Common model of stress, anxiety, and depressive symptoms in pregnant women from seven high-income Western countries at the COVID-19 pandemic onset.
Common model of stress, anxiety, and depressive symptoms in pregnant women from seven high-income Western countries at the COVID-19 pandemic onset.
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DOI：
10.1016/j.socscimed.2022.115499
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发表时间：
2022-12
影响因子：
5.4
通讯作者：
Meyerhoff, Hannah
中科院分区：
文献类型：
--
作者：
Lobel, Marci;Preis, Heidi;Mahaffey, Brittain;Schaal, Nora K.;Yirmiya, Karen;Atzil, Shir;Reuveni, Inbal;Balestrieri, Matteo;Penengo, Chiara;Colli, Chiara;Garzitto, Marco;Driul, Lorenza;Ilska, Michalina;Brandt-Salmeri, Anna;Kolodziej-Zaleskaj, Anna;Caparros-Gonzalez, Rafael A.;Castro, Rita Amiel;La Marca-Ghaemmaghami, Pearl;Meyerhoff, Hannah
据国际报道，在新冠肺炎大流行期间，怀孕妇女的压力、焦虑和抑郁增加。然而，缺乏对不同国家产妇心理健康问题流行率的严格比较。此外，在跨国流行期间，压力是否是产妇心理健康的常见预测因素尚不清楚。来自德国、以色列、意大利、波兰、西班牙、瑞士和美国的8,148名孕妇参加了2020年4月17日至5月31日期间的国际新冠肺炎怀孕经历(I-COPE)研究。使用经过充分验证的工具评估社会人口学特征、大流行相关压力、特定于妊娠的压力、焦虑和抑郁。对不同国家的压力和情绪紊乱的程度进行了比较。根据母亲的特征和压力预测临床显著焦虑和抑郁水平的路径模型对所有研究参与者进行了测试，然后在每个国家对200名参与者进行了单独检查。各国在与大流行相关的妊娠压力和与大流行无关的特定妊娠压力的大小以及临床显著焦虑和抑郁水平的流行率方面存在显著差异。对整个样本的一个很好的公共路径模型表明，在考虑了母亲的特征后，与大流行相关的和特定于怀孕的压力强烈地预测了情绪和焦虑障碍。这种模式在各个国家都得到了复制。尽管高收入西方国家的孕妇因新冠肺炎疫情而经历了不同程度的压力，但压力是这些人焦虑和抑郁症状的强烈、常见的预测因素。通用模型可用于为研究和临床干预提供信息，以防止产前母亲应激、焦虑和抑郁对母亲和婴儿造成的不良后果。
Increases in stress, anxiety, and depression among women pregnant during the COVID-19 pandemic have been reported internationally. Yet rigorous comparison of the prevalence of maternal mental health problems across countries is lacking. Moreover, whether stress is a common predictor of maternal mental health during the pandemic across countries is unknown. 8148 pregnant women from Germany, Israel, Italy, Poland, Spain, Switzerland, and the United States were enrolled in the International COVID-19 Pregnancy Experiences (I-COPE) Study between April 17 and May 31, 2020. Sociodemographic characteristics, pandemic-related stress, pregnancy-specific stress, anxiety, and depression were assessed with well-validated instruments. The magnitude of stress and mood disturbances was compared across countries. A path model predicting clinically significant levels of anxiety and depression from maternal characteristics and stress was tested for all study participants and then examined separately in each country with >200 participants. Countries differed significantly in magnitude of pandemic-related pregnancy stress and pandemic-unrelated pregnancy-specific stress, and in prevalence of clinically significant anxiety and depression levels. A well-fitting common path model for the entire sample indicated that mood and anxiety disturbances were strongly predicted by pandemic-related and pregnancy-specific stress after accounting for maternal characteristics. The model was replicated in individual countries. Although pregnant women in high-income Western countries experienced different levels of stress resulting from the COVID-19 pandemic, stress is a strong, common predictor of anxiety and depressive symptoms in these individuals. The common model can be used to inform research and clinical interventions to protect against adverse consequences of prenatal maternal stress, anxiety, and depression for mothers and infants.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
头发皮质醇水平，心理压力和心理病理学症状是产后抑郁症的预测指标。
影响因子：
3.7
作者：
Caparros-Gonzalez RA;Romero-Gonzalez B;Strivens-Vilchez H;Gonzalez-Perez R;Martinez-Augustin O;Peralta-Ramirez MI
通讯作者：
Peralta-Ramirez MI
影响因子：
4.3
作者：
Ceulemans M;Foulon V;Ngo E;Panchaud A;Winterfeld U;Pomar L;Lambelet V;Cleary B;O'Shaughnessy F;Passier A;Richardson JL;Hompes T;Nordeng H
通讯作者：
Nordeng H
影响因子：
2.7
作者：
Ilska, Michalina;Kolodziej-Zaleska, Anna;Lobel, Marci
通讯作者：
Lobel, Marci
影响因子：
3.7
作者：
Kingston, Dawn;Kehler, Heather;Giallo, Rebecca
通讯作者：
Giallo, Rebecca