Prevalence and contributory factors of anxiety and depression among pregnant women in the post-pandemic era of COVID-19 in Shenzhen, China.
Prevalence and contributory factors of anxiety and depression among pregnant women in the post-pandemic era of COVID-19 in Shenzhen, China.
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DOI：
10.1016/j.jad.2021.05.014
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发表时间：
2021-08-01
影响因子：
6.6
通讯作者：
Chen, Qing
中科院分区：
文献类型：
--
作者：
Wu, Fei;Lin, Wei;Liu, Peiyi;Zhang, Minyi;Huang, Shengbin;Chen, Caiyun;Li, Qiushuang;Huang, Weikang;Zhong, Chuyan;Wang, Yueyun;Chen, Qing
孕妇情绪脆弱，心理受到很大影响。在2019冠状病毒病（COVID-19）爆发后，我们对中国深圳孕妇的焦虑和抑郁症状的患病率及其成因进行了研究。于2020年9月至12月在深圳进行了一项针对孕妇的横断面研究，采用随机招募方法。采用广泛性焦虑障碍（GAD-7）和患者健康问卷（PHQ-9）调查评估焦虑和抑郁症状。多元逻辑回归模型，探讨潜在的因素与焦虑和抑郁症状在怀孕期间。共有3 434名15至59岁的孕妇参加了研究。焦虑和抑郁症状分别为9.8%和6.9%。采用逐步Logistic回归分析发现，未婚/离异/丧偶、失业、接受专业心理咨询、家庭功能障碍、妊娠早期、妊娠并发症和阴道出血、计划外妊娠、家庭收入下降和COVID-19大流行引起的伴侣之间的纠纷与焦虑和抑郁症状的风险增加有关，妇女及其伴侣饮酒、吸烟、缺乏锻炼和久坐不动的生活方式。受过初中到大学教育的妇女不太可能出现产前抑郁症状。我们的研究揭示了与COVID-19大流行后时期孕妇心理症状相关的因素。这些结果应该有助于更新COVID-19期间孕妇心理干预的指导。
Pregnant women are emotionally vulnerable and have suffered great psychological impacts. Following the coronavirus disease 2019 (COVID-19) outbreak, a study was undertaken of the prevalence of, and factors contributing to, symptoms of anxiety and depression among pregnant women in Shenzhen, China. A cross-sectional study on pregnant women was conducted from September to December 2020 in Shenzhen, using a random-recruit method. The General Anxiety Disorder (GAD-7) and Patient Health Questionnaire (PHQ-9) surveys were used to evaluate symptoms of anxiety and depression. A multivariate logistic regression model was developed to explore factors potentially associated with symptoms of anxiety and depression during pregnancy. A total of 3,434 pregnant women aged 15 to 59 years were enrolled. Symptoms of anxiety and depression were present in 9.8% and 6.9%, respectively. Logistic regression analysis using a stepwise procedure revealed that an increased risk of symptoms of anxiety and depression was associated with unmarried/divorced/widowed, unemployed, received professional psychological counseling, family dysfunction, the first trimester of pregnancy, pregnancy complications and vaginal bleeding, unplanned pregnancy, decline in household income and disputes between partners caused by the COVID-19 pandemic, consumption of alcoholic drinks by women and their partners, smoking, lack of exercise and sedentary lifestyle. Women with education from junior high school through college were less likely to experience symptoms of prenatal depression. Our study revealed factors associated with psychological symptoms among pregnant women in the post-COVID-19-pandemic era. These results should help to update guidance for psychological interventions for pregnant women during the period of COVID-19.
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