Servicio de Obstetricia, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Centro de Investigación e Innovación en Bioingeniería, Universitat Politècnica de València, Valencia, Spain.
J Matern Fetal Neonatal Med. 2022 Dec;35(25):5665-5671. doi: 10.1080/14767058.2021.1888922. Epub 2021 Feb 21.
COVID-19 was declared a pandemic and confinement with movement restriction measures were applied in Spain. Postnatal mental disorders are common but frequently undiagnosed, being a risk period to develop anxiety and depression symptoms. The aim of this study is to evaluate the impact of confinement as depressive and anxiety symptoms in pregnant women (PrW) and puerperal women (PuW) mental health, as well as obstetric and perinatal outcomes during this period.
The self-administered survey consists of a total of 28 questions, the first 16 providing contextual information and the following ones corresponding to the GHQ-12 that has been evaluated in a binomial form. A logistic regression model has been used to assess whether the contextual variables acted as a protective or risk factor and its fitting has been represented by a receiver operating curve.
Of the 754 PrW interviewed, 58.22% were screened positive. Confinement time for these was 54.93 ± 9.75 days. The risk factors that were identified after the refinement have been to have a worse general state of health, to be sadder and to be more nervous. Among the protectors have been found to have a higher Apgar 10 score and induction of labor. The area under the adjusted regression adjustment curve was 0.8056.
Our results show a high prevalence of depression and anxiety symptoms with strict confinement measures. PrW and PuW must be considered a risk group to develop mental health disorders during disruption circumstances. Using a mental health screening tool could help to identify a group of patients with more risk and to carry out a careful monitoring to allow adequate management.
COVID-19 被宣布为大流行，西班牙采取了限制行动的禁闭措施。产后精神障碍很常见，但常常未被诊断，这是发展焦虑和抑郁症状的风险期。本研究旨在评估禁闭对孕妇（PrW）和产后妇女（PuW）心理健康的抑郁和焦虑症状的影响，以及在此期间的产科和围产期结局。
自我管理调查共包含 28 个问题，前 16 个提供背景信息，接下来的 16 个对应 GHQ-12，以二项式形式进行评估。使用逻辑回归模型评估上下文变量是否作为保护或危险因素，并用接收者操作曲线表示其拟合度。
在接受采访的 754 名 PrW 中，有 58.22%的人筛查呈阳性。这些人的禁闭时间为 54.93±9.75 天。经过精炼后确定的风险因素是健康状况较差、更悲伤和更紧张。保护因素包括 Apgar 10 评分较高和引产。调整后回归调整曲线下的面积为 0.8056。
我们的结果显示，严格的禁闭措施导致抑郁和焦虑症状的高患病率。在中断期间，PrW 和 PuW 必须被视为发生心理健康障碍的高风险群体。使用心理健康筛查工具可以帮助识别出一组风险较高的患者，并进行仔细监测，以进行适当的管理。
