Moms Are Not OK: COVID-19 and Maternal Mental Health.
Moms Are Not OK: COVID-19 and Maternal Mental Health.
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DOI：
10.3389/fgwh.2020.00001
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Khurana R
中科院分区：
文献类型：
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作者：
Davenport MH;Meyer S;Meah VL;Strynadka MC;Khurana R
简介：在围产期，每七名妇女中就有一人受到抑郁和焦虑的影响，并与早产风险增加、母婴纽带减少以及婴儿认知/情感发育延迟有关。通过这项调查，我们旨在快速评估新冠肺炎大流行和随后的身体隔离/隔离措施对孕妇和产后妇女心理健康和体力活动的影响。方法：在2020年4月14日至5月8日期间，我们招募了怀孕或产后一年内的妇女参加在线调查。这包括关于抑郁/抑郁症状(爱丁堡产后抑郁调查；EPDS)、焦虑(状态-特质焦虑问卷；STAI-State)和体力活动水平的问卷调查。对每个病例的当前值和大流行前的值进行了评估。结果：在900名符合条件的孕妇中，520名(58%)怀孕，380名(42%)在产后一年。64%的女性报告说，随着隔离措施的开始，她们的体力活动减少了，而15%的女性增加了，21%的女性的体力活动没有变化。在大流行前，15%的受访者和目前的40.7%的受访者自认为EPDS评分13(表示抑郁)(平均值±SD；分别为7.5±4.9和11.2±6.3；p<；0.01，中度效果)。在大流行之前，29%的女性(平均STAI=34.5±11.4)被确定为中度到高度焦虑(STAI-STAI；40)，而目前的女性为72%(平均STAI=48.1±13.6；P<；0.01，影响很大)。然而，在大流行期间从事至少150分钟中等强度体力活动(符合当前指南)的妇女的焦虑和抑郁得分明显低于没有参加的妇女(P<；0.01，分别影响大和小)。讨论：这项快速反应调查发现，在新冠肺炎大流行期间，产妇抑郁和焦虑的可能性大幅增加。这突出表明，迫切需要加强对产妇心理健康的评估和治疗。然而，这些数据也表明，以前被证明可以减少抑郁和怀孕期间抑郁症状的体力活动，可能与大流行期间更好的心理健康有关。
Introduction: Depression and anxiety affect one in seven women during the perinatal period, and are associated with increased risk of preterm delivery, reduced mother-infant bonding, and delays in cognitive/emotional development of the infant. With this survey we aimed to rapidly assess the influence of the COVID-19 pandemic and subsequent physical distancing/isolation measures on the mental health and physical activity of pregnant and postpartum women. Methods: Between April 14 and May 8, 2020, we recruited women who were pregnant or within the first year after delivery to participate in an online survey. This included questionnaires on self-reported levels of depression/depressive symptoms (Edinburgh Postnatal Depression Survey; EPDS), anxiety (State-Trait Anxiety Inventory; STAI-State), and physical activity. Current and pre-pandemic values were assessed for each. Results: Of 900 eligible women, 520 (58%) were pregnant and 380 (42%) were in the first year after delivery. Sixty-four percent of women reported reduced physical activity with the onset of isolation measures, while 15% increased, and 21% had no change to their physical activity. An EPDS score >13 (indicative of depression) was self-identified in 15% of respondents pre-pandemic and in 40.7% currently (mean ± SD; 7.5 ± 4.9 vs. 11.2 ± 6.3, respectively; p < 0.01, moderate effect). Moderate to high anxiety (STAI-state score >40) was identified in 29% of women before the pandemic (mean STAI = 34.5 ± 11.4) vs. 72% of women currently (mean STAI = 48.1 ± 13.6; p < 0.01, large effect). However, women engaging in at least 150 min of moderate intensity physical activity (meeting current guidelines) during the pandemic had significantly lower scores for both anxiety and depression than those who did not (p < 0.01, large and small effect, respectively). Discussion: This rapid response survey identifies a substantial increase in the likelihood of maternal depression and anxiety during the COVID-19 pandemic. This highlights the strong need for heightened assessment and treatment of maternal mental health. However, these data also suggest that physical activity, which has previously been shown to reduce depression and depressive symptoms in pregnancy, may be associated with better mental health during the pandemic.