Department of Psychiatry, University of Puerto Rico, Medical Sciences Campus, San Juan, Puetro Rico.
School of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puetro Rico.
P R Health Sci J. 2024 Sep;43(3):151-155.
The recent COVID-19 global emergency may have ripple effects on mental health of many people worldwide. This is especially true for populations like birthing and postpartum women where many changes to daily routines, access to medical care, work-related routines and socialization were experienced. This brief report presents data from an ongoing cohort study aiming to describe maternal mental health during the pandemic T12 (March 2020 to April 2021) with post-pandemic T2 (May 2022 to May 2023) of mothers followed in Puerto Rico. 47 out of 100 mothers have been recalled and assessed with psychosocial interviews (COPE-IUS) and assessments of anxiety (GAD-7) and depression (PHQ-9). Paired t-test revealed mean scores of depressions (PHQ-9) were significantly higher for T2 with a mean of 6.35 and a range of 4.4+/- than for T1 where mean was 5.15 (+/- 2.9), t=-1.954, df=45, p < .05. Similarly, anxiety scores (GAD-7) were significantly higher in T2 6.67 (4.2) than for T1 5.35 (3.7), t=-1.8, df=45, p < .05. Also, COPE-IUS Post-pandemic psychosocial interview results evidence that 80% of mothers do not feel the COVID-19 pandemic is a significant stressor at T2 and are able to maintain routine activities with no social distancing measures. However, reports of loneliness, sadness, worry, and fear continue to be present. Our findings point to the need to further identify other contributing factors to the deterioration of maternal mental health during the perinatal/peripartum period (pregnancy, birth, and postpartum) in Puerto Rico. Possibly the effects of repeated adversity that has been present in the island (multiple environmental stressors, history of traumatic experiences, and constant hardships) may all have cumulative impact over maternal mental health during the perinatal/peripartum period.
最近的 COVID-19 全球紧急情况可能会对全球许多人的心理健康产生连锁反应。对于像分娩和产后妇女这样的人群来说，情况尤其如此，她们的日常生活、医疗保健、工作相关常规和社交活动都发生了许多变化。本简要报告介绍了一项正在进行的队列研究的数据，该研究旨在描述波多黎各母亲在大流行 T12（2020 年 3 月至 2021 年 4 月）期间的心理健康状况，并在大流行后 T2（2022 年 5 月至 2023 年 5 月）对这些母亲进行了随访。100 名母亲中有 47 名被召回并接受了社会心理访谈（COPE-IUS）以及焦虑症（GAD-7）和抑郁症（PHQ-9）评估。配对 t 检验显示，T2 的抑郁（PHQ-9）平均得分明显更高，均值为 6.35，范围为 4.4+/-，而 T1 的均值为 5.15（+/-2.9），t=-1.954，df=45，p<.05。同样，T2 的焦虑评分（GAD-7）也明显高于 T1，分别为 6.67（4.2）和 5.35（3.7），t=-1.8，df=45，p<.05。此外，COPE-IUS 大流行后的社会心理访谈结果表明，80%的母亲认为 COVID-19 大流行在 T2 时不是一个重大压力源，并且能够在没有社交距离措施的情况下维持日常活动。然而，孤独、悲伤、担忧和恐惧的报告仍然存在。我们的研究结果表明，需要进一步确定波多黎各围产期/产后期间（怀孕、分娩和产后）母亲心理健康恶化的其他促成因素。可能是该岛反复出现的逆境的影响（多种环境压力源、创伤经历史和持续的困难）都可能对围产期/产后期间的母亲心理健康产生累积影响。
