Faculty of Medicine, Department of Obstetrics and Gynecology, University Hospital of Jerez de la Frontera, Hospital Quiron Salud Campo de Gibraltar, Hospital Viamed Bahía de Cádiz, University of Cádiz, Cádiz, Spain.
Department of Obstetrics and Gynecology, Hospital Punta de Europa of Algeciras, Cádiz, Spain.
J Psychosom Obstet Gynaecol. 2021 Jun;42(2):115-122. doi: 10.1080/0167482X.2021.1896491. Epub 2021 Mar 18.
To examine the prevalence of depressive and anxiety symptoms and the corresponding risk factors among pregnant women during the confinement due to the COVID-19 outbreak in Spain.
Between 15 April and 14 May 2020, a multicentre cross-sectional survey was performed to study depression, anxiety and resilience in a sample of Spanish pregnant women during the lockdown set up by the Government in response to COVID-19 pandemic outbreak. We designed an anonymous online self-administered questionnaire (https://bit.ly/34RRpq1) that included the Spanish validated versions of the Edinburgh Postpartum Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI) and the Connor-Davidson Resilience 10-items Scale (CD-RISC-10).
A total of 514 pregnant women completed the survey. 72.8% had been confined < 40 days and 27.2% between 41 and 60 days. 182 (35.4%) participants scored over 10, with 21.3% scoring over 13 (75th Percentile) in depressive symptoms rates. We found high trait and anxiety scores, with 223 (43.4%) and 227 (44.2%) pregnant women scoring over the trait and state mean scores. Neither depression, anxiety or resilience levels showed any significant correlation with the length of confinement. We found low CD-RISC-10 scores.
We found a high prevalence of depression and anxiety symptoms during the quarantine, although we did not find an increased prevalence of psychological distress according to length of home confinement. Resilience correlated negatively with depression and anxiety.
调查西班牙 COVID-19 疫情期间，孕妇在禁闭期间出现抑郁和焦虑症状的流行情况及相应的危险因素。
2020 年 4 月 15 日至 5 月 14 日，采用多中心横断面调查方法，研究了西班牙孕妇在政府为应对 COVID-19 大流行而设立的禁闭期间的抑郁、焦虑和恢复力情况。我们设计了一个匿名的在线自我管理问卷（https://bit.ly/34RRpq1），其中包括西班牙版爱丁堡产后抑郁量表（EPDS）、状态-特质焦虑量表（STAI）和康纳-戴维森韧性 10 项量表（CD-RISC-10）。
共有 514 名孕妇完成了调查。72.8%的孕妇禁闭时间<40 天，27.2%的孕妇禁闭时间为 41-60 天。182 名（35.4%）参与者的评分超过 10 分，21.3%的评分超过 13 分（75%分位数），抑郁症状发生率为 75%。我们发现高特质和焦虑评分，223 名（43.4%）和 227 名（44.2%）孕妇的特质和状态平均评分超过了平均分。抑郁、焦虑或韧性水平均与禁闭时间长短无显著相关性。我们发现 CD-RISC-10 评分较低。
我们发现禁闭期间抑郁和焦虑症状的高患病率，尽管我们没有发现根据家庭禁闭时间长短而增加的心理困扰患病率。恢复力与抑郁和焦虑呈负相关。
