Molly Wardaguga Research Centre, School of Nursing and Midwifery, Charles Darwin University, Level 11, 410 Ann Street, Brisbane, QLD 4000, Australia.
Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 0B3, Canada.
Int J Environ Res Public Health. 2022 Apr 21;19(9):5062. doi: 10.3390/ijerph19095062.
The COVID-19 pandemic has impacted perinatal mental health globally. We determined the maternal factors and pandemic-related experiences associated with clinically significant perinatal (pregnant and post-partum) depressive symptoms in Australian women. Participants ( = 2638; pregnant = 1219, postnatal = 1419) completed an online survey (August 2020 through February 2021) and self-reported on depression, social support, and COVID-19 related experiences. We found elevated depressive symptoms amongst 26.5% (pregnant) and 19% (postnatal) women. Multiple logistic regression analyses showed higher likelihood of elevated depression associated with residence in Victoria, lower education, past/current mental health problems, greater non-pandemic prenatal stress, age ≥ 35 years (pregnant women) and existing physical health issues or disability in self or others (postnatal women). Greater family stress/discord and lower social support (friends) was associated with higher odds of elevated perinatal depression, while lower social support (family) was significantly associated with elevated depressive symptoms in pregnant women. Greater depression was associated with social distancing, pandemic-related news exposure and changes to prenatal care (pregnant women). Single postnatal women showed lower odds of elevated depression than partnered women. Our findings underscore the importance of universal screening for depression and targeted support during a pandemic for perinatal women displaying vulnerability factors.
COVID-19 大流行对全球围产期心理健康产生了影响。我们确定了与澳大利亚女性围产期（怀孕和产后）抑郁症状相关的母体因素和与大流行相关的经历。参与者（=2638；孕妇=1219，产后=1419）完成了一项在线调查（2020 年 8 月至 2021 年 2 月），并报告了抑郁、社会支持和与 COVID-19 相关的经历。我们发现 26.5%（孕妇）和 19%（产后）的女性出现了抑郁症状。多变量逻辑回归分析显示，与居住在维多利亚州、教育程度较低、过去/现在有心理健康问题、非大流行产前压力较大、年龄≥35 岁（孕妇）以及自身或他人存在身体健康问题或残疾（产后妇女）相关的抑郁症状升高的可能性更大。家庭压力/不和增加和社会支持（朋友）减少与围产期抑郁升高的几率增加相关，而社会支持（家庭）减少与孕妇抑郁症状升高显著相关。抑郁程度增加与社交距离、与大流行相关的新闻接触以及产前护理的变化有关（孕妇）。与已婚女性相比，单身产后女性抑郁升高的几率较低。我们的研究结果强调了在大流行期间对围产期女性进行普遍筛查和有针对性的支持的重要性，以针对表现出脆弱因素的女性。
