Risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic: Results of a web-based multinational cross-sectional study.

Autor: Kajdy A; Department of Reproductive Health, Center of Postgraduate Medical Education, Warsaw, Poland., Sys D; Department of Reproductive Health, Center of Postgraduate Medical Education, Warsaw, Poland., Pokropek A; Institute of Philosophy and Sociology of the Polish Academy of Sciences, Warsaw, Poland., Shaw SW; Department of Obstetrics, Chang Gung Memorial Hospital, Taipei, Taiwan., Chang TY; Department of Fetal Medicine, Taiji Clinic, Taipei, Taiwan., Calda P; Fetal Medicine Center, First Medical Faculty of the Charles University and General Teaching Hospital, Prague, Czech Republic., Acharya G; Division of Obstetrics and Gynecology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.; Women's Health and Perinatology Research Group Institute of Clinical Medicine Faculty of Health Sciences UiT-The Arctic University of Norway, Tromsø, Norway., Ben-Zion M; Women's Health and Perinatology Research Group Institute of Clinical Medicine Faculty of Health Sciences UiT-The Arctic University of Norway, Tromsø, Norway.; Meir Medical Center, Tel Aviv University, Israel., Biron-Shental T; Women's Health and Perinatology Research Group Institute of Clinical Medicine Faculty of Health Sciences UiT-The Arctic University of Norway, Tromsø, Norway.; Meir Medical Center, Tel Aviv University, Israel., Borowski D; Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, The Faculty of Health Sciences, Department of Perinatology, Gynacology and Gynecologic Oncology, Toruń, Poland., Czuba B; Chair and Department of Gynecology and Obstetrics, Faculty of Health Sciences in Katowice, Medical University of Silesia, Poland., Etchegaray A; Hospital Universitario Austral, Buenos Aires, Argentina., Feduniw S; Department of Reproductive Health, Center of Postgraduate Medical Education, Warsaw, Poland., Garcia-Mandujano R; Fetal Medicine Mexico A.C, Tabasco, Mexico., Santacruz MG; Centro Hondureño De Medicina Fetal, Honduras., Gil MM; Hospital Universitario de Torrejón, School of Medicine. Universidad Francisco de Vitoria, Madrid, Spain., Hassan S; Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan, USA.; Office of Women's Health, Integrative Biosciences Center, Wayne State University, Detroit, Michigan, USA.; Department of Physiology, Wayne State University School of Medicine, Detroit, Michigan, USA., Kwiatkowski S; Department of Obstetrics and Gynecology, Pomeranian Medical University, Szczecin, Poland., Martin-Arias A; Hospital Universitario de Torrejón, School of Medicine. Universidad Francisco de Vitoria, Madrid, Spain., Martinez-Portilla RJ; Clinical Research Division, National Institute of Perinatology, Mexico City, Mexico., Prefumo F; Department of Clinical and Experimental Sciences, University of Brescia, Italy., Rabijewski M; Department of Reproductive Health, Center of Postgraduate Medical Education, Warsaw, Poland., Salomon LJ; Médecine et Chirurgie Foetales, Maternité-Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Université de Paris, France., Tiller H; Women's Health and Perinatology Research Group, Institute of Clinical medicine, UiT The Arctic University of Norway, Tromsø, Norway; Department of Obstetrics and Gynecology, University Hospital of North Norway, Tromsø, Norway., Verlohren S; Department of Obstetrics, Medical School - Charité - University Medicine Berlin, Germany., Voon HY; Maternal Fetal Medicine Specialist, Sarawak General Hospital, Kuching, Malaysia., Yanque-Robles OF; Research Unit, Department of Obstetrics and Gynecology Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru., Yong SL; Department of Obstetrics & Gynaecology, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia., Poon LC; Department of Obstetrics and Gynaecology Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2023 Jan; Vol. 160 (1), pp. 167-186. Date of Electronic Publication: 2022 Aug 20.
DOI: 10.1002/ijgo.14388
Abstrakt: Objective: To assess risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic using Mind-COVID, a prospective cross-sectional study that compares outcomes in middle-income economies and high-income economies.
Methods: A total of 7102 pregnant women from 12 high-income economies and nine middle-income economies were included. The web-based survey used two standardized instruments, General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9).
Result: Pregnant women in high-income economies reported higher PHQ-9 (0.18 standard deviation [SD], P < 0.001) and GAD-7 (0.08 SD, P = 0.005) scores than those living in middle-income economies. Multivariate regression analysis showed that increasing PHQ-9 and GAD-7 scales were associated with mental health problems during pregnancy and the need for psychiatric treatment before pregnancy. PHQ-9 was associated with a feeling of burden related to restrictions in social distancing, and access to leisure activities. GAD-7 scores were associated with a pregnancy-related complication, fear of adverse outcomes in children related to COVID-19, and feeling of burden related to finances.
Conclusions: According to this study, the imposed public health measures and hospital restrictions have left pregnant women more vulnerable during these difficult times. Adequate partner and family support during pregnancy and childbirth can be one of the most important protective factors against anxiety and depression, regardless of national economic status.
(© 2022 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
Externí odkaz: