A cross-national study of factors associated with women's perinatal mental health and wellbeing during the COVID-19 pandemic.
A cross-national study of factors associated with women's perinatal mental health and wellbeing during the COVID-19 pandemic.
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DOI：
10.1371/journal.pone.0249780
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Koenen KC
中科院分区：
文献类型：
--
作者：
Basu A;Kim HH;Basaldua R;Choi KW;Charron L;Kelsall N;Hernandez-Diaz S;Wyszynski DF;Koenen KC
在2019冠状病毒病大流行期间，孕妇和产后妇女面临着独特的挑战，这可能使她们面临更高的精神健康问题风险。然而，迄今为止，很少进行大规模研究，也没有进行跨国研究，调查可能影响这一弱势群体心理健康的与大流行有关的可改变的行为或认知因素。本国际研究旨在确定和衡量COVID-19大流行期间与大流行相关的信息寻求、担忧和预防行为与围产期心理健康之间的关系。2020年5月26日至2020年6月13日期间，在64个国家对孕妇和产后妇女进行了一项匿名在线横断面调查。该调查以12种语言提供，在COVID-19研究注册平台（https://corona.pregistry.com）上进行，并在社交媒体渠道和在线育儿论坛上进行宣传。参与者通过IES-6完成人口统计、COVID-19暴露和担忧、信息寻求、COVID-19预防行为和心理健康症状（包括创伤后应激）的测量，通过PHQ-4完成焦虑/抑郁，通过UCLA-3完成孤独感。在6894名参与者中，相当大比例的女性在创伤后压力（2979人[43%]）、焦虑/抑郁（2138人[31%]）和孤独（3691人[53%]）方面的得分达到或高于临界值。在调整后的模型中，每天从任何来源（如社交媒体、新闻、与他人交谈）寻求信息五次或五次以上，与创伤后应激和焦虑/抑郁升高的几率增加一倍以上相关。大多数女性（86%）表示有些或非常担心COVID-19。最常见的担忧与怀孕和分娩有关，包括分娩后家人无法探视（59%）、婴儿感染COVID-19（59%）、分娩过程中缺乏支持人员（55%）以及COVID-19导致分娩计划改变（41%）。与儿童有关的担忧（即，儿童保育不足，感染风险）和错过医疗预约与创伤后应激、焦虑/抑郁和孤独的几率显著增加有关。从事与卫生相关的COVID-19预防行为（戴口罩、洗手、表面消毒）与心理健康症状或孤独感无关。在COVID-19大流行期间，在64个国家的孕妇和产后妇女中，创伤后应激、焦虑/抑郁和孤独感升高非常普遍。过度寻求信息以及对儿童和医疗保健的担忧与症状升高有关，而采取与卫生有关的预防措施则与症状升高无关。除了筛查和监测心理健康症状外，解决过度寻求信息和妇女对获得医疗保健及其子女福祉的担忧，以及制定针对孤独感的战略（例如，在线支持小组）应成为围产期妇女干预工作的一部分。公共卫生运动和医疗保健系统需要明确解决与COVID-19相关的压力源对围产期妇女精神健康的影响，因为预防病毒暴露本身并不能减轻大流行对精神健康的影响。
Pregnant and postpartum women face unique challenges during the COVID-19 pandemic that may put them at elevated risk of mental health problems. However, few large-scale and no cross-national studies have been conducted to date that investigate modifiable pandemic-related behavioral or cognitive factors that may influence mental health in this vulnerable group. This international study sought to identify and measure the associations between pandemic-related information seeking, worries, and prevention behaviors on perinatal mental health during the COVID-19 pandemic. An anonymous, online, cross-sectional survey of pregnant and postpartum women was conducted in 64 countries between May 26, 2020 and June 13, 2020. The survey, available in twelve languages, was hosted on the Pregistry platform for COVID-19 studies (https://corona.pregistry.com) and advertised in social media channels and online parenting forums. Participants completed measures on demographics, COVID-19 exposure and worries, information seeking, COVID-19 prevention behaviors, and mental health symptoms including posttraumatic stress via the IES-6, anxiety/depression via the PHQ-4, and loneliness via the UCLA-3. Of the 6,894 participants, substantial proportions of women scored at or above the cut-offs for elevated posttraumatic stress (2,979 [43%]), anxiety/depression (2,138 [31%], and loneliness (3,691 [53%]). Information seeking from any source (e.g., social media, news, talking to others) five or more times per day was associated with more than twice the odds of elevated posttraumatic stress and anxiety/depression, in adjusted models. A majority of women (86%) reported being somewhat or very worried about COVID-19. The most commonly reported worries were related to pregnancy and delivery, including family being unable to visit after delivery (59%), the baby contracting COVID-19 (59%), lack of a support person during delivery (55%), and COVID-19 causing changes to the delivery plan (41%). Greater worries related to children (i.e., inadequate childcare, their infection risk) and missing medical appointments were associated with significantly higher odds of posttraumatic stress, anxiety/depression and loneliness. Engaging in hygiene-related COVID-19 prevention behaviors (face mask-wearing, washing hands, disinfecting surfaces) were not related to mental health symptoms or loneliness. Elevated posttraumatic stress, anxiety/depression, and loneliness are highly prevalent in pregnant and postpartum women across 64 countries during the COVID-19 pandemic. Excessive information seeking and worries related to children and medical care are associated with elevated symptoms, whereas engaging in hygiene-related preventive measures were not. In addition to screening and monitoring mental health symptoms, addressing excessive information seeking and women’s worries about access to medical care and their children’s well-being, and developing strategies to target loneliness (e.g., online support groups) should be part of intervention efforts for perinatal women. Public health campaigns and medical care systems need to explicitly address the impact of COVID-19 related stressors on mental health in perinatal women, as prevention of viral exposure itself does not mitigate the pandemic’s mental health impact.
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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：
Davenport MH;Meyer S;Meah VL;Strynadka MC;Khurana R
通讯作者：
Khurana R
影响因子：
2.4
作者：
Mappa, Ilenia;Distefano, Flavia Adalgisa;Rizzo, Giuseppe
通讯作者：
Rizzo, Giuseppe
影响因子：
7.6
作者：
MILLER, SM
通讯作者：
MILLER, SM
影响因子：
15.1
作者：
Hosey, Megan M.;Leoutsakos, Jeannie-Marie S.;Neufeld, Karin J.
通讯作者：
Neufeld, Karin J.
COVID-19 爆发期间武汉和重庆孕妇的产前焦虑和产科决策：一项横断面研究
DOI：
10.1111/1471-0528.16381
发表时间：
2020-08-02
影响因子：
5.8
作者：
Liu, X.;Chen, M.;Qi, H.
通讯作者：
Qi, H.