Department of Traditional Chinese Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Road 1095#, Wuhan, 430030, Hubei Province, China.
Institute of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Road 1095#, Wuhan, 430030, Hubei Province, China.
Arch Gynecol Obstet. 2021 Feb;303(2):463-469. doi: 10.1007/s00404-020-05805-x. Epub 2020 Oct 3.
To evaluate the anxiety and depression in pregnant women in China, and its influencing factors during the corona virus disease 2019 (COVID-19) pandemic.
From February 22 to February 27, a questionnaire survey was conducted on 156 pregnant women, including demographic characteristics, a self-rating anxiety scale (SAS), and a self-depression rating scale (SDS).
A total of 13 non-homologous end-joining (8.3%, 13/156) patients were anxious, 79 patients (50.6%, 79/156) were depressed, and 13 patients (8.3%, 13/156) suffered from both anxiety and depression. The SAS score of pregnant women was 40.55 ± 6.09, and the SDS score was 50.42 ± 11.64. For the SAS score, only 8.3% of all patients (13/156) were in a light anxiety state. For the SDS score, 46.79% (73/156) of patients was normal, 23.72% of patients (37/156) showed mild depression, 22.44% (35/156) showed moderate depression, and 4.49% (7/156) showed severe depression. No significant changes were observed in SAS and SDS scores between patients from different regions within China, health state, gestational week, educational background, and living condition (P > 0.05). Moreover, no significant differences were observed between diagnosed/suspected patients and the normal control group (P > 0.05), and between pregnant women in Wuhan compared to other regions (P > 0.05).
During the COVID-19 epidemic, the anxiety level of pregnant women was the same as that before the epidemic, while the level of depression was significantly higher. Pregnant women who lived in Wuhan, the epicenter of the epidemic, were not more anxious or depressed compared to pregnant women in other regions during the COVID-19 epidemic. Furthermore, the mental health status of pregnant women with COVID-19 was not more severe.
评估中国孕妇在新型冠状病毒病 2019(COVID-19)大流行期间的焦虑和抑郁状况及其影响因素。
于 2020 年 2 月 22 日至 27 日,采用问卷调查法对 156 名孕妇进行调查,内容包括人口学特征、焦虑自评量表(SAS)和抑郁自评量表(SDS)。
共 13 例(8.3%,13/156)孕妇出现非同源末端连接(NHEJ),79 例(50.6%,79/156)孕妇出现抑郁,13 例(8.3%,13/156)孕妇同时出现焦虑和抑郁。孕妇 SAS 评分为 40.55±6.09,SDS 评分为 50.42±11.64。在 SAS 评分中,仅有 13 例(8.3%,13/156)孕妇处于轻度焦虑状态。在 SDS 评分中,73 例(46.79%,73/156)孕妇正常,37 例(23.72%,37/156)孕妇轻度抑郁,35 例(22.44%,35/156)孕妇中度抑郁,7 例(4.49%,7/156)孕妇重度抑郁。不同地区、健康状况、孕周、文化程度、居住条件孕妇 SAS、SDS 评分比较,差异均无统计学意义(P>0.05)。确诊/疑似孕妇与正常对照组比较,差异均无统计学意义(P>0.05);武汉孕妇与其他地区孕妇比较,差异均无统计学意义(P>0.05)。
COVID-19 疫情期间,孕妇的焦虑水平与疫情前相同,而抑郁水平显著升高。与其他地区孕妇相比,处于疫情中心的武汉孕妇的焦虑或抑郁程度并无差异。此外,COVID-19 孕妇的心理健康状况也不更严重。