。结果显示，COVID-19的主观负面影响与更多的功能失调应对和更少的以情绪为中心的应对相关，而特定的COVID-19压力源，即经济困难和社会隔离，与更多的功能失调应对和以问题为中心的应对相关。功能失调的应对与心理健康问题的增加有关，而以情绪为重点的应对与心理健康问题较少有关。功能失调应对和以情绪为中心的应对部分介导了特定COVID-19压力源对心理健康结果的影响。研究结果表明，应对是COVID-19大流行影响怀孕期间心理健康的一个途径。疫情期间对孕妇的支持和干预应侧重于提高应对技能，以最大限度地减少COVID-19对心理健康的影响。
The COVID-19 pandemic has resulted in elevated mental health problems for pregnant women. Effective coping strategies likely reduce the impact of COVID-19 on mental health. This study aimed to (1) understand how COVID-19 stressors are related to different coping strategies and (2) identify whether coping strategies act as mechanisms accounting for the associations between COVID-19 stressful experiences and mental health problems in pregnancy. Participants were 304 pregnant women from Ontario, Canada. Depression, anxiety, insomnia, and perceived stress were assessed using validated measures. COVID-related stressors (i.e., financial difficulties, social isolation), subjective negative impact of COVID-19, and coping strategies used in response to COVID-19 were assessed by questionnaires. Results indicated that the subjective negative impact of COVID-19 was associated with more dysfunctional coping and less emotion-focused coping, whereas specific COVID-19 stressors, namely financial difficulties and social isolation, were associated with more dysfunctional coping and problem-focused coping. Dysfunctional coping was linked to elevated mental health problems and emotion-focused coping was linked to less mental health problems. Dysfunctional coping and emotion-focused coping partially mediated the effects of specific COVID-19 stressors on mental health outcomes. Findings indicate that coping is one pathway through which the COVID-19 pandemic impacts mental health in pregnancy. Supports and interventions for pregnant women during the pandemic should focus on bolstering coping skills, in order to minimize the mental health consequences of COVID-19.
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影响因子：
9.8
作者：
Guardino CM;Schetter CD
通讯作者：
Schetter CD
DOI：
10.3389/fgwh.2020.00001
发表时间：
2020
期刊：
Frontiers in global women's health
影响因子：
--
作者：
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通讯作者：
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DOI：
10.1016/j.ijchp.2020.07.007
发表时间：
2021-01-01
影响因子：
8.8
作者：
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通讯作者：
Santabarbara, Javier
影响因子：
2.5
作者：
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通讯作者：
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