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Differentiated mental health patterns in pregnancy during COVID-19 first two waves in Sweden: a mixed methods study using digital phenotyping.
Fransson, Emma; Karalexi, Maria; Kimmel, Mary; Bränn, Emma; Kollia, Natasa; Tas, Auke; van Zoest, Vera; Nordling, Eira; Skalkidou, Alkistis; Papadopoulos, Fotios C.
  • Fransson E; Department of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
  • Karalexi M; Department of Microbiology, Tumor and Cell Biology, Centre for Translational Microbiome Research, Karolinska Institutet, 171 77, Stockholm, Sweden.
  • Kimmel M; Department of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
  • Bränn E; Department of Hygiene and Epidemiology, School of Medicine, University of Ioannina, 45110, Ioannina, Greece.
  • Kollia N; Department of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
  • Tas A; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27514, USA.
  • van Zoest V; Department of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
  • Nordling E; Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17676, Athens, Greece.
  • Skalkidou A; Department of Neuroscience, Psychiatry, Uppsala University, 751 85, Uppsala, Sweden.
  • Papadopoulos FC; Department of Information Technology, Uppsala University, 752 37, Uppsala, Sweden.
Sci Rep ; 12(1): 21253, 2022 12 08.
Article in English | MEDLINE | ID: covidwho-2151097
ABSTRACT
To utilize modern tools to assess depressive and anxiety symptoms, wellbeing and life conditions in pregnant women during the first two waves of the COVID-19 pandemic in Sweden. Pregnant women (n = 1577) were recruited through the mobile application Mom2B. Symptoms of depression, anxiety and wellbeing were assessed during January 2020-February 2021. Movement data was collected using the phone's sensor. Data on Google search volumes for "Corona" and Covid-related deaths were obtained. Qualitative analysis of free text responses regarding maternity care was performed. Two peaks were seen for depressive symptoms, corresponding to the two waves. Higher prevalence of anxiety was only noted during the first wave. A moderating effect of the two waves in the association of depression, anxiety, and well-being with Covid deaths was noted; positive associations during the first wave and attenuated or became negative during the second wave. Throughout, women reported on cancelled healthcare appointments and worry about partners not being allowed in hospital. The association of mental health outcomes with relevant covariates may vary during the different phases in a pandemic, possibly due to adaptation strategies on a personal and societal/healthcare level. Digital phenotyping can help healthcare providers and governmental bodies to in real time monitor high-risk groups during crises, and to adjust the support offered.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Maternal Health Services Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Pregnancy Language: English Journal: Sci Rep Year: 2022 Document Type: Article Affiliation country: Sweden

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Maternal Health Services Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Pregnancy Language: English Journal: Sci Rep Year: 2022 Document Type: Article Affiliation country: Sweden