The Impact of the COVID-19 Pandemic on Perinatal Depression and Anxiety: A Large Cross-sectional Study in Spain.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
E. Motrico, Sara Domínguez-Salas, Carmen Rodríguez-Domínguez, Irene Gómez-Gómez, María F. Rodríguez-Muñoz, D. Gómez-Baya
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引用次数: 14

Abstract

BACKGROUND The current COVID-19 pandemic is a unique stressor with potentially negative consequences for pregnant and postpartum women. We investigated the impact of the COVID-19 pandemic on perinatal depression and anxiety in Spain. METHOD This cross-sectional study was conducted from June to December 2020. A total of 3,356 adult pregnant and postpartum women (with infants up to 6 months of age) from all Spanish regions were surveyed. The assessment included measures of Coronavirus Perinatal Experiences (COPE-IS questionnaire) and Generalized Anxiety Disorder Screener (GAD-7=10) and Edinburgh Postnatal Depression Scale (EPDS=10). RESULTS The prevalence of perinatal anxiety and depression (above established cut-offs) was 33.3% and 47.2%, respectively; 29.2% of women screened positive for both conditions. Higher rates of perinatal depression and anxiety were associated with increased concern about threats of COVID-19, especially employment and the financial impact, along with increased overall levels of distress. Exposure to COVID-19 and its symptoms did not appear to be a relevant risk factor. More COVID-19-related predictors and a higher rate of depression were found in postpartum women. CONCLUSIONS The current study highlights the substantial increase in symptoms of perinatal depression and anxiety, especially in postpartum women. Interventions for perinatal mental health should be a priority.
新冠肺炎大流行对围产期抑郁和焦虑的影响:西班牙的一项大型跨部门研究。
背景当前的新冠肺炎大流行是一种独特的压力源,对孕妇和产后妇女有潜在的负面影响。我们调查了新冠肺炎大流行对西班牙围产期抑郁症和焦虑症的影响。方法这项横断面研究于2020年6月至12月进行。共对来自西班牙所有地区的3356名成年孕妇和产后妇女(婴儿年龄不超过6个月)进行了调查。评估包括冠状病毒围产期经历(COPE-IS问卷)、广泛性焦虑症筛查(GAD-7=10)和爱丁堡产后抑郁量表(EPDS=10)。结果围产期焦虑和抑郁的发生率(以上确定的临界值)分别为33.3%和47.2%;29.2%的女性在这两种情况下都呈阳性。围产期抑郁和焦虑的发生率较高,与对新冠肺炎威胁的担忧增加有关,尤其是就业和经济影响,以及总体痛苦程度的增加。接触新冠肺炎及其症状似乎不是相关的风险因素。在产后女性中发现了更多与新冠肺炎相关的预测因素和更高的抑郁症发病率。结论目前的研究强调围产期抑郁和焦虑症状显著增加,尤其是产后妇女。对围产期心理健康的干预应该是一个优先事项。
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来源期刊
Psicothema
Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
6.50
自引率
16.70%
发文量
69
审稿时长
24 weeks
期刊介绍: La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.
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