Seok Da-Bin, Ju Hyeon Ok
College of Nursing, Dong-A University, Busan, Korea.
Korean J Women Health Nurs. 2023 Mar;29(1):44-54. doi: 10.4069/kjwhn.2023.02.21.2. Epub 2023 Mar 31.
Uncertainty and restrictions on daily life have increased fear, stress, and depression during the coronavirus disease 2019 (COVID-19) pandemic. Depression is the most common mental health problem in pregnant women. The purpose of this study was to evaluate the levels of fear and stress related to COVID-19 experienced by pregnant women, as well as their levels of depression, and to examine the factors associated with depression during pregnancy.
This was a cross-sectional, correlational study conducted among 153 pregnant women who visited a maternity hospital in Busan, South Korea. A self-reported questionnaire was used for data collection from December 18, 2021 to March 8, 2022. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression.
Pregnant women experienced a moderate level of fear related to COVID-19, with an average score of 21.55±4.90. The average score for depression during pregnancy was 14.86±11.10, with 50.3% of the participants experiencing depression (≥13). The factors associated with depression during pregnancy were fear of COVID-19, contact with a confirmed case of COVID-19, being in the third trimester of pregnancy, high stress levels due to difficulties experienced from social distancing measures, and unintended pregnancy. These five statistically significant factors explained 35.0% of variance in depression during pregnancy.
Considering the prevalence of depression in pregnant women during the COVID-19 pandemic, it is necessary to develop interventions to reduce anxiety by providing correct information and alleviating the stress of social distancing.
在2019年冠状病毒病(COVID-19)大流行期间,日常生活中的不确定性和限制增加了恐惧、压力和抑郁情绪。抑郁症是孕妇中最常见的心理健康问题。本研究的目的是评估孕妇经历的与COVID-19相关的恐惧和压力水平,以及她们的抑郁水平,并探讨孕期抑郁的相关因素。
这是一项横断面相关性研究,对153名到韩国釜山一家妇产医院就诊的孕妇进行。于2021年12月18日至2022年3月8日使用自填式问卷收集数据。数据采用描述性统计、独立样本t检验、单因素方差分析、Pearson相关系数和多元回归进行分析。
孕妇经历了中度的与COVID-19相关的恐惧,平均得分为21.55±4.90。孕期抑郁的平均得分为14.86±11.10,50.3%的参与者有抑郁症状(≥13分)。孕期抑郁的相关因素包括对COVID-19的恐惧、接触COVID-19确诊病例、处于妊娠晚期、因社交距离措施带来的困难导致的高压力水平以及意外怀孕。这五个具有统计学意义的因素解释了孕期抑郁35.0%的变异。
考虑到COVID-19大流行期间孕妇抑郁症的患病率,有必要通过提供正确信息和减轻社交距离压力来制定干预措施以减轻焦虑。