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Relationships between changes due to COVID-19 pandemic and the depressive and anxiety symptoms among mothers of infants and/or preschoolers: a prospective follow-up study from pre-COVID-19 Japan

OBJECTIVES: Mothers with young children are particularly vulnerable to the impacts of the lifestyle changes brought about by the COVID-19 pandemic. However, the association between such changes and maternal mental health has not been examined, and comparable pre-COVID-19 baseline data were lacking....

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Autores principales: Kimura, Miyako, Kimura, Kazuki, Ojima, Toshiyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907626/
https://www.ncbi.nlm.nih.gov/pubmed/33622953
http://dx.doi.org/10.1136/bmjopen-2020-044826
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author Kimura, Miyako
Kimura, Kazuki
Ojima, Toshiyuki
author_facet Kimura, Miyako
Kimura, Kazuki
Ojima, Toshiyuki
author_sort Kimura, Miyako
collection PubMed
description OBJECTIVES: Mothers with young children are particularly vulnerable to the impacts of the lifestyle changes brought about by the COVID-19 pandemic. However, the association between such changes and maternal mental health has not been examined, and comparable pre-COVID-19 baseline data were lacking. Thus, we aimed to examine the relationships between changes due to COVID-19 pandemic and the development of depressive and anxiety symptoms among mothers of infants and/or preschoolers in Japan. DESIGN: Prospective follow-up study. The baseline survey was conducted in February 2020, and the follow-up survey was conducted in June 2020. SETTING: All 47 prefectures in Japan. PARTICIPANTS: At the baseline, 4700 mothers of infants and/or preschoolers (0–6 years) participated in the online survey (100 respondents per prefecture); 2489 of them also participated in the follow-up survey. After excluding 203 participants with a higher risk of severe mental illness at the baseline, 2286 were included in the analysis. OUTCOME MEASURES: The Kessler Psychological Distress Scale was used to measure depressive and anxiety symptoms, with a cut-off point of 13 or more. We estimated the adjusted OR (AOR) using multiple logistic regression analysis. RESULTS: During the follow-up period, 151 (6.6%) of respondents newly developed depressive and anxiety symptoms. Participants who experienced a shortage of relaxation time (AOR 1.61, 95% CI 1.06 to 2.47), increased difficulty in child rearing (AOR 1.89, 95% CI 1.32 to 2.70), increased partner aggression (AOR 2.93, 95% CI 1.42 to 6.05) and an increased sense of unfairness (AOR 1.74, 95% CI 1.10 to 2.73) were more likely to develop these symptoms. CONCLUSIONS: Changes in circumstances and perceptions during COVID-19 outbreak were significantly related to the development of depressive and anxiety symptoms among mothers of young children. Strategies to reduce solo parenting and increase social awareness related to domestic violence are needed.
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spelling pubmed-79076262021-02-26 Relationships between changes due to COVID-19 pandemic and the depressive and anxiety symptoms among mothers of infants and/or preschoolers: a prospective follow-up study from pre-COVID-19 Japan Kimura, Miyako Kimura, Kazuki Ojima, Toshiyuki BMJ Open Mental Health OBJECTIVES: Mothers with young children are particularly vulnerable to the impacts of the lifestyle changes brought about by the COVID-19 pandemic. However, the association between such changes and maternal mental health has not been examined, and comparable pre-COVID-19 baseline data were lacking. Thus, we aimed to examine the relationships between changes due to COVID-19 pandemic and the development of depressive and anxiety symptoms among mothers of infants and/or preschoolers in Japan. DESIGN: Prospective follow-up study. The baseline survey was conducted in February 2020, and the follow-up survey was conducted in June 2020. SETTING: All 47 prefectures in Japan. PARTICIPANTS: At the baseline, 4700 mothers of infants and/or preschoolers (0–6 years) participated in the online survey (100 respondents per prefecture); 2489 of them also participated in the follow-up survey. After excluding 203 participants with a higher risk of severe mental illness at the baseline, 2286 were included in the analysis. OUTCOME MEASURES: The Kessler Psychological Distress Scale was used to measure depressive and anxiety symptoms, with a cut-off point of 13 or more. We estimated the adjusted OR (AOR) using multiple logistic regression analysis. RESULTS: During the follow-up period, 151 (6.6%) of respondents newly developed depressive and anxiety symptoms. Participants who experienced a shortage of relaxation time (AOR 1.61, 95% CI 1.06 to 2.47), increased difficulty in child rearing (AOR 1.89, 95% CI 1.32 to 2.70), increased partner aggression (AOR 2.93, 95% CI 1.42 to 6.05) and an increased sense of unfairness (AOR 1.74, 95% CI 1.10 to 2.73) were more likely to develop these symptoms. CONCLUSIONS: Changes in circumstances and perceptions during COVID-19 outbreak were significantly related to the development of depressive and anxiety symptoms among mothers of young children. Strategies to reduce solo parenting and increase social awareness related to domestic violence are needed. BMJ Publishing Group 2021-02-23 /pmc/articles/PMC7907626/ /pubmed/33622953 http://dx.doi.org/10.1136/bmjopen-2020-044826 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Mental Health
Kimura, Miyako
Kimura, Kazuki
Ojima, Toshiyuki
Relationships between changes due to COVID-19 pandemic and the depressive and anxiety symptoms among mothers of infants and/or preschoolers: a prospective follow-up study from pre-COVID-19 Japan
title Relationships between changes due to COVID-19 pandemic and the depressive and anxiety symptoms among mothers of infants and/or preschoolers: a prospective follow-up study from pre-COVID-19 Japan
title_full Relationships between changes due to COVID-19 pandemic and the depressive and anxiety symptoms among mothers of infants and/or preschoolers: a prospective follow-up study from pre-COVID-19 Japan
title_fullStr Relationships between changes due to COVID-19 pandemic and the depressive and anxiety symptoms among mothers of infants and/or preschoolers: a prospective follow-up study from pre-COVID-19 Japan
title_full_unstemmed Relationships between changes due to COVID-19 pandemic and the depressive and anxiety symptoms among mothers of infants and/or preschoolers: a prospective follow-up study from pre-COVID-19 Japan
title_short Relationships between changes due to COVID-19 pandemic and the depressive and anxiety symptoms among mothers of infants and/or preschoolers: a prospective follow-up study from pre-COVID-19 Japan
title_sort relationships between changes due to covid-19 pandemic and the depressive and anxiety symptoms among mothers of infants and/or preschoolers: a prospective follow-up study from pre-covid-19 japan
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907626/
https://www.ncbi.nlm.nih.gov/pubmed/33622953
http://dx.doi.org/10.1136/bmjopen-2020-044826
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