TY - JOUR
T1 - Social Support and Mental Health in the Postpartum Period in Times of SARS-CoV-2 Pandemic :
T2 - Spanish Multicentre Cohort Study
AU - Brik, Maia
AU - Sandonis, Miguel
AU - Horrillo Murillo, Elena Rocio
AU - Monfort Ortiz, Rogelio
AU - Arteaga Fernandez, Alexandra
AU - de Arriba, Maria
AU - Fernández, Sara
AU - Iglesias Román, Nuria
AU - Parramon-Puig, Gemma
AU - Suy, Anna
AU - Dip, María Emilia
AU - Perales Marin, Alfredo
AU - Maiz, Nerea
AU - Ramos-Quiroga, Josep Antoni
AU - Carreras, Elena
PY - 2022/11/22
Y1 - 2022/11/22
N2 - To explore the depression and anxiety symptoms in the postpartum period during the SARS-CoV-2 pandemic and to identify potential risk factors. Methods: A multicentre observational cohort study including 536 women was performed at three hospitals in Spain. The Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI) Scale, the Medical Outcomes Study Social Support Survey (MOS-SSS), and the Postpartum Bonding Questionnaire (PBQ) were assessed after birth. Depression (EPDS) and anxiety (STAI) symptoms were measured, and the cut-off scores were set at 10 and 13 for EPDS, and at 40 for STAI. Results: Regarding EPDS, 32.3% (95% CI, 28% to 36.5%) of women had a score ≥ 10, and 17.3% (95% CI, 13.9% to 20.7%) had a score ≥ 13. Women with an STAI score ≥ 40 accounted for 46.8% (95% CI, 42.3% to 51.2%). A lower level of social support (MOS-SSS), a fetal malformation diagnosis and a history of depression (p = 0.000, p = 0.019 and p = 0.043) were independent risk factors for postpartum depression. A lower level of social support and a history of mental health disorders (p = 0.000, p = 0.003) were independent risk factors for postpartum anxiety. Conclusion: During the SARS-CoV-2 pandemic, an increase in symptoms of anxiety and depression were observed during the postpartum period.
AB - To explore the depression and anxiety symptoms in the postpartum period during the SARS-CoV-2 pandemic and to identify potential risk factors. Methods: A multicentre observational cohort study including 536 women was performed at three hospitals in Spain. The Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI) Scale, the Medical Outcomes Study Social Support Survey (MOS-SSS), and the Postpartum Bonding Questionnaire (PBQ) were assessed after birth. Depression (EPDS) and anxiety (STAI) symptoms were measured, and the cut-off scores were set at 10 and 13 for EPDS, and at 40 for STAI. Results: Regarding EPDS, 32.3% (95% CI, 28% to 36.5%) of women had a score ≥ 10, and 17.3% (95% CI, 13.9% to 20.7%) had a score ≥ 13. Women with an STAI score ≥ 40 accounted for 46.8% (95% CI, 42.3% to 51.2%). A lower level of social support (MOS-SSS), a fetal malformation diagnosis and a history of depression (p = 0.000, p = 0.019 and p = 0.043) were independent risk factors for postpartum depression. A lower level of social support and a history of mental health disorders (p = 0.000, p = 0.003) were independent risk factors for postpartum anxiety. Conclusion: During the SARS-CoV-2 pandemic, an increase in symptoms of anxiety and depression were observed during the postpartum period.
KW - Female
KW - Humans
KW - SARS-CoV-2
KW - Mental Health
KW - COVID-19/epidemiology
KW - Postpartum Period/psychology
KW - Anxiety/psychology
KW - Social Support
KW - Cohort Studies
KW - anxiety
KW - COVID-19
KW - Depression
KW - pandemic
KW - Pregnancy
KW - Sars-cov-2
U2 - 10.3390/ijerph192315445
DO - 10.3390/ijerph192315445
M3 - Article
C2 - 36497529
SN - 1660-4601
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 23
M1 - 15445
ER -
