Special Hospital for Psychiatric Disorders, Gornja Toponica, Serbia.
Faculty of Medicine, University of Nis, Nis, Serbia.
Int J Psychiatry Med. 2021 Jul;56(4):228-239. doi: 10.1177/0091217420981533. Epub 2020 Dec 15.
The coronavirus disease 2019 (COVID-19) appears to be the largest pandemic of our times. The aim was to recognize the risk factors for nonpsychotic postpartum mood and anxiety disorders (NPMADs) in women during the pandemic and state of emergency police lockdown in Serbia.
We assessed 108 postpartum women who completed the Edinburgh Postnatal Depression Scale (EPDS) and an additional survey constructed for this study. We also used the additional, previously mentioned survey, in 67 healthy age-matched women with children who were ≥2 years of age. The additional survey allowed us to gain insight into the impact of the pandemic as well as postpartum period on the risk of NPMADs.
In 16 (14.8%) subjects we found a score ≥10 on EPDS. Higher rates on the EPDS were noticed in elderly, single, and unemployed, women who lost their jobs due to the pandemic, or women who were dissatisfied with their household income (p < 0.05). The risk of NPMADs was linked significantly to quarantine, and social isolation, the absence of social support, as well as having emotional problems. Postpartum women, compared to non-postpartum women, were more anxious and had feelings of helplessness during social isolation.
Understanding the factors that increase the risk of NPMADs during the pandemic could help prevent mental disorders during a possible future pandemic.
2019 年冠状病毒病（COVID-19）似乎是我们这个时代最大的一次大流行。本研究旨在认识塞尔维亚大流行和紧急状态警察封锁期间女性非精神病性产后情绪和焦虑障碍（NPMAD）的风险因素。
我们评估了 108 名产后妇女，她们完成了爱丁堡产后抑郁量表（EPDS）和为此研究构建的附加调查。我们还在 67 名年龄匹配且有≥2 岁孩子的健康女性中使用了上述附加调查。该附加调查使我们能够深入了解大流行以及产后期间对 NPMAD 风险的影响。
在 16 名（14.8%）受试者中，我们发现 EPDS 评分≥10。EPDS 评分较高的人群为年龄较大、单身、失业、因大流行而失业或对家庭收入不满意的女性（p<0.05）。NPMAD 的风险与隔离和社会孤立、缺乏社会支持以及存在情绪问题显著相关。与非产后女性相比，产后女性在社会隔离期间更焦虑，感到无助。
了解大流行期间增加 NPMAD 风险的因素可能有助于预防未来可能发生的大流行期间的精神障碍。
