Increased risks of Maternal Mental Health Conditions Following the COVID-19 Pandemic.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Women's health reports (New Rochelle, N.Y.) Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.1089/whr.2024.0070
Anita Zhou, Allison Zetterman, Megan Ott, Colman Freel, Kayla Adams, Andrea Rodriguez-Dasta, Rebekah Rapoza, Rebecca Drakowski, Sarah Sweeney, Alyssa Freeman, Matthew VanOrmer, Melissa Thoene, Elizabeth Lyden, Charmayne R Adams, Gurudutt Pendyala, Corrine Hanson, Ashley J Blount, Ann Anderson-Berry
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Abstract

Background: Women are at an increased risk of developing psychiatric conditions such as anxiety and depression during pregnancy. Psychiatric conditions during pregnancy can put mothers and fetuses at risk of worse physical and mental health before, during, and after the completion of a pregnancy. Previous research indicates that women pregnant during COVID-19 were at a greater risk of developing mental health conditions and being exposed to stressors. While most of the research in the field focuses solely on maternal mental health or interactions between stressors and maternal mental health, little research has been done comparing maternal mental health, demographic variables, and socioeconomic variables across pre-, during-, and post-COVID-19 time periods.

Methods: We conducted an observational cohort study of 703 mothers divided into pre-, during-, and post-COVID-19 groups based on time of enrollment.

Results: Rates of maternal anxiety (p < 0.001), medication use for anxiety (p < 0.001), depression (p < 0.001), medication use for depression (p < 0.001), history of postpartum depression (p < 0.001), and medication use for other psychiatric conditions (p < 0.001) significantly increased during COVID-19 and remained at elevated levels post-COVID-19 compared with pre-COVID-19. Income >150% of the poverty level (p = 0.003), food security level (p = 0.010), marital status (p = 0.001), and private insurance type (p < 0.001) were significantly increased during COVID-19 compared with pre-COVID-19 levels.

Conclusions: Future work should focus on stratifying the effects of the COVID-19 pandemic on maternal mental health by race and ethnicity and establishing guidelines to support maternal mental health during epidemics and pandemics.

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COVID-19 大流行后产妇精神健康状况的风险增加。
背景:妇女在怀孕期间患焦虑症和抑郁症等精神疾病的风险会增加。妊娠期间的精神状况会使母亲和胎儿在妊娠前、妊娠期间和妊娠结束后面临身心健康恶化的风险。以往的研究表明,在 COVID-19 期间怀孕的妇女患精神疾病和面临压力的风险更大。虽然该领域的大多数研究仅关注孕产妇心理健康或压力因素与孕产妇心理健康之间的相互作用,但很少有研究对 COVID-19 前后和期间的孕产妇心理健康、人口统计学变量和社会经济变量进行比较:我们对 703 名母亲进行了一项观察性队列研究,根据入学时间将她们分为 "COVID-19 "前、"COVID-19 "期间和 "COVID-19 "后三组:结果:在 COVID-19 期间,产妇焦虑率(p < 0.001)、焦虑用药率(p < 0.001)、抑郁率(p < 0.001)、抑郁用药率(p < 0.001)、产后抑郁史(p < 0.001)和其他精神疾病用药率(p < 0.001)显著上升,与 COVID-19 前相比,COVID-19 后仍处于较高水平。与 COVID-19 前的水平相比,COVID-19 期间贫困线 150% 以上的收入(p = 0.003)、食品安全水平(p = 0.010)、婚姻状况(p = 0.001)和私人保险类型(p < 0.001)均明显增加:结论:未来的工作重点应是按种族和民族对 COVID-19 大流行对孕产妇心理健康的影响进行分层,并制定在流行病和大流行期间支持孕产妇心理健康的指南。
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来源期刊
CiteScore
1.30
自引率
0.00%
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审稿时长
18 weeks
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