The impact of Covid-19 restrictions on depressive symptoms in low-risk and high-risk pregnant women: a cross-sectional study before and during pandemic.
The impact of Covid-19 restrictions on depressive symptoms in low-risk and high-risk pregnant women: a cross-sectional study before and during pandemic.
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DOI：
10.1186/s12884-022-04515-3
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发表时间：
2022-03-08
影响因子：
3.1
通讯作者：
Ionio C
中科院分区：
文献类型：
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作者：
Smorti M;Gemignani A;Bonassi L;Mauri G;Carducci A;Ionio C
COVID-19社会限制增加了意大利低风险妊娠（LRP）妇女患抑郁症的风险。l关于COVID-19限制对高危妊娠（HRP）的影响知之甚少。本研究旨在：1）探索在COVID-19大流行之前和期间怀孕的女性的抑郁水平，区分LRP和HRP; 2）分析COVID-19限制对LRP和HRP妊娠经历的影响。对155名妊娠23至32周的孕妇（平均年龄= 34.18岁）进行了COVID-19大流行前后的横断面研究。在COVID-19大流行之前招募了77名女性（51.9% LRP; 48.1% HRP），在COVID-19大流行期间招募了78名女性（51.3% LRP; 48.7% HRP）。HRP组在高危妊娠住院期间入组。参与者填写爱丁堡产后抑郁量表。此外，只有COVID-19组回答了关于限制怀孕经验影响的开放式问题。HRP妇女报告的抑郁症状水平高于LRP。在COVID发病前和发病期间，两组产妇的情况没有差异，但COVID-19和产科状况之间存在交互作用。定性结果显示了限制对情绪和担忧的影响。与前一时期相比，COVID-19期间LRP女性出现抑郁症状的风险高于HRP。在COVID-19期间，HRP妇女似乎将住院作为一种资源，与其他孕妇一起寻找社会支持网络，并在临床妊娠过程中得到保证。
The COVID-19 social restrictions have increased the risk for depression compared to the previous period in Italian women with Low-Risk Pregnancy (LRP). lLess is known about the impact of COVID-19 restrictions on High-Risk Pregnancy (HRP). This study aimed: 1) to explore levels of depression in women who become pregnant before and during COVID-19 pandemic, distinguishing between LRP and HRP; 2) to analyze the impact of COVID-19 restrictions on pregnancy experience in LRP and HRP. A before-during COVID-19 pandemic cross-sectional study was carried out on 155 pregnant women (Mean age = 34.18), between 23 and 32 weeks of gestation. 77 women were recruited before COVID-19 pandemic (51.9% LRP; 48.1% HRP) and 78 women were recruited during COVID-19 pandemic (51.3% LRP; 48.7% HRP). HRP group was enrolled during hospitalization for high-risk pregnancy. Participants filled out Edinburgh Postnatal Depression Scale. Moreover, only COVID-19 group answered an open-ended question about the impact of restriction on pregnancy experience. HRP women reported higher levels of depressive symptoms than LRP. No difference emerged for COVID (before/during) but an interaction effect between COVID-19 and obstetric condition was found. The qualitative results showed the impact of restrictions on emotions and concerns. Respect to the previous period, LRP women during COVID-19 presented an increased risk for depressive symptoms than HRP. The HRP women during COVID-19 seemed to use hospitalization as a resource to find a social support network with other pregnant women and to be reassured on the clinical ongoing of pregnancy.
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影响因子：
--
作者：
Grote, Nancy K.;Bridge, Jeffrey A.;Gavin, Amelia R.;Melville, Jennifer L.;Iyengar, Satish;Katon, Wayne J.
通讯作者：
Katon, Wayne J.
影响因子：
6.6
作者：
Benvenuti, P;Ferrara, M;Cox, JL
通讯作者：
Cox, JL
影响因子：
3.8
作者：
Molgora S;Accordini M
通讯作者：
Accordini M
影响因子：
6.6
作者：
Lebel, Catherine;MacKinnon, Anna;Giesbrecht, Gerald
通讯作者：
Giesbrecht, Gerald
影响因子：
3.9
作者：
Sade, Shanny;Sheiner, Eyal;Pariente, Gali
通讯作者：
Pariente, Gali