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新冠疫情期间孕妇产前抑郁和焦虑的纵向研究。

Longitudinal study on prenatal depression and anxiety during the COVID-19 pandemic.

机构信息

Instituto de Psicología Básica, Aplicada y Tecnología (IPSIBAT), Mar del Plata, Argentina.

Universidad Nacional de Mar del Plata (UNMDP), Mar del Plata, Argentina.

出版信息

Arch Womens Ment Health. 2021 Dec;24(6):1027-1036. doi: 10.1007/s00737-021-01152-1. Epub 2021 Jun 22.

Abstract

Several studies have reported the negative impact of the COVID-19 pandemic context on mental health. Given that pregnant women constitute a vulnerable group, they may be at greater risk for developing psychopathological symptoms due to the confinement. The current study aimed to longitudinally analyze the presence and evolution of indicators of depression and anxiety in pregnant and non-pregnant women, and to identify the differential effects of social isolation or distancing measures on these groups. Participants were 105 pregnant and 105 non-pregnant Argentine adult women. They completed the Beck Depression Inventory-II, the State-Trait Anxiety Inventory, and closed-ended questions on sociodemographic factors, at four different times. Results showed a progressive increase in anxiety and depressive symptoms in the first 50 days of confinement in both groups, and a slight decrease after approximately 150 days. Pregnant women presented a more pronounced initial increase in symptoms, and a weaker decrease at the last wave, compared to the non-pregnant. Results suggest that the pandemic context produces a moderate negative early response and that the initial flexibilizations of sanitary measures (50 days) did not slow down the progression of symptoms (even less in pregnant women). In conclusion, being pregnant could be an extra risk factor for the development of psychopathological symptoms during this pandemic. The particular vulnerability of pregnant women and the associated potential negative effects both on them and on their offspring underline the importance of perinatal health policies aimed at prevention and treatment of possible future consequences.

摘要

多项研究报告称,COVID-19 大流行背景对心理健康有负面影响。由于孕妇属于弱势群体,她们由于隔离可能面临更大的心理病理症状发展风险。本研究旨在纵向分析怀孕和未怀孕妇女抑郁和焦虑指标的存在和演变,并确定社会隔离或疏远措施对这些群体的差异影响。参与者为 105 名怀孕和 105 名未怀孕的阿根廷成年女性。她们在四个不同时间点完成了贝克抑郁量表第二版、状态-特质焦虑量表以及关于社会人口因素的封闭问题。结果表明,在隔离的前 50 天,两组的焦虑和抑郁症状都逐渐增加,大约 150 天后略有下降。与未怀孕的女性相比,孕妇的症状初始增加更为明显,最后一波时下降幅度较弱。结果表明,大流行背景会产生中度的早期负面反应,卫生措施的初始放宽(50 天)并没有减缓症状的进展(对孕妇的影响甚至更小)。总之,在此次大流行期间,怀孕可能是发展心理病理症状的一个额外风险因素。孕妇的特殊脆弱性以及对她们及其后代可能产生的潜在负面影响,突显了旨在预防和治疗未来可能后果的围产期健康政策的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7b7/8219177/4a5f385606fe/737_2021_1152_Fig1_HTML.jpg

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