Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women's Psychological Well-Being.
Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women's Psychological Well-Being.
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DOI：
10.3389/fpsyg.2020.567155
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发表时间：
2020
影响因子：
3.8
通讯作者：
Accordini M
中科院分区：
文献类型：
--
作者：
Molgora S;Accordini M
孩子的出生对女性来说是一次关键的、潜在的压力经历，在个人和人际层面上都带来了几个变化。这一事件可能会导致不同形式的痛苦，强度和持续时间各不相同。许多研究强调，医学、心理和社会变量是潜在影响围产期母体疾病发生或加重的危险因素。目前的大流行紧急情况以及地方政府为防止冠状病毒感染传播而采取的限制性措施可能会对准妈妈和新妈妈产生不利影响，可能会增加出现焦虑、抑郁或创伤后症状的可能性。此外，强制隔离，再加上获得专业或家庭支持的机会有限，可能会增加疲劳感和孤立感。本研究旨在调查女性在怀孕期间和分娩后头几个月的心理健康状况，将一些传统研究变量的评估与当前情况的特殊性结合起来。575名意大利妇女接受了一份在线自我报告问卷，评估焦虑障碍、抑郁和创伤后症状的存在，以及对分娩的期望(对于准妈妈)或分娩的主观体验(对于产后妇女)。调查结果显示，在怀孕期间和产后的一系列心理健康指标上，超过临床分界线的妇女比例高于文献报道的百分比，从而表明，这一时期被认为特别具有挑战性和压力，对妇女的幸福有重大影响。此外，一些与社会人口、医学和流行病相关的变量，特别是在分娩和分娩期间以及产后最初几天缺乏伴侣的陪伴和支持，被发现可以预测女性的心理健康。这些调查结果表明，有必要针对无法从其伴侣或家庭的支助中受益的妇女制定具体干预措施。
The birth of a child is a critical and potentially stressful experience for women, entailing several changes both at the individual and interpersonal level. This event can lead to different forms of distress, ranging in intensity and duration. Many studies highlighted medical, psychological, and social variables as risk factors potentially influencing the onset or aggravation of perinatal maternal conditions. The current pandemic emergency and the restrictive measures adopted by local governments to prevent the spread of the coronavirus infection may negatively affect mothers-to-be and new mothers potentially increasing the likelihood of anxiety, depressive or post-traumatic symptoms to develop. Moreover, the forced quarantine combined with the limited access to professional or family support may increase feelings of fatigue and isolation. The present study aims to investigate women’s psychological well-being during pregnancy and in the first months after childbirth, integrating the evaluation of some traditionally studied variables with the specificities of the current situation. 575 Italian women have been administered an online self-report questionnaire assessing the presence of anxiety disorders, depressive and post-traumatic symptoms as well as the expectations toward childbirth (for mothers-to-be) or the subjective experience of childbirth (for postpartum women). Findings revealed a higher percentage of women than that reported in the literature scored above the clinical cut-off both during pregnancy and postpartum on a series of measures of psychological well-being, thus demonstrating that this period was perceived as particularly challenging and stressful and had significant impact on the women’s well-being. Moreover, some socio-demographic, medical, and pandemic-related variables, especially the lack of presence and support from one’s partner during labor and delivery as well as in the first days postpartum was found to predict women’s mental health. These findings suggest the need for developing specific interventions targeted at women who cannot benefit from the support of their partners or family.
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