Common model of stress, anxiety, and depressive symptoms in pregnant women from seven high-income Western countries at the COVID-19 pandemic onset.

Autor: Lobel M; Department of Psychology, Stony Brook University, Stony Brook, NY, United States; Department of Obstetrics, Gynecology and Reproductive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, United States. Electronic address: marci.lobel@stonybrook.edu., Preis H; Department of Psychology, Stony Brook University, Stony Brook, NY, United States; Department of Obstetrics, Gynecology and Reproductive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, United States., Mahaffey B; Department of Psychiatry and Behavioral Health, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, United States., Schaal NK; Institute of Experimental Psychology, Heinrich-Heine-University, Duesseldorf, Germany., Yirmiya K; Baruch Ivcher School of Psychology, Interdisciplinary Center, Herzlia, Israel., Atzil S; Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel., Reuveni I; Department of Psychiatry, Hadassah Medical Center, Affiliated with the Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel., Balestrieri M; Unit of Psychiatry, Department of Medicine (DAME), University of Udine, Udine, Italy., Penengo C; Unit of Psychiatry, Department of Medicine (DAME), University of Udine, Udine, Italy., Colli C; Unit of Psychiatry, Department of Medicine (DAME), University of Udine, Udine, Italy., Garzitto M; Unit of Psychiatry, Department of Medicine (DAME), University of Udine, Udine, Italy., Driul L; Obstetric-Gynecologic Clinic, Department of Medicine (DAME), University of Udine, Udine, Italy., Ilska M; Institute of Psychology, University of Silesia in Katowice, Katowice, Poland., Brandt-Salmeri A; Institute of Psychology, University of Silesia in Katowice, Katowice, Poland., Kołodziej-Zaleska A; Institute of Psychology, University of Silesia in Katowice, Katowice, Poland., Caparros-Gonzalez RA; Department of Nursing, Faculty of Health Sciences, University of Granada, Spain; Instituto de Investigación Biosanitaria Ibs.GRANADA, Granada, Spain., Castro RA; Department of Clinical Psychology and Psychotherapy, University of Zurich, Zurich, Switzerland., La Marca-Ghaemmaghami P; Psychology Research and Counselling Institute for Sexuality, Marriage, and Family, International Academy for Human Sciences and Culture, Walenstadt, Switzerland., Meyerhoff H; Department of Clinical Psychology and Psychotherapy, University of Zurich, Zurich, Switzerland.
Jazyk: angličtina
Zdroj: Social science & medicine (1982) [Soc Sci Med] 2022 Dec; Vol. 315, pp. 115499. Date of Electronic Publication: 2022 Nov 01.
DOI: 10.1016/j.socscimed.2022.115499
Abstrakt: Objective: Increases in stress, anxiety, and depression among women pregnant during the COVID-19 pandemic have been reported internationally. Yet rigorous comparison of the prevalence of maternal mental health problems across countries is lacking. Moreover, whether stress is a common predictor of maternal mental health during the pandemic across countries is unknown.
Methods: 8148 pregnant women from Germany, Israel, Italy, Poland, Spain, Switzerland, and the United States were enrolled in the International COVID-19 Pregnancy Experiences (I-COPE) Study between April 17 and May 31, 2020. Sociodemographic characteristics, pandemic-related stress, pregnancy-specific stress, anxiety, and depression were assessed with well-validated instruments. The magnitude of stress and mood disturbances was compared across countries. A path model predicting clinically significant levels of anxiety and depression from maternal characteristics and stress was tested for all study participants and then examined separately in each country with >200 participants.
Results: Countries differed significantly in magnitude of pandemic-related pregnancy stress and pandemic-unrelated pregnancy-specific stress, and in prevalence of clinically significant anxiety and depression levels. A well-fitting common path model for the entire sample indicated that mood and anxiety disturbances were strongly predicted by pandemic-related and pregnancy-specific stress after accounting for maternal characteristics. The model was replicated in individual countries.
Conclusions: Although pregnant women in high-income Western countries experienced different levels of stress resulting from the COVID-19 pandemic, stress is a strong, common predictor of anxiety and depressive symptoms in these individuals. The common model can be used to inform research and clinical interventions to protect against adverse consequences of prenatal maternal stress, anxiety, and depression for mothers and infants.
(Copyright © 2022 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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