Hasen Aragaw Asfaw, Mohammed Ahmed Adem, Mohammed Mekash Ayalew, Seid Abubeker Alebachew
Department of Statistics, College of Natural and Computational Sciences, Samara University, Semera, Ethiopia.
Department of Nursing, College of Medicine and Health Sciences, Samara University, Semera, Ethiopia.
Medicine (Baltimore). 2025 Mar 14;104(11):e41842. doi: 10.1097/MD.0000000000041842.
Pregnant women have multiple psychological distresses and are psychologically fragile. In Ethiopia due to COVID-19 anxiety, depression and stress among pregnant women were increased. This study aimed to provide comprehensive data on the prevalence and associated factors of common mental disorders during COVID-19 in Ethiopia.
Data were searched from PubMed, Google Scholar, and African Journals Online from the December 2019 to August 2024. Two researchers extracted the data and accomplished the methodological quality valuation independently. Random-effect model used to estimate the pooled effect size and I2 and Q-statistic were used to check heterogeneity. Stata 14.0 (Stata Corp, College Station, Texas, USA) was used for statistical analysis.
Eleven studies were included. From 6 studies the pooled prevalence of anxiety was 47% (95% confidence interval [CI] = 0.37 to 0.57, I2 = 96.00%, P < .001). Five studies reported about depression and the pooled prevalence was 32% (95% CI = 0.22 to 0.42, I2 = 96.00%, P < .001). Four studies reported about stress and the pooled prevalence was 26% (95% CI = 0.21 to 0.32, I2 = 94.7%, P < .001). Moreover, the associated factors of anxiety, depression and stress are summarized systematically.
COVID-19 pandemic highly affects mental health of pregnant women in Ethiopia. Anxiety, depression and stress were most reported mental health problems during the pandemic. Appropriate psychological counseling programs should be applied for pregnant women to prevent mental health problems.
孕妇存在多种心理困扰，心理较为脆弱。在埃塞俄比亚，由于新冠疫情，孕妇的焦虑、抑郁和压力有所增加。本研究旨在提供埃塞俄比亚新冠疫情期间常见精神障碍的患病率及相关因素的综合数据。
从2019年12月至2024年8月在PubMed、谷歌学术和非洲期刊在线数据库中检索数据。两名研究人员独立提取数据并完成方法学质量评估。采用随机效应模型估计合并效应量，并用I²和Q统计量检验异质性。使用Stata 14.0（美国德克萨斯州大学站Stata公司）进行统计分析。
纳入11项研究。6项研究中焦虑的合并患病率为47%（95%置信区间[CI]=0.37至0.57，I²=96.00%，P<.001）。5项研究报告了抑郁情况，合并患病率为32%（95%CI=0.22至0.42，I²=96.00%，P<.001）。4项研究报告了压力情况，合并患病率为26%（95%CI=0.21至0.32，I²=94.7%，P<.001）。此外，还系统总结了焦虑、抑郁和压力的相关因素。
新冠疫情对埃塞俄比亚孕妇的心理健康有很大影响。焦虑、抑郁和压力是疫情期间报告最多的心理健康问题。应为孕妇实施适当的心理咨询项目以预防心理健康问题。
