Mental health symptom changes in pregnant individuals across the COVID-19 pandemic: a prospective longitudinal study.
Mental health symptom changes in pregnant individuals across the COVID-19 pandemic: a prospective longitudinal study.
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DOI：
10.1186/s12884-022-05144-6
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发表时间：
2022-12-03
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
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初步研究发现，在COVID-19大流行期间，孕妇和产后个体的心理健康症状增加。很少有研究关注这些假定的增加是否会随着时间的推移而持续，以及哪些因素会影响这些变化。我们研究了怀孕和产后个体心理健康症状的纵向变化，并通过母亲情绪失调和冠状病毒的发病率调查了适度性。犹他州大学的孕妇和产后个体被邀请参加COVID-19和围产期经历（科普）研究。从2020年4月23日开始，参与者被发送了一份调查，包括人口统计学，医疗和社会史，怀孕信息和自我评估（时间1）。90天后联系参与者，并邀请他们参加后续问卷调查（时间2）。每日冠状病毒病例数来自犹他州，并计算了7天移动平均值。通过简明症状量表测量，计算受试者内心理健康症状评分的变化。线性混合效应回归模型调整了药物滥用和精神健康障碍的历史。270人在2020年4月23日至2021年7月15日期间做出了回应。心理健康症状评分提高了1.36分（0.7-2.0 p < 0.001）。心理健康症状的减少并不受COVID-19病例的流行率（p = 0.19）的影响，但受情绪调节困难量表简表定义的情绪调节障碍（p = 0.001）的影响。情绪失调程度较高的参与者也有较高的心理健康症状评分。在大流行期间，同一怀孕或产后参与者的心理健康症状有所改善。我们的研究结果并没有否定大流行期间精神卫生保健的重要性。相反，我们认为这表明了弹性和适应性的某些方面。检查情绪失调，或询问心理健康史，可能有助于识别对压力源反应加剧的风险较高的人。
Initial studies found that mental health symptoms increased in pregnant and postpartum individuals during the COVID-19 pandemic. Less research has focused on if these putative increases persist over time and what factors influence these changes. We examined the longitudinal change in mental health symptoms in pregnant and postpartum individuals and investigated moderation by maternal emotion dysregulation and the incidence of coronavirus. Pregnant and postpartum individuals at the University of Utah were invited to join the COVID-19 and Perinatal Experiences (COPE) Study. Beginning on April 23, 2020 participants were sent a survey comprised of demographics, medical and social history, pregnancy information and self-assessments (Time 1). Participants were contacted 90 days later and invited to participate in a follow-up questionnaire (Time 2). Daily coronavirus case counts were accessed from the state of Utah and a 7-day moving average calculated. Within-subject change in mental health symptom scores, as measured by the Brief Symptom Inventory, was calculated. Linear mixed effects regression modeling adjusted for history of substance abuse and mental health disorders. 270 individuals responded between April 23rd, 2020 and July 15th, 2021. Mental health symptom scores improved by 1.36 points (0.7-2.0 p < 0.001). The decrease in mental health symptoms was not moderated by the prevalence of COVID-19 cases (p = 0.19) but was moderated by emotion dysregulation (p = 0.001) as defined by the Difficulties in Emotion Regulation Scale short form. Participants with higher emotion dysregulation also had higher mental health symptom scores. Mental health symptoms improved over the course of the pandemic in the same pregnant or postpartum participant. Our findings do not negate the importance of mental health care during the pandemic. Rather, we believe this identifies some aspect of resiliency and adaptability. Examining emotion dysregulation, or asking about a history of mental health, may be helpful in identifying persons at higher risk of heightened responses to stressors.
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