COVID-19 大流行后拉美裔/西班牙裔妇女的产妇心理健康。

Puerto Rico health sciences journal Pub Date : 2024-09-01
Polaris Gonzalez-Barrios, Annelisse Torres, Isel Figueroa, Veronique Rosado-Abreu, Maria J Rivera-Criado, Jahleel Torres-Pérez, Sohye Kim, Claudia Lugo-Candelas, Carmen J Buxó, Karen G Martínez-González
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摘要

最近发生的 COVID-19 全球紧急事件可能会对全世界许多人的心理健康产生连锁反应。对于分娩和产后妇女等人群来说尤其如此,因为她们的日常生活、就医、工作和社交都发生了许多变化。本简要报告介绍了一项正在进行的队列研究的数据,该研究旨在描述波多黎各大流行 T12 期间(2020 年 3 月至 2021 年 4 月)和大流行后 T2 期间(2022 年 5 月至 2023 年 5 月)的产妇心理健康情况。对 100 名母亲中的 47 名进行了回忆,并通过社会心理访谈(COPE-IUS)和焦虑(GAD-7)和抑郁(PHQ-9)评估进行了评估。配对 t 检验显示,T2 的抑郁(PHQ-9)平均分显著高于 T1,T2 的平均分为 6.35,范围为 4.4+/-,而 T1 的平均分为 5.15 (+/- 2.9),t=-1.954,df=45,p <.05。同样,T2 焦虑评分(GAD-7)为 6.67 (4.2) 明显高于 T1 的 5.35 (3.7),t=-1.8,df=45,p < .05。此外,COPE-IUS 大流行后的社会心理访谈结果表明,80% 的母亲认为 COVID-19 大流行在 T2 阶段并不是一个重大的压力源,并且能够维持日常活动,没有采取任何疏远社会的措施。然而,孤独、悲伤、担忧和恐惧的报告仍然存在。我们的研究结果表明,有必要进一步确定导致波多黎各围产期/产后期间(怀孕、分娩和产后)产妇心理健康状况恶化的其他因素。波多黎各岛反复出现的逆境(多重环境压力、创伤经历和持续的困难)可能会对围产期/产后期间的产妇心理健康产生累积影响。
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Maternal Mental Health in Latinx/Hispanic Women after COVID-19 Pandemic.

The recent COVID-19 global emergency may have ripple effects on mental health of many people worldwide. This is especially true for populations like birthing and postpartum women where many changes to daily routines, access to medical care, work-related routines and socialization were experienced. This brief report presents data from an ongoing cohort study aiming to describe maternal mental health during the pandemic T12 (March 2020 to April 2021) with post-pandemic T2 (May 2022 to May 2023) of mothers followed in Puerto Rico. 47 out of 100 mothers have been recalled and assessed with psychosocial interviews (COPE-IUS) and assessments of anxiety (GAD-7) and depression (PHQ-9). Paired t-test revealed mean scores of depressions (PHQ-9) were significantly higher for T2 with a mean of 6.35 and a range of 4.4+/- than for T1 where mean was 5.15 (+/- 2.9), t=-1.954, df=45, p < .05. Similarly, anxiety scores (GAD-7) were significantly higher in T2 6.67 (4.2) than for T1 5.35 (3.7), t=-1.8, df=45, p < .05. Also, COPE-IUS Post-pandemic psychosocial interview results evidence that 80% of mothers do not feel the COVID-19 pandemic is a significant stressor at T2 and are able to maintain routine activities with no social distancing measures. However, reports of loneliness, sadness, worry, and fear continue to be present. Our findings point to the need to further identify other contributing factors to the deterioration of maternal mental health during the perinatal/peripartum period (pregnancy, birth, and postpartum) in Puerto Rico. Possibly the effects of repeated adversity that has been present in the island (multiple environmental stressors, history of traumatic experiences, and constant hardships) may all have cumulative impact over maternal mental health during the perinatal/peripartum period.

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