Effect of the COVID-19 Pandemic on the Mental Status of Pregnant Women: A Single-Center Study.

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Journal of Nippon Medical School Pub Date : 2024-01-01 DOI:10.1272/jnms.JNMS.2024_91-510

Asako Watanabe, Kei Sagawa, Eika Harigane, Hiroki Shinmura, Ryuhei Kurashina, Takashi Matsushima, Shunji Suzuki

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Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic has forced people to make major life changes, and there is concern that depressive tendencies have increased in pregnant women during the pandemic. This study used the Edinburgh Postnatal Depression Scale (EPDS), administered in the second trimester, to investigate the effect of COVID-19 on the mental health of Japanese women during pregnancy and to provide early intervention.

Methods: The study included 1,320 pregnant women (663 pre-COVID-19 and 657 during COVID-19) with similar background characteristics and compared the results for the COVID-19 period (September 2020-August 2021) and control period (September 2018-August 2019). Women treated for psychiatric disorders were excluded. The EPDS cutoff score was 13.

Results: The median EPDS scores were 3 (1-6) points during the control period and 3 (1-5) points during the pandemic (p = 0.166) for the control and pandemic periods. Fourteen patients (2.1%) during the control period and 20 (3.0%) during the pandemic scored ≥13 points; however, the difference was not significant (odds ratio, 1.455; 95% confidence interval: 0.692-3.143).

Conclusions: COVID-19 did not change mid-pregnancy EPDS scores at a single Japanese center.

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COVID-19 大流行对孕妇精神状态的影响：单中心研究

背景：冠状病毒病2019（COVID-19）大流行迫使人们做出重大生活改变，人们担心大流行期间孕妇的抑郁倾向会增加。本研究采用爱丁堡产后抑郁量表（EPDS），在怀孕后三个月进行施测，以调查 COVID-19 对日本妇女怀孕期间心理健康的影响，并提供早期干预：该研究纳入了 1320 名背景特征相似的孕妇（663 名在 COVID-19 前，657 名在 COVID-19 期间），并比较了 COVID-19 期间（2020 年 9 月至 2021 年 8 月）和对照期间（2018 年 9 月至 2019 年 8 月）的结果。因精神疾病接受治疗的女性被排除在外。EPDS 临界得分为 13.Results：在对照期和流行期，EPDS评分的中位数分别为3（1-6）分和3（1-5）分（P = 0.166）。对照组期间有 14 名患者（2.1%）的得分≥13 分，大流行期间有 20 名患者（3.0%）的得分≥13 分，但差异并不显著（几率比，1.455；95% 置信区间：0.692-3.143）：结论：COVID-19并未改变日本一家中心的妊娠中期EPDS评分。

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来源期刊

Journal of Nippon Medical School MEDICINE, GENERAL & INTERNAL-

CiteScore

1.80

自引率

10.00%

发文量

118

期刊介绍： The international effort to understand, treat and control disease involve clinicians and researchers from many medical and biological science disciplines. The Journal of Nippon Medical School (JNMS) is the official journal of the Medical Association of Nippon Medical School and is dedicated to furthering international exchange of medical science experience and opinion. It provides an international forum for researchers in the fields of bascic and clinical medicine to introduce, discuss and exchange thier novel achievements in biomedical science and a platform for the worldwide dissemination and steering of biomedical knowledge for the benefit of human health and welfare. Properly reasoned discussions disciplined by appropriate references to existing bodies of knowledge or aimed at motivating the creation of such knowledge is the aim of the journal.