Pregnant women’s experiences during the COVID-19 pandemic: A mixed method exploration of prenatal depression.

IF 1.9 Q2 FAMILY STUDIES Couple and Family Psychology-Research and Practice Pub Date : 2021-06-17 DOI:10.1037/cfp0000178

Amy M. Claridge, Tishra Beeson, Amie Wojtyna, Jill C. Hoxmeier

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引用次数: 5

Abstract

Risk factors associated with prenatal depression have been studied extensively, but it is unclear whether typical risks are relevant during the COVID-19 pandemic. This mixed-method study involved surveys and interviews with women in their third trimester of pregnancy to understand prevalence and correlates of prenatal depression during a pandemic event. Survey participants included 378 pregnant women in the United States with due dates between April and December 2020 who self-reported depressive symptoms using the 10-item Edinburgh Postnatal Depression Scale (EPDS). Participants were predominately white, married, and highly educated. A subset of 21 women participated in qualitative interviews. In total, 56.3% of women reported depressive symptoms consistent with clinical levels of prenatal depression. Correlates of depressive symptoms included younger age, unmarried status, lack of access to paid parental leave, feeling unsafe in current romantic relationship, fear and worry about upcoming childbirth, and change in birth plans due to the COVID-19 pandemic. In-depth interviews with participants revealed key themes around pregnant women’s experiences with fear and anxiety, mixed emotions, and grief and loss. These findings underscore the pervasive impact of the COVID-19 pandemic on women during the perinatal period, with specific implications for the care of women with prenatal depression and their families. The heightened potential for prenatal depression in the context of the COVID-19 pandemic is concerning given the potential adverse effects of maternal depression. Practitioners must work together to engage in additional assessment of risks of prenatal depression to ensure support for expecting families is readily accessible. (PsycInfo Database Record (c) 2021 APA, all rights reserved) © 2021 American Psychological Association

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新冠肺炎大流行期间孕妇的经历:产前抑郁的混合方法探索

与产前抑郁相关的风险因素已被广泛研究，但目前尚不清楚在COVID-19大流行期间典型风险是否相关。这项混合方法研究包括对怀孕晚期的妇女进行调查和访谈，以了解大流行期间产前抑郁的患病率及其相关性。调查参与者包括378名预产期在2020年4月至12月之间的美国孕妇，她们使用10项爱丁堡产后抑郁量表(EPDS)自我报告抑郁症状。参与者主要是白人，已婚，受过高等教育。有21名妇女参加了定性访谈。总体而言，56.3%的妇女报告的抑郁症状与产前抑郁的临床水平一致。与抑郁症状相关的因素包括年龄较小、未婚、无法获得带薪育儿假、对目前的恋爱关系感到不安全、对即将分娩的恐惧和担忧，以及因COVID-19大流行而改变生育计划。对参与者的深入访谈揭示了孕妇恐惧和焦虑、复杂情绪、悲伤和失落等经历的关键主题。这些发现强调了COVID-19大流行对围产期妇女的普遍影响，对产前抑郁症妇女及其家人的护理具有特殊意义。鉴于产妇抑郁症的潜在不利影响，在COVID-19大流行的背景下，产前抑郁症的可能性增加令人担忧。从业人员必须共同努力，参与产前抑郁风险的额外评估，以确保对预期家庭的支持是容易获得的。(PsycInfo数据库记录(c) 2021 APA，保留所有权利)©2021美国心理协会

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来源期刊

Couple and Family Psychology-Research and Practice FAMILY STUDIES-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Couple and Family Psychology: Research and Practice ® (CFP) is a scholarly journal publishing peer-reviewed papers representing the science and practice of family psychology. CFP is the official publication of APA Division 43 (Society for Couple and Family Psychology) and is intended to be a forum for scholarly dialogue regarding the most important emerging issues in the field, a primary outlet for research particularly as it impacts practice and for papers regarding education, public policy, and the identity of the profession of family psychology. As the official journal for the Society, CFP will provide a home for the members of the division and those in other fields interested in the most cutting edge issues in family psychology. Unlike other journals in the field, CFP is focused specifically on family psychology as a specialty practice, unique scientific domain, and critical element of psychological knowledge. CFP will seek and publish scholarly manuscripts that make a contribution to the knowledge base of family psychology specifically, and the science and practice of working with individuals, couples and families from a family systems perspective in general.