Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Mental Health Institute of Central South University, Changsha, Hunan, 410011, China.
BMC Psychiatry. 2023 Mar 3;23(1):134. doi: 10.1186/s12888-023-04621-2.
The pandemic of coronavirus disease 2019 lastingly affects public mental health. Many studies have described symptoms of anxiety and depression in pregnant women before the pandemic. However, the limited study focuses on the prevalence and risk factors of mood symptoms among first-trimester females and their partners during the pandemic in China, which was the aim of the study.
One hundred and sixty-nine first-trimester couples were enrolled. The Edinburgh Postnatal Depression Scale, Patient Health Questionnaire-9, Generalized Anxiety Disorder 7-Item, Family Assessment Device-General Functioning (FAD-GF), and Quality of Life Enjoyment and Satisfaction Questionnaire, Short Form (Q-LES-Q-SF) were applied. Data were mainly analyzed through logistic regression analysis.
17.75% and 5.92% of first-trimester females had depressive and anxious symptoms, respectively. Among partners, 11.83% and 9.47% had depressive and anxious symptoms, respectively. In females, higher scores of FAD-GF (OR = 5.46 and 13.09; P < 0.05) and lower scores of Q-LES-Q-SF (OR = 0.83 and 0.70; P < 0.01) were related to the risk of depressive and anxious symptoms. Higher scores of FAD-GF were associated with the risk of depressive and anxious symptoms in partners (OR = 3.95 and 6.89; P < 0.05). A history of smoking was also related to males' depressive symptoms (OR = 4.49; P < 0.05).
This study prompted prominent mood symptoms during the pandemic. Family functioning, quality of life, and smoking history increased risks of mood symptoms among early pregnant families, which facilitated the updating of medical intervention. However, the current study did not explore interventions based on these findings.
2019 年冠状病毒病大流行对公众心理健康产生持久影响。许多研究在大流行之前就描述了孕妇的焦虑和抑郁症状。然而，有限的研究集中在大流行期间中国第一孕期女性及其伴侣的情绪症状的患病率和风险因素上，这是本研究的目的。
纳入了 169 对第一孕期夫妇。应用爱丁堡产后抑郁量表、患者健康问卷-9、广泛性焦虑症 7 项、家庭评估工具-一般功能（FAD-GF）和生活质量享受与满意度问卷，短式（Q-LES-Q-SF）。数据主要通过逻辑回归分析进行分析。
第一孕期女性中分别有 17.75%和 5.92%有抑郁和焦虑症状。在伴侣中，分别有 11.83%和 9.47%有抑郁和焦虑症状。在女性中，FAD-GF 评分较高（OR=5.46 和 13.09；P<0.05）和 Q-LES-Q-SF 评分较低（OR=0.83 和 0.70；P<0.01）与抑郁和焦虑症状的风险相关。FAD-GF 评分较高与伴侣中抑郁和焦虑症状的风险相关（OR=3.95 和 6.89；P<0.05）。吸烟史也与男性的抑郁症状有关（OR=4.49；P<0.05）。
本研究提示大流行期间存在明显的情绪症状。家庭功能、生活质量和吸烟史增加了早期怀孕家庭情绪症状的风险，这有助于更新医疗干预措施。然而，目前的研究并没有根据这些发现探索干预措施。
