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健康焦虑、死亡焦虑和新冠恐惧症:新冠疫情期间产后抑郁症状的预测因素。

Health anxiety, death anxiety and coronaphobia: Predictors of postpartum depression symptomatology during the COVID-19 pandemic.

机构信息

Department of Psychology, Alexandru Ioan Cuza University, Iaşi, Romania.

City, University of London, United Kingdom.

出版信息

Midwifery. 2023 Sep;124:103747. doi: 10.1016/j.midw.2023.103747. Epub 2023 May 30.

Abstract

OBJECTIVE

To determine levels of postpartum depression symptoms and possible relevant predictors, such as death anxiety, health anxiety, and coronavirus-related anxiety.

DESIGN

Cross-sectional web-based survey using quantitative methods.

SETTING

Exclusively online recruiting via social media and unpaid cross-posting conducted during the third wave of the COVID-19 pandemic in Romania.

PARTICIPANTS

Women were eligible to take part in the study if they were mothers over the age of 18 and had a baby aged between 4 weeks - 12 months of age; 1024 women were included in the final sample.

MEASUREMENTS AND FINDINGS

Health anxiety, death anxiety, coronavirus-related anxiety, and postpartum depression symptoms were measured using validated instruments. Current depression symptomatology was 67.6%, 26.7% scored above the cut-off for high health anxiety, 1% for coronavirus-related anxiety, and 62.7% for death anxiety. Significant predictors for depressive symptomatology were breastfeeding, history of depression, family income, number of children, health anxiety, death anxiety, and coronavirus anxiety. Further, hierarchical multiple regression analysis indicated that death anxiety, health anxiety, and coronavirus anxiety predicted postpartum depression symptoms over and above socio-demographic factors.

KEY CONCLUSIONS

Supported by previous studies, our results suggest that postpartum depression symptomatology levels during the COVID-19 pandemic are high and that they are predicted by health and death anxiety, which are also increased during the pandemic.

IMPLICATION FOR PRACTICE

The findings provide information to identify the risk for depression symptoms in postpartum mothers during acute public health situations.

摘要

目的

确定产后抑郁症状的水平以及可能的相关预测因素,如死亡焦虑、健康焦虑和与冠状病毒相关的焦虑。

设计

使用定量方法进行横断面网络调查。

设置

仅通过社交媒体在线招募,并在罗马尼亚 COVID-19 大流行的第三波期间进行无偿交叉发布。

参与者

如果女性年龄在 18 岁以上且有 4 周到 12 个月大的婴儿,则有资格参加本研究;最终样本中包括 1024 名女性。

测量和发现

使用经过验证的工具测量健康焦虑、死亡焦虑、与冠状病毒相关的焦虑和产后抑郁症状。目前的抑郁症状发生率为 67.6%,26.7%的人得分高于健康焦虑高分的临界值,1%的人得分高于与冠状病毒相关的焦虑,62.7%的人得分高于死亡焦虑。抑郁症状的显著预测因素是母乳喂养、抑郁史、家庭收入、孩子数量、健康焦虑、死亡焦虑和与冠状病毒相关的焦虑。此外,分层多元回归分析表明,死亡焦虑、健康焦虑和与冠状病毒相关的焦虑可以预测产后抑郁症状,超过了社会人口统计学因素。

主要结论

与先前的研究结果一致,我们的结果表明,COVID-19 大流行期间产后抑郁症状的水平较高,并且由健康和死亡焦虑预测,而这两种焦虑在大流行期间也会增加。

实践意义

这些发现为识别急性公共卫生情况下产后母亲的抑郁症状风险提供了信息。

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