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波兰孕妇在 COVID-19 大流行期间的压力水平和总体精神状态。

Stress level and general mental state in Polish pregnant women during COVID-19 pandemic.

机构信息

Department and Clinic of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.

出版信息

J Reprod Infant Psychol. 2023 Apr;41(2):165-182. doi: 10.1080/02646838.2021.1976402. Epub 2021 Sep 23.

Abstract

INTRODUCTION

COVID-19 pandemic may contribute to mental state worsening. Mental health disorders in pregnancy are known to have adverse outcomes both for mothers and their children. It is the first study in Poland to investigate the impact of the pandemic on stress level and general mental state in pregnant women.

METHODS

Three hundred sixteen pregnant women completed an online survey containing four instruments. The main research questions were investigated with Bayesian regression analyses.

RESULTS

We found that 37% of pregnant women presented with some mental state disorders and almost 46% with elevated emotional tension. Seventeen % had elevated stress level, 11% elevated intrapsychic stress level and 13% elevated outward stress level. Both 'being scared of lack of social support...' and 'being scared of infection...' have an impact on stress level, however the first factor is a more substantial stressor.

CONCLUSIONS

Multiple pregnant women during the Coronavirus SARS-CoV-2 pandemic presented with mental state disorders and elevated stress levels. As mental state disorders contribute to adverse neonatal outcomes and maternal mortality, it is imperative to focus on pregnant women's psychological and psychiatric conditions during the pandemic. It seems crucial to use screening tests to make early psychiatric diagnoses.

摘要

简介

COVID-19 大流行可能导致精神状态恶化。众所周知,孕妇的精神健康障碍对母亲及其子女都有不良后果。这是波兰首次研究大流行对孕妇压力水平和一般精神状态的影响。

方法

316 名孕妇完成了一项在线调查,其中包含四个工具。主要研究问题通过贝叶斯回归分析进行了调查。

结果

我们发现,37%的孕妇出现了一些精神状态障碍,近 46%的孕妇情绪紧张。17%的孕妇压力水平升高,11%的孕妇内心压力水平升高,13%的孕妇外在压力水平升高。“害怕缺乏社会支持......”和“害怕感染......”都对压力水平有影响,但第一个因素是一个更重要的压力源。

结论

在冠状病毒 SARS-CoV-2 大流行期间,许多孕妇出现了精神状态障碍和压力水平升高。由于精神状态障碍会导致不良的新生儿结局和产妇死亡,因此在大流行期间关注孕妇的心理和精神状况至关重要。似乎必须使用筛查测试来进行早期的精神病诊断。

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