Social Support and Mental Health in the Postpartum Period in Times of SARS-CoV-2 Pandemic: Spanish Multicentre Cohort Study.

Autor:	Brik M; Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain., Sandonis M; Department of Mental Health, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.; Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain., Horrillo Murillo ER; Obstetrics Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain., Monfort Ortiz R; Obstetrics Department, Hospital Universitario La Fe, 46026 Valencia, Spain., Arteaga Fernandez A; Obstetrics Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain., de Arriba M; Obstetrics Department, Hospital Universitario La Fe, 46026 Valencia, Spain., Fernández S; Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain., Iglesias Román N; Obstetrics Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain., Parramon-Puig G; Department of Mental Health, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain., Suy A; Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain., Dip ME; Department of Mental Health, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain., Perales Marin A; Obstetrics Department, Hospital Universitario La Fe, 46026 Valencia, Spain., Maiz N; Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain., Ramos-Quiroga JA; Department of Mental Health, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.; Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.; Group of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institute (VHIR), 08035 Barcelona, Spain.; Biomedical Network Research Centre on Mental Health (CIBERSAM), 08035 Barcelona, Spain., Carreras E; Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Nov 22; Vol. 19 (23). Date of Electronic Publication: 2022 Nov 22.
DOI:	10.3390/ijerph192315445
Abstrakt:	Background: To explore the depression and anxiety symptoms in the postpartum period during the SARS-CoV-2 pandemic and to identify potential risk factors. Methods: A multicentre observational cohort study including 536 women was performed at three hospitals in Spain. The Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI) Scale, the Medical Outcomes Study Social Support Survey (MOS-SSS), and the Postpartum Bonding Questionnaire (PBQ) were assessed after birth. Depression (EPDS) and anxiety (STAI) symptoms were measured, and the cut-off scores were set at 10 and 13 for EPDS, and at 40 for STAI. Results: Regarding EPDS, 32.3% (95% CI, 28% to 36.5%) of women had a score ≥ 10, and 17.3% (95% CI, 13.9% to 20.7%) had a score ≥ 13. Women with an STAI score ≥ 40 accounted for 46.8% (95% CI, 42.3% to 51.2%). A lower level of social support (MOS-SSS), a fetal malformation diagnosis and a history of depression ( p = 0.000, p = 0.019 and p = 0.043) were independent risk factors for postpartum depression. A lower level of social support and a history of mental health disorders ( p = 0.000, p = 0.003) were independent risk factors for postpartum anxiety. Conclusion: During the SARS-CoV-2 pandemic, an increase in symptoms of anxiety and depression were observed during the postpartum period.
Databáze:	MEDLINE
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