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Risk factors for anxiety and depression among pregnant women during COVID-19 pandemic-Results of a web-based multinational cross-sectional study.
Kajdy, Anna; Sys, Dorota; Pokropek, Artur; Shaw, Steven W; Chang, Tung-Yao; Calda, Pavel; Acharya, Ganesh; Ben-Zion, Maya; Biron-Shental, Tal; Borowski, Dariusz; Czuba, Bartosz; Etchegaray, Adolfo; Feduniw, Stepan; Garcia-Mandujano, Rosario; Santacruz, Monica Garcia; Gil, Maria M; Hassan, Sonia; Kwiatkowski, Sebastian; Martin-Arias, Arancha; Martinez-Portilla, Raigam Jafet; Prefumo, Federico; Rabijewski, Michal; Salomon, Laurent J; Tiller, Heidi; Verlohren, Stefan; Voon, Hian Yan; Yanque-Robles, Omar Fernando; Yong, Soon Leong; Poon, Liona C.
  • Kajdy A; Department of Reproductive Health, Center of Postgraduate Medical Education, Warsaw, Poland.
  • Sys D; Department of Reproductive Health, Center of Postgraduate Medical Education, Warsaw, Poland.
  • Pokropek A; Institute of Philosophy and Sociology of the Polish Academy of Sciences, Warsaw, Poland.
  • Shaw SW; Department of Obstetrics, Chang Gung Memorial Hospital, Taipei, Taiwan.
  • Chang TY; Department of Fetal Medicine, Taiji Clinic, Taipei, Taiwan.
  • Calda P; Fetal Medicine Center, First Medical Faculty of the Charles University and General Teaching Hospital, Prague, Czech Republic.
  • Acharya G; Division of Obstetrics and Gynecology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
  • Ben-Zion M; Women's Health and Perinatology Research Group Institute of Clinical Medicine Faculty of Health Sciences UiT-The Arctic University of Norway, Tromsø, Norway.
  • Biron-Shental T; Women's Health and Perinatology Research Group Institute of Clinical Medicine Faculty of Health Sciences UiT-The Arctic University of Norway, Tromsø, Norway.
  • Borowski D; Meir Medical Center, Tel Aviv University, Israel.
  • Czuba B; Women's Health and Perinatology Research Group Institute of Clinical Medicine Faculty of Health Sciences UiT-The Arctic University of Norway, Tromsø, Norway.
  • Etchegaray A; Meir Medical Center, Tel Aviv University, Israel.
  • Feduniw S; Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, The Faculty of Health Sciences, Department of Perinatology, Gynacology and Gynecologic Oncology, Torun, Poland.
  • Garcia-Mandujano R; Chair and Department of Gynecology and Obstetrics, Faculty of Health Sciences in Katowice, Medical University of Silesia, Poland.
  • Santacruz MG; Hospital Universitario Austral, Buenos Aires, Argentina.
  • Gil MM; Department of Reproductive Health, Center of Postgraduate Medical Education, Warsaw, Poland.
  • Hassan S; Fetal Medicine Mexico A.C, Tabasco, Mexico.
  • Kwiatkowski S; Centro Hondureño De Medicina Fetal, Honduras.
  • Martin-Arias A; Hospital Universitario de Torrejón, School of Medicine. Universidad Francisco de Vitoria, Madrid, Spain.
  • Martinez-Portilla RJ; Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan, USA.
  • Prefumo F; Office of Women's Health, Integrative Biosciences Center, Wayne State University, Detroit, Michigan, USA.
  • Rabijewski M; Department of Physiology, Wayne State University School of Medicine, Detroit, Michigan, USA.
  • Salomon LJ; Department of Obstetrics and Gynecology, Pomeranian Medical University, Szczecin, Poland.
  • Tiller H; Hospital Universitario de Torrejón, School of Medicine. Universidad Francisco de Vitoria, Madrid, Spain.
  • Verlohren S; Clinical Research Division, National Institute of Perinatology, Mexico City, Mexico.
  • Voon HY; Department of Clinical and Experimental Sciences, University of Brescia, Italy.
  • Yanque-Robles OF; Department of Reproductive Health, Center of Postgraduate Medical Education, Warsaw, Poland.
  • Yong SL; Médecine et Chirurgie Foetales, Maternité-Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Université de Paris, France.
  • Poon LC; Women's Health and Perinatology Research Group, Institute of Clinical medicine, UiT The Arctic University of Norway, Tromsø, Norway; Department of Obstetrics and Gynecology, University Hospital of North Norway, Tromsø, Norway.
Int J Gynaecol Obstet ; 2022 Aug 05.
Article in English | MEDLINE | ID: covidwho-2241946
ABSTRACT

OBJECTIVE:

To assess risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic using Mind-COVID, a prospective cross-sectional study that compares outcomes in middle-income economies and high-income economies.

METHODS:

A total of 7102 pregnant women from 12 high-income economies and nine middle-income economies were included. The web-based survey used two standardized instruments, General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9).

RESULT:

Pregnant women in high-income economies reported higher PHQ-9 (0.18 standard deviation [SD], P < 0.001) and GAD-7 (0.08 SD, P = 0.005) scores than those living in middle-income economies. Multivariate regression analysis showed that increasing PHQ-9 and GAD-7 scales were associated with mental health problems during pregnancy and the need for psychiatric treatment before pregnancy. PHQ-9 was associated with a feeling of burden related to restrictions in social distancing, and access to leisure activities. GAD-7 scores were associated with a pregnancy-related complication, fear of adverse outcomes in children related to COVID-19, and feeling of burden related to finances.

CONCLUSIONS:

According to this study, the imposed public health measures and hospital restrictions have left pregnant women more vulnerable during these difficult times. Adequate partner and family support during pregnancy and childbirth can be one of the most important protective factors against anxiety and depression, regardless of national economic status.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Etiology study / Observational study / Prognostic study / Randomized controlled trials Language: English Year: 2022 Document Type: Article Affiliation country: Ijgo.14388

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Etiology study / Observational study / Prognostic study / Randomized controlled trials Language: English Year: 2022 Document Type: Article Affiliation country: Ijgo.14388