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Depression, anxiety, and stress symptoms in pregnant women before and during the COVID-19 pandemic.
Mei, Hong; Li, Na; Li, Junwei; Zhang, Dan; Cao, Zhongqiang; Zhou, Yongjie; Cao, Jiangxia; Zhou, Ai'fen.
  • Mei H; Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, 100 Hongkong Road, Jiang'an District, Wuhan 430016, China.
  • Li N; Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, 100 Hongkong Road, Jiang'an District, Wuhan 430016, China.
  • Li J; Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, 100 Hongkong Road, Jiang'an District, Wuhan 430016, China.
  • Zhang D; Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, 100 Hongkong Road, Jiang'an District, Wuhan 430016, China.
  • Cao Z; Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, 100 Hongkong Road, Jiang'an District, Wuhan 430016, China.
  • Zhou Y; Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, 70 Youyi Road, Qiaokou District, Wuhan 430000, China; Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan 430074, China.
  • Cao J; Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, 100 Hongkong Road, Jiang'an District, Wuhan 430016, China. Electronic address: whcaojiangxia@163.com.
  • Zhou A; Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, 100 Hongkong Road, Jiang'an District, Wuhan 430016, China. Electronic address: april1972@163.com.
J Psychosom Res ; 149: 110586, 2021 10.
Article in English | MEDLINE | ID: covidwho-1331005
ABSTRACT

OBJECTIVE:

This study evaluates depression, anxiety, and stress symptoms in pregnant women before and during COVID-19 pandemic and analyzes their risk factors.

METHODS:

This was a cross-sectional analyses included pregnant women with depression, anxiety, and stress levels evaluated both in the Novel Coronavirus-Pregnancy Cohort study (NCP) and the Healthy Baby Cohort study (HBC). NCP was conducted during COVID-19 pandemic, while HBC was performed before the pandemic. Multiple logistic regressions were employed to evaluate the associations between COVID-19 pandemic and other co-variables and maternal mental health.

RESULTS:

NCP and HBC studies respectively included 531 and 2352 participants. Depression rates differed significantly between the two studies (p < 0.05). The mild and moderate-to-severe depression rates in NCP study were 25.8% and 10.36%, respectively, and 19.94% and 0.55% in HBC study. The stress rate of participants was higher in HBC study (69.39%) than in NCP study (60.45%) (p < 0.05). COVID-19 pandemic was correlated with higher depression but lower stress risks (p < 0.05) in pregnant women, with OR and 95% CI as 1.68 (1.16, 2.44) and 0.42 (0.29, 0.61), respectively. Pregnant women with pre-pregnancy obesity and high educational levels might have lower risks for depression, anxiety, and stress than those with normal weight and low educational levels.

CONCLUSIONS:

Depression among pregnant women was impacted by the pandemic. Apart from COVID-19 pandemic impact, pre-pregnant weight status and educational level might also influence depression, anxiety and stress statuses in pregnant women.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Stress, Psychological / Pregnant Women / Depression / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Pregnancy Language: English Journal: J Psychosom Res Year: 2021 Document Type: Article Affiliation country: J.jpsychores.2021.110586

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Stress, Psychological / Pregnant Women / Depression / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Pregnancy Language: English Journal: J Psychosom Res Year: 2021 Document Type: Article Affiliation country: J.jpsychores.2021.110586