Coping strategies for COVID-19 pandemic-related stress and mental health during pregnancy.
Coping strategies for COVID-19 pandemic-related stress and mental health during pregnancy.
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DOI：
10.1016/j.jad.2022.04.146
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发表时间：
2022-07-15
影响因子：
6.6
通讯作者：
Avalos, Lyndsay A.
中科院分区：
文献类型：
--
作者：
Badon, Sylvia E.;Croen, Lisa A.;Ferrara, Assiamira;Ames, Jennifer L.;Hedderson, Monique M.;Young-Wolff, Kelly C.;Zhu, Yeyi;Avalos, Lyndsay A.
压力增加可能是导致COVID-19大流行期间孕妇抑郁和焦虑患病率较高的原因。本研究的目的是评估COVID-19大流行相关压力的应对策略的流行程度，以及这些应对策略与妊娠期间抑郁和焦虑症状的相关性。8320名在2020年6月22日至2021年5月10日期间怀孕的Kaiser Permanente北方加州成员完成了一项在线调查，包括自COVID-19大流行开始以来的应对策略以及当前抑郁和焦虑症状的问题。我们使用加权回归来估计与应对策略相关的中度/重度抑郁和焦虑症状严重程度的患病率。对于与COVID-19大流行相关的压力，最常见的应对策略是与朋友和家人交谈（77%），户外体育活动（54%）和增加屏幕时间活动（52%）。使用在线程序或视频进行锻炼，户外体育活动，与朋友和家人交谈，以及参与更多的家庭活动与中度/重度抑郁症状严重程度的患病率降低29%至38%以及中度/重度焦虑症状严重程度的患病率降低16%至34%相关。我们不能排除反向时间性作为解释所观察到的结果，因为横断面设计，抑郁或焦虑症状的严重程度可能会影响使用特定的应对策略。我们的研究结果表明，身体活动和与他人联系是应对COVID-19大流行相关压力的策略，这可能与孕妇更好的心理健康有关。
Increased stress has likely contributed to the observed high prevalence of depression and anxiety in pregnant individuals during the COVID-19 pandemic. The objective of this study was to assess the prevalence of coping strategies for COVID-19 pandemic-related stress and associations of these coping strategies with depression and anxiety symptoms during pregnancy. 8320 members of Kaiser Permanente Northern California who were pregnant between June 22, 2020 and May 10, 2021 completed an online survey including questions about coping strategies since the start of the COVID-19 pandemic and current depression and anxiety symptoms. We used weighted regression to estimate prevalence ratios for moderate/severe depression and anxiety symptom severity associated with coping strategies. The most common coping strategies for COVID-19 pandemic-related stress were talking with friends and family (77%), outdoor physical activity (54%), and increasing screen time activities (52%). Exercising using online programs or videos, outdoor physical activity, talking with friends and family, and engaging in more family activities were associated with 29% to 38% lower prevalence of moderate/severe depression symptom severity and 16% to 34% lower prevalence of moderate/severe anxiety symptom severity. We are unable to rule out reverse temporality as an explanation for the observed results because of the cross-sectional design; depression or anxiety symptom severity may influence use of specific coping strategies. Our results suggest that physical activity and connecting with others are coping strategies for COVID-19 pandemic-related stress that may be associated with better mental health in pregnant individuals.
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影响因子：
9.8
作者：
Guardino CM;Schetter CD
通讯作者：
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影响因子：
3.7
作者：
Basu A;Kim HH;Basaldua R;Choi KW;Charron L;Kelsall N;Hernandez-Diaz S;Wyszynski DF;Koenen KC
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DOI：
10.1177/070674371405900806
发表时间：
2014-08
期刊：
Canadian journal of psychiatry. Revue canadienne de psychiatrie
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
Gartstein MA
DOI：
10.1007/s00737-021-01135-2
发表时间：
2021-12
期刊：
Archives of women's mental health
影响因子：
--
作者：
Khoury JE;Atkinson L;Bennett T;Jack SM;Gonzalez A
通讯作者：
Gonzalez A