Shenzhen Kanning Hospital, Shenzhen, 518020, China.
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Glob Health Res Policy. 2021 Mar 26;6(1):11. doi: 10.1186/s41256-021-00193-4.
Although more and more attention has been paid to the psychological consequences of the lockdown policy amongst pregnant women, the underlying mechanism linking the lockdown policy to maternal depression has not been studied in the context of China. This study aimed to explore the association between the lockdown policy and maternal depressive symptoms, and whether such association was mediated by internet use and/or family support.
This cross-sectional study used multi-stage sampling techniques in central and western China. Data were collected from 1266 pregnant women using a structtured questionnaire that measured internet use, family support, and depressive symptoms. The Patient Health Questionnaire-9 (PHQ-9) was used to measure depressive symptoms. Internet use was measured by length of usage and varierity of purpose for internet use. Family support was measureed by spousal support and parental support. The structural equation modelling was employed to conduct mediation analysis to test the specificity of the hypothetical paths.
Overall, 527 respondents (41.63%) presented depressive symptoms. The lockdown policy was negatively associated with depressive symptoms in pregnant women (β = - 0.925, 95% CI = -1.510, - 0.360). The impact of the lockdown policy on depressive symptoms was partially mediated by internet use (β = 1.589, 95% CI = 0.730, 2.807) and family support (β = - 0.162, 95% CI = - 0.341, - 0.017), accounting for 42.67% of the total effect.
The lockdown policy was generally associated with fewer depressive symptoms in pregnant women. The lockdown policy increased maternal depressive symptoms through increased internet use, but decreased maternal depressive symptoms through enhanced family support. The findings suggest that the psychological consequence of the lockdown policy may vary across different populations, and warrant the need to take into consideration the features of subgroups.
尽管越来越多的人关注到了封锁政策对孕妇心理的影响，但在封锁政策对中国孕妇抑郁的影响方面，其潜在机制尚未得到研究。本研究旨在探讨封锁政策与产妇抑郁症状之间的关联，以及这种关联是否通过互联网使用和/或家庭支持来介导。
本横断面研究采用多阶段抽样技术，在中国中部和西部地区进行。使用结构化问卷收集了 1266 名孕妇的数据，该问卷测量了互联网使用、家庭支持和抑郁症状。采用患者健康问卷-9（PHQ-9）来衡量抑郁症状。互联网使用通过使用时长和使用目的多样性来衡量。家庭支持通过配偶支持和父母支持来衡量。采用结构方程模型进行中介分析，以检验假设路径的特异性。
总体而言，有 527 名受访者（41.63%）表现出抑郁症状。封锁政策与孕妇的抑郁症状呈负相关（β=-0.925，95%置信区间=-1.510，-0.360）。封锁政策对抑郁症状的影响部分通过互联网使用（β=1.589，95%置信区间=0.730，2.807）和家庭支持（β=-0.162，95%置信区间=-0.341，-0.017）来介导，占总效应的 42.67%。
封锁政策总体上与孕妇较少的抑郁症状相关。封锁政策通过增加互联网使用增加了产妇的抑郁症状，但通过增强家庭支持降低了产妇的抑郁症状。研究结果表明，封锁政策的心理后果可能因不同人群而异，需要考虑到亚组的特点。
