Research Institute of Child Development and Education, University of Amsterdam, Gebouw D, Roeterseilandcomplex, Nieuwe Achtergracht 127, 1018 WS, Amsterdam, the Netherlands.
UvA Minds, Academic Outpatient (child and adolescent) Treatment Center of the University of Amsterdam, Banstraat 29, 1071 JW, Amsterdam, the Netherlands.
BMC Pregnancy Childbirth. 2022 May 18;22(1):415. doi: 10.1186/s12884-022-04729-5.
The Coronavirus Disease 2019 (COVID-19) pandemic elevated the risk for mental health problems in pregnant women, thereby increasing the risk for long-term negative consequences for mother and child well-being. There was an immediate need for easily accessible interventions for pregnant women experiencing elevated levels of pandemic related stress.
A three-session intervention "Online Communities" (OC) was developed at the beginning of the Dutch lockdown, and implemented by a team of midwives and psychologists specialized in Infant Mental Health. Pretest (N = 34) and posttest (N = 17) measurements of depressive symptoms, worries about COVID-19 and worries in general, and mother-to-infant bonding were administered, as well as a posttest evaluation.
At pretest, the OC group was compared to two reference groups of pregnant women from an ongoing pregnancy cohort study: a COVID-19 (N = 209) and pre-COVID-19 reference group (N = 297). OC participants had significantly more depressive symptoms than both reference groups, and less positive feelings of bonding than the COVID-19 but not the pre-COVID-19 reference group. Compared to pretest, significant decreases in depressive symptoms (with significantly less participants scoring above cut-off) and worries about COVID-19 (large effect sizes) and worries in general (moderate to large effect size) were found at posttest for the OC participants. No significant improvement was found in bonding. Participants rated the intervention positively.
The current study provides initial evidence supporting the idea that OC is a promising and readily accessible intervention for pregnant women experiencing stress due to the COVID-19 pandemic, and possibly also applicable to other stressors.
This intervention was registered in the Netherlands Trial Registration (registration number Trial NL8842 , registration date 18/08/2020).
2019 年冠状病毒病（COVID-19）大流行增加了孕妇心理健康问题的风险，从而增加了母婴健康的长期负面影响的风险。对于经历大流行相关压力水平升高的孕妇，需要立即提供易于获取的干预措施。
在荷兰封锁开始时，开发了一个由专门从事婴儿心理健康的助产士和心理学家组成的三人小组干预措施“在线社区”（OC），并进行了实施。对抑郁症状、对 COVID-19 的担忧和一般担忧以及母婴联系进行了预测试（N=34）和后测试（N=17）测量，并进行了后测试评估。
在预测试中，OC 组与正在进行的妊娠队列研究中的两个参考组（COVID-19 组，N=209；COVID-19 前参考组，N=297）进行了比较。OC 参与者的抑郁症状明显多于两个参考组，与 COVID-19 参考组相比，母婴联系的积极感受较少，但与 COVID-19 前参考组相比则没有。与预测试相比，OC 参与者在后测试时，抑郁症状显著下降（评分高于临界值的参与者明显减少），对 COVID-19 的担忧（大效应量）和一般担忧（中到大效应量）也显著下降。母婴联系没有明显改善。参与者对干预措施评价积极。
本研究初步证明了 OC 是一种有前途的、易于获取的干预措施，适用于因 COVID-19 大流行而感到压力的孕妇，也可能适用于其他压力源。
该干预措施在荷兰试验登记处（注册号：Trial NL8842，登记日期：2020 年 8 月 18 日）进行了登记。
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