Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic
Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic
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DOI：
10.1016/j.jad.2020.07.126
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发表时间：
2020-12-01
影响因子：
6.6
通讯作者：
Giesbrecht, Gerald
中科院分区：
文献类型：
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作者：
Lebel, Catherine;MacKinnon, Anna;Giesbrecht, Gerald
背景：妊娠期焦虑和抑郁症状通常影响10%至25%的妊娠个体。抑郁和焦虑症状的升高与早产、产后抑郁和儿童行为困难的风险增加有关。当前的COVID-19大流行是一种独特的压力源，可能对怀孕及以后产生广泛的后果。方法：我们评估了当前COVID-19大流行期间怀孕个体的焦虑和抑郁症状，并确定了与心理困扰相关的因素。加拿大1987名怀孕参与者于2020年4月接受了调查。评估包括关于COVID-19相关压力的问题以及抑郁、焦虑、妊娠相关焦虑和社会支持的标准化测量。结果：我们发现，与大流行前类似的妊娠队列相比，焦虑和抑郁症状显著升高，37%的人报告了临床相关的抑郁症状，57%的人报告了临床相关的焦虑症状。抑郁和焦虑症状的增加与对COVID-19对母亲和婴儿生命的威胁的更多担忧有关，以及对因COVID-19大流行而无法获得必要的产前护理、关系紧张和社会孤立的担忧。较高的社会支持和支持有效性水平，以及更多的身体活动，与较低的心理症状。结论：这项研究显示，在COVID-19大流行期间，孕妇的焦虑和抑郁症状令人担忧地增加，这可能会对他们的孩子产生长期影响。潜在的保护因素包括增加社会支持和锻炼，因为这些与较低的症状有关，因此可能有助于减轻长期的负面结果。
Background: Anxiety and depression symptoms in pregnancy typically affect between 10 and 25% of pregnant individuals. Elevated symptoms of depression and anxiety are associated with increased risk of preterm birth, postpartum depression, and behavioural difficulties in children. The current COVID-19 pandemic is a unique stressor with potentially wide-ranging consequences for pregnancy and beyond.Methods: We assessed symptoms of anxiety and depression among pregnant individuals during the current COVID-19 pandemic and determined factors that were associated with psychological distress. 1987 pregnant participants in Canada were surveyed in April 2020. The assessment included questions about COVID-19-related stress and standardized measures of depression, anxiety, pregnancy-related anxiety, and social support.Results: We found substantially elevated anxiety and depression symptoms compared to similar pre-pandemic pregnancy cohorts, with 37% reporting clinically relevant symptoms of depression and 57% reporting clinically relevant symptoms of anxiety. Higher symptoms of depression and anxiety were associated with more concern about threats of COVID-19 to the life of the mother and baby, as well as concerns about not getting the necessary prenatal care, relationship strain, and social isolation due to the COVID-19 pandemic. Higher levels of perceived social support and support effectiveness, as well as more physical activity, were associated with lower psychological symptoms.Conclusion: This study shows concerningly elevated symptoms of anxiety and depression among pregnant individuals during the COVID-19 pandemic, that may have long-term impacts on their children. Potential protective factors include increased social support and exercise, as these were associated with lower symptoms and thus may help mitigate long-term negative outcomes.