Depression and Anxiety in Mothers Who Were Pregnant During the COVID-19 Outbreak in Northern Italy: The Role of Pandemic-Related Emotional Stress and Perceived Social Support.

Depression and Anxiety in Mothers Who Were Pregnant During the COVID-19 Outbreak in Northern Italy: The Role of Pandemic-Related Emotional Stress and Perceived Social Support.
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意大利北部 COVID-19 爆发期间怀孕母亲的抑郁和焦虑:与流行病相关的情绪压力和感知的社会支持的作用。

DOI:
10.3389/fpsyt.2021.716488
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发表时间:
2021
影响因子:
4.7
通讯作者:
Borgatti R
Borgatti R
中科院分区:
医学3区
文献类型:
--
作者:
Grumi S;Provenzi L;Accorsi P;Biasucci G;Cavallini A;Decembrino L;Falcone R;Fazzi EM;Gardella B;Giacchero R;Guerini P;Grossi E;Magnani ML;Mariani EM;Nacinovich R;Pantaleo D;Pisoni C;Prefumo F;Sabatini C;Scelsa B;Spartà MV;Spinillo A;Giorda R;Orcesi S;Borgatti R

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COVID-19 大流行是一种集体创伤,威胁着公民的心理健康,导致情绪压力增加、社会支持减少以及情感症状风险增加。本研究旨在调查意大利北部首次爆发 COVID-19 期间怀孕母亲与产前大流行相关的情绪压力和感知的社会支持对抑郁和焦虑症状的影响。在意大利北部 COVID-19 爆发的第一个热点地区的 8 个产科中心招募了 281 名母亲作为样本。参与者填写了在线调查问卷,评估直接或间接接触 SARS-CoV-2 病毒、与大流行相关的压力、感知的社会支持以及抑郁和焦虑症状。分别有 26% 和 32% 的受访者的抑郁和焦虑症状超出了临床关注范围。报告在怀孕期间未接触过 SARS-CoV-2 的母亲和报告至少一次直接或间接接触过的母亲在情感症状方面没有差异。连续评分以及严重抑郁和焦虑的风险与产前大流行相关的情绪压力呈正相关,与怀孕期间感知的社会支持呈负相关。在 COVID-19 紧急情况下成为母亲的女性可能面临情感问题的高风险。需要专门的预防计划,以便在 COVID-19 大流行期间和之后为孕产妇心理健康提供充分的预防支持和护理。
The COVID-19 pandemic is a collective trauma that is threatening citizens' mental health resulting in increased emotional stress, reduced social support, and heightened risk for affective symptoms. The present study aimed to investigate the effects of antenatal pandemic-related emotional stress and perceived social support on the symptoms of depression and anxiety of mothers who were pregnant during the initial COVID-19 outbreak in northern Italy. A sample of 281 mothers was enrolled at eight maternity units in the first hotspot region of the COVID-19 outbreak in northern Italy. Participants filled out online questionnaires assessing the direct or indirect exposure to the SARS-CoV-2 virus, pandemic-related stress, perceived social support, as well as symptoms of depression and anxiety. Depressive and anxious symptomatology was above clinical concern, respectively, in 26 and 32% of the respondents. Mothers who reported no exposure to SARS-CoV-2 during pregnancy and those who reported at least one direct or indirect exposure did not differ in terms of affective symptoms. Continuous scores and risk for severe depression and anxiety were positively associated with prenatal pandemic-related emotional stress and negatively linked with perceived social support during pregnancy. Women who become mothers during the COVID-19 emergency may be at high risk for affective problems. Dedicated preventive programs are needed to provide adequate preventive support and care for maternal mental health during and after the COVID-19 pandemic.
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