Pregnancy-related anxiety during COVID-19: a nationwide survey of 2740 pregnant women.
Pregnancy-related anxiety during COVID-19: a nationwide survey of 2740 pregnant women.
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DOI：
10.1007/s00737-020-01073-5
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Muzik M
中科院分区：
文献类型：
--
作者：
Moyer CA;Compton SD;Kaselitz E;Muzik M
本研究的目的是探索COVID-19大流行对孕妇焦虑的影响，并确定与焦虑变化最密切相关的因素。一项针对孕妇的匿名在线调查（于2020年4月3日至24日发布）包括一项修改后的妊娠相关焦虑量表（PRAS），该量表反映了受访者对COVID-19前妊娠焦虑的看法以及对妊娠相关焦虑的当前评估。这些评分之间的差异被用作结果变量。采用双变量和多变量线性回归分析对数据进行分析。来自47个州的2740名孕妇完成了这项调查。由于COVID-19，25.8%（N = 706）停止了亲自访问，15.2%使用视频访问（N = 415），31.8%（N = 817）使用电话访问进行产前护理。计划在医院分娩的人数从2641人（96.4%）下降到COVID-19后的2400人（87.7%）。超过一半的妇女报告说，食物耗尽（59.2%，N = 1622），失去工作或家庭收入（63.7%，N = 1745）或失去儿童保育（56.3%，N = 1543）的压力增加。超过三分之一的人报告说，家庭成员之间的冲突增加了压力（37.5%，N = 1028），93%（N = 2556）的人报告说，感染COVID-19增加了压力。略少于一半的受访者（无论是自己还是家庭成员）是医护人员（41.4%，N = 1133）或在基本服务部门工作（45.5%，N = 1246）。在多变量分析中，那些报告与COVID-19相关压力源的一致性较高的人在COVID-19前后的妊娠相关焦虑方面的变化更大。COVID-19大流行正在深刻地影响孕妇的心理健康，与怀孕无关的因素似乎正在推动怀孕特有焦虑的变化。
The aim of this study is to explore the impact of the COVID-19 pandemic on pregnant women’s anxiety and identify factors most strongly associated with greater changes in anxiety. An anonymous, online, survey of pregnant women (distributed April 3–24, 2020) included a modified pregnancy-related anxiety scale (PRAS) reflecting respondents’ perception of pregnancy anxiety before COVID-19 and a current assessment of pregnancy-related anxiety. The difference between these scores was used as the outcome variable. Data were analyzed using bivariate and multivariate linear regression analyses. Two thousand seven hundred forty pregnant women from 47 states completed the survey. 25.8% (N = 706) stopped in-person visits, 15.2% used video visits (N = 415), and 31.8% (N = 817) used phone visits for prenatal care as a result of COVID-19. Those planning a hospital birth dropped from 2641 (96.4%) to 2400 (87.7%) following COVID-19. More than half of women reported increased stress about food running out (59.2%, N = 1622), losing a job or household income (63.7%, N = 1745), or loss of childcare (56.3%, N = 1543). More than a third reported increasing stress about conflict between household members (37.5%, N = 1028), and 93% (N = 2556) reported increased stress about getting infected with COVID-19. Slightly less than half of respondents (either selves or family members) were healthcare workers (41.4%, N = 1133) or worked in essential services (45.5%, N = 1246). In multivariate analysis, those reporting higher agreement with COVID-19-related stressors had greater changes in pre- to post-COVID-19 pregnancy-related anxiety. The COVID-19 pandemic is profoundly affecting pregnant women’s mental health, and factors independent of pregnancy appear to be driving changes in pregnancy-specific anxiety.
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作者：
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