Stott Dahlia, Klobodu Cynthia, Chiarello Lisa A, Posmontier Bobbie, Egohail Mona, Geller Pamela A, Andrews Horowitz June, Milliron Brandy-Joe
Department of Nutrition Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.
Department of Nutrition and Food Science, College of Natural Sciences, California State University, Chico, Chico, CA, USA.
J Patient Exp. 2023 Sep 7;10:23743735231199818. doi: 10.1177/23743735231199818. eCollection 2023.
Women with perinatal depression are at a high risk for unhealthy dietary behaviors but whether the coronavirus disease 2019 (COVID-19) pandemic has exacerbated this risk is unknown. Here we report the findings of a qualitative study exploring the impact of the COVID-19 pandemic on nutrition-related experiences of women with perinatal depression. Using a qualitative descriptive approach, in-depth interviews were conducted with 18 women with a history of perinatal depression and 10 healthcare providers. A semistructured format elicited how food and nutrition-related behaviors of women with perinatal depression were affected by the COVID-19 pandemic. Thematic analysis identified 4 themes related to the COVID-19 pandemic: (1) Adaptations in shopping and cooking behaviors; (2) increases in stress and declines in respite; (3) declines in support and increases in isolation; and (4) low levels of breastfeeding guidance. Our findings confirm the importance of resilience among women with perinatal depression and future research is needed to elucidate the mechanisms connecting resilience and dietary behaviors.
患有围产期抑郁症的女性存在不健康饮食行为的高风险，但2019冠状病毒病（COVID-19）大流行是否加剧了这种风险尚不清楚。在此，我们报告一项定性研究的结果，该研究探讨了COVID-19大流行对患有围产期抑郁症女性的营养相关经历的影响。采用定性描述方法，对18名有围产期抑郁症病史的女性和10名医疗保健提供者进行了深入访谈。半结构化形式引出了COVID-19大流行如何影响患有围产期抑郁症女性的食物和营养相关行为。主题分析确定了与COVID-19大流行相关的4个主题：（1）购物和烹饪行为的调整；（2）压力增加和缓解减少；（3）支持减少和孤立增加；（4）母乳喂养指导水平低。我们的研究结果证实了围产期抑郁症女性恢复力的重要性，未来需要开展研究以阐明恢复力与饮食行为之间的联系机制。
