Naja Sarah, Elyamani Rowaida, Chehab Mohamad, Ali Siddig Ahmed Mohamed, Babeker Ghidaa, Lawand Ghinwa, Singh Rajvir, Adli Nada, Mohamad Tagreed, Bougmiza Iheb
Community Medicine Department, Hamad Medical Corporation, Doha, Qatar.
Community Mental Health Services, Hamad Medical Corporation, Doha, Qatar.
Health Psychol Behav Med. 2022 Dec 28;11(1):1-21. doi: 10.1080/21642850.2022.2155167. eCollection 2023.
The lethal potential of COVID-19 was often emphasized and repeatedly brought to the attention of pregnant women, leading to a higher level of anxiety, depression, and COVID-19-specific phobia among this population. Furthermore, legislation forced social distancing and isolation to interrupt the infection cycle. Together these factors resulted in higher maternal mental health distress requiring intervention. Nevertheless, there is a lack of evidence regarding the impact of low-intensity psychosocial telemental interventions on maternal mental health outcomes. Therefore, the objective of this pilot study is to assess the efficacy of video low-intensity psychosocial telemental maternal intervention on COVID-19-specific phobia, antenatal depression, and anxiety among pregnant women. We hypothesized that the intervention arm would be superior to the control arm. A parallel design randomized interventional controlled trial with 1:1 randomization was conducted at the Women Wellness and Research Center. We enrolled fifty-eight pregnant women in their second trimester who spoke English or Arabic. We assessed antenatal anxiety, depression, and Covid-19-specific phobia at baseline (T), and thirty-three pregnant women completed the follow-up after four weeks (T). Pregnant women receiving psychotropic medications and follow up in mental health services were excluded.
A low-intensity psychosocial telemental maternal session helps reduce antenatal anxiety. We found statistically significant differences in antenatal anxiety scores between the intervention (2.4 ± 2.2) and control (4.2 ± 1.6) groups ( = 0.013) with a large effect size of Hedges' g value (0.96, 0.22-1.74). The absolute risk reduction was 27.27 percent. However, the intervention had no statistically significant effect on reducing antenatal depression or COVID-19-specific phobia.
Low-intensity psychosocial telemental maternal sessions effectively reduce antenatal anxiety. While our findings are promising, further RCTs are needed to replicate these findings.
2a-ClinicalTrials.gov identifier: NCT04594525.. Registered on 20/October/2020; updated 9/March/ 2022. Available from: Maternal Telemental Health Interventions in Response to Covid-19* - Full Text View - ClinicalTrials.gov.
新冠病毒病（COVID-19）的致死风险常被着重强调，并反复引起孕妇关注，导致该人群焦虑、抑郁及COVID-19特定恐惧症水平升高。此外，相关立法强制实施社交距离和隔离措施以打断感染循环。这些因素共同导致更高水平的孕产妇心理健康困扰，需要进行干预。然而，关于低强度心理社会远程干预对孕产妇心理健康结局影响的证据不足。因此，本试点研究的目的是评估视频低强度心理社会远程孕产妇干预对孕妇COVID-19特定恐惧症、产前抑郁和焦虑的疗效。我们假设干预组优于对照组。在妇女健康与研究中心进行了一项1:1随机分组的平行设计随机干预对照试验。我们招募了58名孕中期、讲英语或阿拉伯语的孕妇。我们在基线（T0）时评估了产前焦虑、抑郁和COVID-19特定恐惧症，33名孕妇在四周后（T1）完成了随访。排除正在接受精神药物治疗和在心理健康服务机构接受随访的孕妇。
一次低强度心理社会远程孕产妇干预有助于降低产前焦虑。我们发现干预组（2.4±2.2）和对照组（4.2±1.6）的产前焦虑评分存在统计学显著差异（P = 0.013），Hedges' g值的效应量较大（0.96，0.22 - 1.74）。绝对风险降低率为27.27%。然而，该干预在降低产前抑郁或COVID-19特定恐惧症方面没有统计学显著效果。
低强度心理社会远程孕产妇干预可有效降低产前焦虑。虽然我们的研究结果很有前景，但需要进一步的随机对照试验来重复这些结果。
2a - ClinicalTrials.gov标识符：NCT04594525。于2020年10月20日注册；2022年3月9日更新。可从：应对COVID - 19的孕产妇远程心理健康干预* - 全文查看 - ClinicalTrials.gov获取。
