Association of Antenatal COVID-19-Related Stress With Postpartum Maternal Mental Health and Negative Affectivity in Infants.
JAMA Netw Open
; 6(3): e232969, 2023 03 01.
Artículo
en Inglés
| MEDLINE | ID: covidwho-2280297
ABSTRACT
Importance Antenatal stress is a significant risk factor for poor postpartum mental health. The association of pandemic-related stress with postpartum outcomes among mothers and infants is, however, less well understood. Objective:
To examine the association of antenatal COVID-19-related stress with postpartum maternal mental health and infant outcomes. Design, Setting, andParticipants:
This cohort study was conducted among 318 participants in the COVID-19 Risks Across the Lifespan study, which took place in Australia, the UK, and the US. Eligible participants reported being pregnant at the first assessment wave between May 5 and September 30, 2020, and completed a follow-up assessment between October 28, 2021, and April 24, 2022. Main Outcomes andMeasures:
COVID-19-related stress was assessed with the Pandemic Anxiety Scale (score range, 0-4, with higher scores indicating greater COVID-19-related stress). The 8-item Patient Health Questionnaire (score range, 0-3, with higher scores indicating more frequent symptoms of depression) was used to measure maternal depression at each time point, and the 7-item General Anxiety Disorder scale (score range, 0-3, with higher scores indicating more frequent symptoms of anxiety) was used to measure generalized anxiety at each time point. At follow-up, postpartum distress was assessed with the 10-item Postpartum Distress Measure (score range, 0-3, with higher scores indicating greater postpartum distress), and infant outcomes (negative and positive affectivity and orienting behavior) were captured with the Infant Behavior Questionnaire (score range, 1-7, with higher scores indicating that the infant exhibited that affect/behavior more frequently).Results:
The study included 318 women (mean [SD] age, 32.0 [4.6] years) from Australia (88 [28%]), the US (94 [30%]), and the UK (136 [43%]). Antenatal COVID-19-related stress was significantly associated with maternal postpartum distress (ß = 0.40 [95% CI, 0.28-0.53]), depression (ß = 0.32 [95% CI, 0.23-0.41]), and generalized anxiety (ß = 0.35 [95% CI, 0.26-0.44]), as well as infant negative affectivity (ß = 0.45 [95% CI, 0.14-0.76]). The findings remained consistent across a range of sensitivity analyses. Conclusions and Relevance The findings of this cohort study suggest that targeting pandemic-related stressors in the antenatal period may improve maternal and infant outcomes. Pregnant individuals should be classified as a vulnerable group during pandemics and should be considered a public health priority, not only in terms of physical health but also mental health.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
COVID-19
Tipo de estudio:
Estudio de cohorte
/
Estudio experimental
/
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Femenino
/
Humanos
/
Lactante
/
Embarazo
Idioma:
Inglés
Revista:
JAMA Netw Open
Año:
2023
Tipo del documento:
Artículo
País de afiliación:
Jamanetworkopen.2023.2969
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