Psychosocial impacts, preventive behaviours, and concerns associated with the COVID-19 pandemic for pregnant and non-pregnant women: A matched analysis from the International iCARE Study

IF 3.2 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health Pub Date : 2024-03-05 DOI:10.1007/s00737-024-01451-3

Katherine Séguin, Eva Suarthana, Michele L. Okun, Mariam Atoui, Kim L. Lavoie, Catherine M. Herba

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引用次数: 0

Abstract

Background: The COVID-19 pandemic negatively affected physical and psychological health worldwide. Pregnant women were likely more vulnerable to mental health difficulties due to the significant social, psychological, and hormonal changes they experience. During the pandemic, higher rates of antenatal depression and anxiety were observed compared to pre-pandemic rates. Increased mental health symptoms in pregnancy have been associated with adverse outcomes for child development. Understanding pandemic-specific preventive behaviours (i.e., mask use, physical distancing) and concerns may also be linked to maternal psychological well-being.

Purpose: To compare matched pregnant and non-pregnant women (N = 474) to assess COVID-19 psychosocial impacts, preventive behaviours, and concerns.

Methods: This study used a matched analysis of data collected by the International COVID-19 Awareness and Responses Evaluation (iCARE) Study. Participants were matched on several demographic factors and analyses were adjusted for chronic illness and psychiatric disorder.

Results: Linear regression analyses indicated that pregnant women did not significantly differ from matched non-pregnant women for psychosocial impacts (B = 0.11, SE = 0.08, p = 0.178). Those who reported a chronic illness (B=-0.19, SE = 0.09, p = 0.036) or a psychiatric disorder (B=-0.28, SE = 0.09, p = 0.003) were more likely to report more significant psychosocial impacts. Logistic regression analyses indicated that pregnant women were more likely to report staying at home rather than going to work (OR = 2.01, 95% CI 1.31–3.08, p = 0.002) and being concerned about being infected (OR = 1.61, 95% CI 1.05–2.46, p = 0.028).

Conclusions: Our findings in the context of the COVID-19 pandemic highlight the need to consider interventions targeting women, with chronic illnesses or psychiatric disorders, as they are often the most vulnerable.

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与 COVID-19 大流行相关的孕妇和非孕妇的社会心理影响、预防行为和担忧：国际 iCARE 研究的匹配分析。

背景： COVID-19 大流行对全世界的身心健康造成了负面影响。由于孕妇经历了重大的社会、心理和荷尔蒙变化，她们可能更容易出现心理健康问题。在大流行期间，产前抑郁和焦虑的发病率高于大流行前。孕期心理健康症状的增加与儿童发育的不良后果有关。目的：比较配对的孕妇和非孕妇（N = 474），以评估 COVID-19 的社会心理影响、预防行为和担忧：本研究对国际 COVID-19 意识和反应评估（iCARE）研究收集的数据进行了配对分析。对参与者的几个人口统计学因素进行了配对，并根据慢性病和精神障碍进行了分析调整：线性回归分析表明，在社会心理影响方面，孕妇与匹配的非孕妇没有明显差异（B = 0.11，SE = 0.08，P = 0.178）。报告患有慢性疾病（B=-0.19，SE=0.09，p=0.036）或精神障碍（B=-0.28，SE=0.09，p=0.003）的孕妇更有可能报告更严重的社会心理影响。逻辑回归分析表明，孕妇更有可能报告呆在家里而不是去上班（OR = 2.01，95% CI 1.31-3.08，p = 0.002）以及担心被感染（OR = 1.61，95% CI 1.05-2.46，p = 0.028）：在 COVID-19 大流行的背景下，我们的研究结果突出表明，有必要考虑针对患有慢性疾病或精神障碍的妇女采取干预措施，因为她们往往是最易受感染的人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.