Gonzalez-Garcia V, Exertier M, Denis A
University of Grenoble Alpes, University of Savoie Mont Blanc, LIP/PC2S, 38000 Grenoble, France.
Eur J Trauma Dissociation. 2021 May;5(2):100225. doi: 10.1016/j.ejtd.2021.100225. Epub 2021 Apr 26.
The objectives of the present longitudinal study were to (i) understand the potential impacts of concern about the COVID-19 epidemic and containment measures (e.g. lockdown) on the psychological and emotional status of women during pregnancy and after childbirth, (ii) identify factors associated with these impacts, and (iii) to study the mothers' coping strategies and protective factors. Data were collected during pregnancy (timepoint 1, during France's first period of lockdown from April 6th to May 11th, 2020) and then one month after childbirth (timepoint 2). At timepoint 1, 90 women completed a sociodemographic questionnaire, the Spielberger Trait Anxiety Inventory, the Edinburgh Postnatal Depression Scale, and the Multidimensional Scale of Perceived Social Support. At timepoint 2, 26 women completed the City Birth Trauma Scale, the Interpersonal Emotional Regulation Questionnaire, and the Posttraumatic Growth Inventory. The relationship between social support and worry about the fetus/baby during the COVID-19 pandemic was statistically significant (Rho=- 0.21; 0.05). Worry about the fetus/baby was also significantly correlated with the anxiety score (Rho=0.60; 0.01) and the depression score (Rho= 0.37, 0.01). When the study population was compared with a control sample of new mothers having given birth outside the lockdown period, we observed differences in the prevalence of anxiety but not in the prevalence of postpartum PTSD. Lastly, the relationship between posttraumatic growth and emotion regulation was not significant (Rho=0.29, = 0.16 for soothing; Rho=0.26, = 0.20 for social modeling; Rho=0.28; = 0.17 for perspective-taking; Rho=0.35; = 0.08 for enhancing positive affect). In view of the sample size and the statistical tests, this study should be considered as exploratory. Our present results open up opportunities for further research and suggest that a possible impact of COVID-19 must be considered when evaluating potential psychological disorders in the perinatal period.
（i）了解对新冠疫情及防控措施（如封锁）的担忧对孕期及产后女性心理和情绪状态的潜在影响；（ii）确定与这些影响相关的因素；（iii）研究母亲的应对策略和保护因素。数据在孕期（时间点1，2020年4月6日至5月11日法国首次封锁期间）及产后1个月（时间点2）收集。在时间点1，90名女性完成了一份社会人口学调查问卷、斯皮尔伯格特质焦虑量表、爱丁堡产后抑郁量表和多维感知社会支持量表。在时间点2，26名女性完成了城市分娩创伤量表、人际情绪调节问卷和创伤后成长量表。新冠疫情期间社会支持与对胎儿/婴儿的担忧之间的关系具有统计学意义（相关系数=-0.21；P<0.05）。对胎儿/婴儿的担忧也与焦虑得分（相关系数=0.60；P<0.01）和抑郁得分（相关系数=0.37，P<0.01）显著相关。当将研究人群与在非封锁期分娩的新妈妈对照样本进行比较时，我们观察到焦虑患病率存在差异，但产后创伤后应激障碍患病率无差异。最后，创伤后成长与情绪调节之间的关系不显著（舒缓情绪的相关系数=0.29，P=0.16；社会模仿的相关系数=0.26，P=0.20；换位思考的相关系数=0.28，P=0.17；增强积极情绪的相关系数=0.35，P=0.08）。鉴于样本量和统计检验，本研究应被视为探索性研究。我们目前的结果为进一步研究提供了机会，并表明在评估围产期潜在心理障碍时必须考虑新冠疫情的可能影响。
