COVID-19 Posttraumatic Effects on Perinatal Psychological Distress: A Cross-Sectional Study at the End of the Pandemic Health Emergency

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2024-08-07 DOI:10.1002/cpp.3037

Alessia Caffieri, Rosa Fabbricatore, Giorgia Margherita

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Abstract

Introduction

Psychological distress in pregnant and postpartum women increased during the COVID-19 pandemic. However, the impact of the pandemic in perinatal women at the end of the health emergency has been rarely studied. This study is aimed at investigating the psychological health of pregnant and postpartum women at the end of the COVID-19 public health emergency, hypothesizing that the COVID-19-related fears influence perinatal psychological distress via the mediation of the COVID-19-related posttraumatic impact and loneliness.

Methods

A total of 200 women in the perinatal period, of which 125 were pregnant and 75 were postpartum, participated in an online survey at the end of the COVID-19 public health emergency in Italy. Depression, anxiety, stress, loneliness, posttraumatic impact of COVID-19 pandemic and COVID-19-related fears were assessed. To test the hypotheses, robust serial mediation analyses were performed.

Results

Increased levels of COVID-19-related fears were associated with an increase in perinatal depression, anxiety and stress indirectly through the serial mediation of COVID-19 posttraumatic impact and loneliness. Loneliness played a stronger role in mediating the relationship between COVID-19-related fears and depression than anxiety and stress outcomes.

Conclusions

This study should be considered exploratory for its methodological characteristics and nonreplicability of the pandemic condition. However, this study suggests the importance of assessing posttraumatic reactions to ‘collective’ crises in pregnant and postpartum women for research and clinical practice. In addition, it sustains the role of loneliness as a transversal construct that should be greatly considered in targeting psychological interventions for women in the perinatal period.

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COVID-19 围产期心理压力的创伤后影响：大流行病紧急状况结束时的横断面研究。

导言：在 COVID-19 大流行期间，孕妇和产后妇女的心理困扰有所增加。然而，在卫生紧急状态结束时，疫情对围产期妇女的影响却鲜有研究。本研究旨在调查 COVID-19 公共卫生突发事件结束时孕妇和产后妇女的心理健康状况，假设 COVID-19 相关恐惧通过 COVID-19 相关创伤后影响和孤独感的中介作用影响围产期心理困扰：在意大利 COVID-19 公共卫生紧急事件结束时，共有 200 名围产期妇女（其中 125 人为孕妇，75 人为产后妇女）参与了在线调查。调查内容包括抑郁、焦虑、压力、孤独感、COVID-19 大流行的创伤后影响以及与 COVID-19 相关的恐惧。为了验证假设，我们进行了稳健的序列中介分析：结果：COVID-19 相关恐惧水平的增加与围产期抑郁、焦虑和压力的增加间接相关，这要通过 COVID-19 创伤后影响和孤独感的序列中介作用来实现。与焦虑和压力结果相比，孤独感在COVID-19相关恐惧与抑郁之间的中介作用更强：由于本研究的方法特点和大流行条件的不可复制性，本研究应被视为探索性研究。然而，这项研究表明，评估孕妇和产后妇女对 "集体 "危机的创伤后反应对于研究和临床实践非常重要。此外，该研究还证实了孤独感作为一种横向结构的作用，在对围产期妇女进行有针对性的心理干预时应予以高度重视。

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

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.