دورية أكاديمية
أعرض في EDS

The mental health crisis of expectant women in the UK: effects of the COVID-19 pandemic on prenatal mental health, antenatal attachment and social support.

التفاصيل البيبلوغرافية
العنوان: The mental health crisis of expectant women in the UK: effects of the COVID-19 pandemic on prenatal mental health, antenatal attachment and social support.
المؤلفون: Filippetti ML; Centre for Brain Science, Department of Psychology, University of Essex, Colchester, UK. m.filippetti@essex.ac.uk., Clarke ADF; Centre for Brain Science, Department of Psychology, University of Essex, Colchester, UK., Rigato S; Centre for Brain Science, Department of Psychology, University of Essex, Colchester, UK.
المصدر: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2022 Jan 26; Vol. 22 (1), pp. 68. Date of Electronic Publication: 2022 Jan 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Social Support*, Anxiety/*epidemiology , COVID-19/*psychology , Depression/*epidemiology , Maternal-Fetal Relations/*psychology , Pregnant Women/*psychology , Stress, Psychological/*epidemiology, Adult ; Female ; Humans ; Pregnancy ; Prevalence ; Protective Factors ; SARS-CoV-2 ; United Kingdom/epidemiology
مستخلص: Background: Pregnancy has been shown to be times in a woman's life particularly prone to mental health issues, however a substantial percentage of mothers report subclinical perinatal mental health symptoms that go undetected. Experiences of prenatal trauma, such as the COVID-19 pandemic, may exacerbate vulnerability to negative health outcomes for pregnant women and their infants. We aimed to examine the role of: 1) anxiety, depression, and stress related to COVID-19 in predicting the quality of antenatal attachment; 2) perceived social support and COVID-19 appraisal in predicting maternal anxiety and depression.
Methods: A sample of 150 UK expectant women were surveyed during the COVID-19 pandemic. Questions included demographics, pregnancy details, and COVID-19 appraisal. Validated measures were used to collect self-reported maternal antenatal attachment (MAAS), symptoms of anxiety (STAI), depression (BDI-II), and stress related to the psychological impact of COVID-19 (IES-r).
Results: We found that the pandemic has affected UK expectant mothers' mental health by increasing prevalence of depression (47%), anxiety (60%) and stress related to the psychological impact of COVID-19 (40%). Women for whom COVID-19 had a higher psychological impact were more likely to suffer from depressive (95% HDPI = [0.04, 0.39]) and anxiety symptoms (95% HPDI = [0.40, 0.69]). High depressive symptoms were associated with reduced attachment to the unborn baby (95% HPDI [-0.46, -0.1]). Whilst women who appraised the impact of COVID-19 to be more negative showed higher levels of anxiety (HPDI = [0.15, 0.46]), higher social support acted as a protective factor and was associated with lower anxiety (95% HPDI = [-0.52, -0.21]).
Conclusions: The current findings demonstrate that direct experience of prenatal trauma, such as the one experienced during the COVID-19 pandemic, significantly amplifies mothers' vulnerability to mental health symptoms and impairs the formation of a positive relationship with their unborn baby. Health services should prioritise interventions strategies aimed at fostering support for pregnant women.
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Antenatal attachment; Maternal mental health; Pregnancy; Prenatal trauma; Social support
تواريخ الأحداث: Date Created: 20220127 Date Completed: 20220208 Latest Revision: 20220208
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8790719
DOI: 10.1186/s12884-022-04387-7
PMID: 35081906
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2393
DOI:10.1186/s12884-022-04387-7