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意大利 COVID-19 全国封锁期间成为母亲:与孕妇福祉相关的问题。

Becoming a mother during the COVID-19 national lockdown in Italy: Issues linked to the wellbeing of pregnant women.

机构信息

Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.

Department of Education, Languages, Intercultures, Literatures and Psychology, University of Florence, Florence, Italy.

出版信息

Int J Psychol. 2022 Feb;57(1):146-152. doi: 10.1002/ijop.12806. Epub 2021 Sep 1.

Abstract

The COVID-19 pandemic and consequent lockdown represent risk factors for the mental health of pregnant women. We explored the impact of COVID-19 restriction policies on psychological health, analysing the predictive role of social support on maternal wellbeing. A total of 212 pregnant women recruited from two public hospitals in Italy were divided into two groups: (a) a pre-COVID-19 group composed of 141 expectant women (mean age = 34.6; SD = 4.3) at their third trimester before the national lockdown period; (b) a COVID-19 group composed of 71 pregnant women (mean age = 33.3; SD = 4.5) at their third trimester during the COVID-19 national lockdown. Participants completed two self-report questionnaires: the Profile of Mood States and the Multidimensional Scale of Perceived Social Support. Moreover, the COVID-19 group was asked to respond to an open question concerning worries about their pregnancies and COVID-19. Results showed that pregnant women during COVID-19 presented higher anxiety, depression and hostility, and lower vigour, than the pre-COVID-19 group. The main concerns were related to the effect of hospital restriction policies on childbirth and fears of contracting COVID-19. Perceived partner social support represented a protective factor only for the pre-COVID-19 women. Limitations, strengths, and theoretical and clinical implications are discussed.

摘要

COVID-19 大流行和随之而来的封锁对孕妇的心理健康构成了风险因素。我们探讨了 COVID-19 限制政策对心理健康的影响,分析了社会支持对产妇幸福的预测作用。共有 212 名孕妇从意大利的两家公立医院招募,分为两组:(a) 新冠疫情前组,由 141 名孕妇组成(平均年龄 34.6;SD=4.3),在全国封锁前处于第三个孕期;(b) 新冠疫情组,由 71 名孕妇组成(平均年龄 33.3;SD=4.5),在 COVID-19 全国封锁期间处于第三个孕期。参与者完成了两份自我报告问卷:心境状态问卷和多维感知社会支持量表。此外,要求新冠疫情组回答一个关于他们对怀孕和 COVID-19 的担忧的开放性问题。结果表明,与新冠疫情前组相比,新冠疫情期间的孕妇表现出更高的焦虑、抑郁和敌意,以及更低的活力。主要关注点与医院限制政策对分娩的影响以及对感染 COVID-19 的恐惧有关。感知到的伴侣社会支持仅对新冠疫情前组的女性是一个保护因素。讨论了限制、优势、理论和临床意义。

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