School of Nursing, Virginia Commonwealth University, Richmond, Virginia, USA.
Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia, USA.
J Womens Health (Larchmt). 2021 May;30(5):654-664. doi: 10.1089/jwh.2020.8866. Epub 2021 Apr 12.
It is well-documented that the mental health of pregnant and postpartum women is essential for maternal, child, and family well-being. Of major public health concern is the perinatal mental health impacts that may occur during the ongoing coronavirus disease 2019 (COVID-19) pandemic. It is essential to explore the symptom experience and predictors of mental health status, including the relationship between media use and mental health. The purpose of this study is to evaluate the experiences of pregnant and postpartum women ( = 524) in the United States in the early phase of the COVID-19 pandemic. This cross-sectional online observational study collected psychosocial quantitative and qualitative survey data in adult pregnant and postpartum (up to 6 months postdelivery) women in April-June 2020. Multivariable linear regression models were used to evaluate predictors of depressive symptoms, anxiety, and post-traumatic stress disorder. The most common predictors were job insecurity, family concerns, eating comfort foods, resilience/adaptability score, sleep, and use of social and news media. Qualitative themes centered on pervasive uncertainty and anxiety; grief about losses; gratitude for shifting priorities; and use of self-care methods including changing media use. This study provides information to identify risk for anxiety, depression, and PTSD symptoms in perinatal women during acute public health situations. Women with family and job concerns and low resilience/adaptability scores seem to be at high risk of psychological sequelae. Although use of social media is thought to improve social connectedness, our results indicate that increased media consumption is related to increased anxiety symptoms.
有大量文献记载表明，孕妇和产后女性的心理健康对母婴和家庭健康至关重要。在当前 2019 年冠状病毒病（COVID-19）大流行期间，围产期心理健康的影响是主要的公共卫生关注点。探索心理健康状况的症状体验和预测因素至关重要，包括媒体使用与心理健康之间的关系。本研究旨在评估美国 COVID-19 大流行早期阶段孕妇和产后女性（ = 524）的经历。这项横断面在线观察性研究于 2020 年 4 月至 6 月期间收集了成年孕妇和产后（产后 6 个月内）女性的社会心理定量和定性调查数据。采用多变量线性回归模型评估抑郁症状、焦虑和创伤后应激障碍的预测因素。最常见的预测因素包括工作不稳定、家庭问题、食用舒适食品、弹性/适应性评分、睡眠以及使用社交和新闻媒体。定性主题集中在普遍的不确定性和焦虑、对损失的悲痛、对转变优先事项的感激之情以及使用自我保健方法，包括改变媒体使用。这项研究提供了在急性公共卫生情况下识别围产期妇女焦虑、抑郁和创伤后应激障碍症状风险的信息。有家庭和工作问题以及弹性/适应性评分低的女性似乎面临较大的心理后遗症风险。虽然使用社交媒体被认为可以改善社交联系，但我们的结果表明，媒体消费的增加与焦虑症状的增加有关。
