Yue Chongyu, Liu Cuiping, Wang Jing, Zhang Meng, Wu Hongjing, Li Chunrong, Yang Xiuling
Department of Obstetrics, Affiliated Hospital of Qingdao University, Qingdao, China.
School of Nursing, Qingdao University, Qingdao, China.
Int J Soc Psychiatry. 2021 Mar;67(2):120-127. doi: 10.1177/0020764020941567. Epub 2020 Jul 9.
Coronavirus disease 2019 (COVID-19) is a public health emergency of international concern and poses a threat to the mental health of pregnant women.
The purpose of this study was to investigate the relationship between social support and anxiety, and the mediating effect of risk perception during the COVID-19 epidemic in the third trimester pregnant women in Qingdao, China.
From 16 to 21 February 2020, an online survey was conducted, which collected the information on demographic data, anxiety, social support and risk perception to COVID-19 of women with established medical records in the ambulatory of the Department of Obstetrics at the Affiliated Hospital of Qingdao University. Anxiety was assessed by the Self-Rating Anxiety Scale (SAS), social support was assessed by the Social Support Rating Scale (SSRS) and risk perception was assessed by a self-designed questionnaire.
This study had 308 participants with an average of 31.02 ± 3.91 years. During the period of prevention and control of the epidemic, most pregnant women adopted protective measures, such as wearing masks (97.4%), washing hands frequently (88.3%) and staying at home (76.3%). The average SAS, SSRS and risk perception scores of the participants were 42.45 ± 6.98, 44.60 ± 7.00 and 21.60 ± 5.74, respectively. The total effect of maternal social support on anxiety was -2.63 (95% confidence interval (CI): -4.40 ~ -1.44, < .001), the direct effect was -1.44 (95% CI: -2.74 ~ -0.35, < .05) and the indirect effect was -1.19 (95% CI: -2.49 ~ -0.51, < .001).
The third trimester pregnant women had a high level of social support, a medium level of risk perception to COVID-19 and were susceptible to anxiety. Risk perception played a mediating role between social support and anxiety.
2019冠状病毒病（COVID-19）是一项国际关注的突发公共卫生事件，对孕妇的心理健康构成威胁。
本研究旨在探讨中国青岛孕晚期孕妇在COVID-19疫情期间社会支持与焦虑之间的关系，以及风险感知的中介作用。
2020年2月16日至21日进行了一项在线调查，收集了青岛大学附属医院产科门诊有病历记录的女性的人口统计学数据、焦虑、社会支持和对COVID-19的风险感知信息。焦虑采用自评焦虑量表（SAS）评估，社会支持采用社会支持评定量表（SSRS）评估，风险感知采用自行设计的问卷评估。
本研究有308名参与者，平均年龄为31.02±3.91岁。在疫情防控期间，大多数孕妇采取了防护措施，如戴口罩（97.4%）、勤洗手（88.3%）和居家（76.3%）。参与者的SAS、SSRS和风险感知平均得分分别为42.45±6.98、44.60±7.00和21.60±5.74。孕产妇社会支持对焦虑的总效应为-2.63（95%置信区间（CI）：-4.40-1.44，P<0.001），直接效应为-1.44（95%CI：-2.74-0.35，P<0.05），间接效应为-1.19（95%CI：-2.49~-0.51，P<0.001）。
孕晚期孕妇社会支持水平较高，对COVID-19的风险感知处于中等水平，且易焦虑。风险感知在社会支持与焦虑之间起中介作用。
