Katherine Séguin, Eva Suarthana, Michele L. Okun, Mariam Atoui, Kim L. Lavoie, Catherine M. Herba
{"title":"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。","authors":"Katherine Séguin, Eva Suarthana, Michele L. Okun, Mariam Atoui, Kim L. Lavoie, Catherine M. Herba","doi":"10.1007/s00737-024-01451-3","DOIUrl":null,"url":null,"abstract":"<div><p><b>Background</b>: 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.</p><p><b>Purpose</b>: To compare matched pregnant and non-pregnant women (<i>N</i> = 474) to assess COVID-19 psychosocial impacts, preventive behaviours, and concerns.</p><p><b>Methods</b>: This study used a matched analysis of data collected by the <i>International COVID-19 Awareness and Responses Evaluation (iCARE) Study</i>. Participants were matched on several demographic factors and analyses were adjusted for chronic illness and psychiatric disorder.</p><p><b>Results</b>: Linear regression analyses indicated that pregnant women did not significantly differ from matched non-pregnant women for psychosocial impacts (<i>B</i> = 0.11, <i>SE</i> = 0.08, <i>p</i> = 0.178). Those who reported a chronic illness (<i>B</i>=-0.19, <i>SE</i> = 0.09, <i>p</i> = 0.036) or a psychiatric disorder (<i>B</i>=-0.28, <i>SE</i> = 0.09, <i>p</i> = 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, <i>p</i> = 0.002) and being concerned about being infected (OR = 1.61, 95% CI 1.05–2.46, <i>p</i> = 0.028).</p><p><b>Conclusions</b>: 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.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"795 - 805"},"PeriodicalIF":3.2000,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"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\",\"authors\":\"Katherine Séguin, Eva Suarthana, Michele L. Okun, Mariam Atoui, Kim L. Lavoie, Catherine M. Herba\",\"doi\":\"10.1007/s00737-024-01451-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><b>Background</b>: 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.</p><p><b>Purpose</b>: To compare matched pregnant and non-pregnant women (<i>N</i> = 474) to assess COVID-19 psychosocial impacts, preventive behaviours, and concerns.</p><p><b>Methods</b>: This study used a matched analysis of data collected by the <i>International COVID-19 Awareness and Responses Evaluation (iCARE) Study</i>. Participants were matched on several demographic factors and analyses were adjusted for chronic illness and psychiatric disorder.</p><p><b>Results</b>: Linear regression analyses indicated that pregnant women did not significantly differ from matched non-pregnant women for psychosocial impacts (<i>B</i> = 0.11, <i>SE</i> = 0.08, <i>p</i> = 0.178). Those who reported a chronic illness (<i>B</i>=-0.19, <i>SE</i> = 0.09, <i>p</i> = 0.036) or a psychiatric disorder (<i>B</i>=-0.28, <i>SE</i> = 0.09, <i>p</i> = 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, <i>p</i> = 0.002) and being concerned about being infected (OR = 1.61, 95% CI 1.05–2.46, <i>p</i> = 0.028).</p><p><b>Conclusions</b>: 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.</p></div>\",\"PeriodicalId\":8369,\"journal\":{\"name\":\"Archives of Women's Mental Health\",\"volume\":\"27 5\",\"pages\":\"795 - 805\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-03-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Women's Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s00737-024-01451-3\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Women's Mental Health","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00737-024-01451-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
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
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.
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.
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