Mother-infant postnatal experience and its association with maternal emotion and coping during the COVID-19 pandemic.

IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Nuruljannah Mohamad Nasri, Wan Ying Gan, Nurul Husna Mohd Shukri
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Abstract

Introduction: The COVID-19 pandemic resulted in a partial lockdown in Malaysia known as Movement-Controlled-Order (MCO), which has affected primary care management and social life norms. Thus, psychological health is a concern for mothers, particularly during the postpartum period. This study aimed to determine factors associated with maternal emotional experiences and coping during the pandemic.

Methodology: Mothers of infants aged < 18 months (n = 1449) in Malaysia completed an online survey during MCO (July 2020 to February 2021). The survey comprised questions on sociodemographics, pandemic livelihood impact, maternal experiences, and emotions.

Results: More than one-third of mothers expressed feeling worried (54.7%), annoyed (48.1%), and tired (42.2%) to some or a high extent. Mothers who were younger (p = .001), more educated (p = .001), faced difficulty paying rent (p = .002), and whose husbands were unemployed (p < .001) expressed higher negative emotions. In contrast, mothers who received enough support for health (p = .001) and breastfeeding (p = .008), had infants sleep less (p = .042) and had more time to focus on health (p < .001) expressed better emotions. Higher coping was expressed among mothers with a higher household income (p = .004), had more time to focus on their health (p = .010), received additional breastfeeding support (p = 0.039), and practised traditional postpartum care (p < .001). In contrast, difficulty paying for essentials (p = .023) was associated with negative coping.

Conclusion: Maternal emotional experiences were significantly associated with sociodemographic characteristics, livelihood impact, postnatal experiences, and infant behaviours. Postpartum mental health screening is recommended to prevent severe distress, especially in first-time mothers. Coping interventions for mothers at risk may include comprehensive support and maternity care.

COVID-19 大流行期间母婴产后经历及其与母亲情绪和应对措施的关联。
导言:COVID-19 大流行导致马来西亚部分地区封锁,称为 "运动控制命令"(MCO),影响了初级保健管理和社会生活规范。因此,心理健康是母亲们关心的问题,尤其是在产后期间。本研究旨在确定大流行期间与产妇情绪体验和应对措施相关的因素:马来西亚的婴儿母亲(n = 1449 岁)在 MCO 期间(2020 年 7 月至 2021 年 2 月)完成了一项在线调查。调查内容包括社会人口统计学、大流行对生计的影响、母亲的经历和情绪等问题:超过三分之一的母亲在一定程度上或较高程度上表示感到担忧(54.7%)、烦恼(48.1%)和疲惫(42.2%)。年龄较小(p = .001)、受教育程度较高(p = .001)、支付房租有困难(p = .002)、丈夫失业(p = .001)和哺乳(p = .008)的母亲,其婴儿睡得较少(p = .042)、有更多时间关注健康(p p = .004)、有更多时间关注自己的健康(p = .010)、获得额外的母乳喂养支持(p = 0.039)和采用传统的产后护理(p p = .023)与消极应对有关:结论:产妇的情绪体验与社会人口学特征、生计影响、产后体验和婴儿行为有很大关系。建议进行产后心理健康筛查,以预防严重的心理困扰,尤其是初为人母者。针对高危产妇的应对干预措施可包括综合支持和产妇护理。
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来源期刊
Journal of Reproductive and Infant Psychology
Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
6.80
自引率
8.00%
发文量
55
期刊介绍: The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.
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