Social Support and Mental Health in the Postpartum Period in Times of SARS-CoV-2 Pandemic : Spanish Multicentre Cohort Study

Maia Brik, Miguel Sandonis, Elena Rocio Horrillo Murillo, Rogelio Monfort Ortiz, Alexandra Arteaga Fernandez, Maria de Arriba, Sara Fernández, Nuria Iglesias Román, Gemma Parramon-Puig, Anna Suy, María Emilia Dip, Alfredo Perales Marin, Nerea Maiz, Josep Antoni Ramos-Quiroga, Elena Carreras

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Resumen

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.
Idioma originalInglés
Número de artículo15445
Número de páginas10
PublicaciónInternational Journal of Environmental Research and Public Health
Volumen19
N.º23
DOI
EstadoPublicada - 22 nov 2022

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