Cargando…
The COVID-19 Pandemic Impacted Maternal Mental Health Differently Depending on Pregnancy Status and Trimester of Gestation
Introduction: We aimed to measure the impact of the COVID-19 pandemic on maternal mental health, stratifying on pregnancy status, trimester of gestation, and pandemic period/wave. Methods: Pregnant persons and persons who delivered in Canada during the pandemic, >18 years, were recruited, and dat...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910614/ https://www.ncbi.nlm.nih.gov/pubmed/35270623 http://dx.doi.org/10.3390/ijerph19052926 |
_version_ | 1784666535230439424 |
---|---|
author | Bérard, Anick Gorgui, Jessica Tchuente, Vanina Lacasse, Anaïs Gomez, Yessica-Haydee Côté, Sylvana King, Suzanne Muanda, Flory Mufike, Yves Boucoiran, Isabelle Nuyt, Anne Monique Quach, Caroline Ferreira, Ema Kaul, Padma Winquist, Brandace O’Donnell, Kieran J. Eltonsy, Sherif Chateau, Dan Zhao, Jin-Ping Hanley, Gillian Oberlander, Tim Kassai, Behrouz Mainbourg, Sabine Bernatsky, Sasha Vinet, Évelyne Brodeur-Doucet, Annie Demers, Jackie Richebé, Philippe Zaphiratos, Valerie |
author_facet | Bérard, Anick Gorgui, Jessica Tchuente, Vanina Lacasse, Anaïs Gomez, Yessica-Haydee Côté, Sylvana King, Suzanne Muanda, Flory Mufike, Yves Boucoiran, Isabelle Nuyt, Anne Monique Quach, Caroline Ferreira, Ema Kaul, Padma Winquist, Brandace O’Donnell, Kieran J. Eltonsy, Sherif Chateau, Dan Zhao, Jin-Ping Hanley, Gillian Oberlander, Tim Kassai, Behrouz Mainbourg, Sabine Bernatsky, Sasha Vinet, Évelyne Brodeur-Doucet, Annie Demers, Jackie Richebé, Philippe Zaphiratos, Valerie |
author_sort | Bérard, Anick |
collection | PubMed |
description | Introduction: We aimed to measure the impact of the COVID-19 pandemic on maternal mental health, stratifying on pregnancy status, trimester of gestation, and pandemic period/wave. Methods: Pregnant persons and persons who delivered in Canada during the pandemic, >18 years, were recruited, and data were collected using a web-based strategy. The current analysis includes data on persons enrolled between 06/2020–08/2021. Maternal sociodemographic indicators, mental health measures (Edinburgh Perinatal Depression Scale (EPDS), Generalized Anxiety Disorders (GAD-7), stress) were self-reported. Maternal mental health in pregnant women (stratified by trimester, and pandemic period/wave at recruitment) was compared with the mental health of women who had delivered; determinants of severe depression were identified with multivariate logistic regression models. Results: 2574 persons were pregnant and 626 had already delivered at recruitment. Participants who had delivered had significantly higher mean depressive symptom scores compared to those pregnant at recruitment (9.1 (SD, 5.7) vs. 8.4 (SD, 5.3), p = 0.009). Maternal anxiety (aOR 1.51; 95%CI 1.44–1.59) and stress (aOR 1.35; 95%CI 1.24–1.48) were the most significant predictors of severe maternal depression (EDPS ˃ 13) in pregnancy. Conclusion: The COVID-19 pandemic had a significant impact on maternal depression during pregnancy and in the post-partum period. Given that gestational depression/anxiety/stress has been associated with preterm birth and childhood cognitive problems, it is essential to continue following women/children, and develop strategies to reduce COVID-19′s longer-term impact. |
format | Online Article Text |
id | pubmed-8910614 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89106142022-03-11 The COVID-19 Pandemic Impacted Maternal Mental Health Differently Depending on Pregnancy Status and Trimester of Gestation Bérard, Anick Gorgui, Jessica Tchuente, Vanina Lacasse, Anaïs Gomez, Yessica-Haydee Côté, Sylvana King, Suzanne Muanda, Flory Mufike, Yves Boucoiran, Isabelle Nuyt, Anne Monique Quach, Caroline Ferreira, Ema Kaul, Padma Winquist, Brandace O’Donnell, Kieran J. Eltonsy, Sherif Chateau, Dan Zhao, Jin-Ping Hanley, Gillian Oberlander, Tim Kassai, Behrouz Mainbourg, Sabine Bernatsky, Sasha Vinet, Évelyne Brodeur-Doucet, Annie Demers, Jackie Richebé, Philippe Zaphiratos, Valerie Int J Environ Res Public Health Article Introduction: We aimed to measure the impact of the COVID-19 pandemic on maternal mental health, stratifying on pregnancy status, trimester of gestation, and pandemic period/wave. Methods: Pregnant persons and persons who delivered in Canada during the pandemic, >18 years, were recruited, and data were collected using a web-based strategy. The current analysis includes data on persons enrolled between 06/2020–08/2021. Maternal sociodemographic indicators, mental health measures (Edinburgh Perinatal Depression Scale (EPDS), Generalized Anxiety Disorders (GAD-7), stress) were self-reported. Maternal mental health in pregnant women (stratified by trimester, and pandemic period/wave at recruitment) was compared with the mental health of women who had delivered; determinants of severe depression were identified with multivariate logistic regression models. Results: 2574 persons were pregnant and 626 had already delivered at recruitment. Participants who had delivered had significantly higher mean depressive symptom scores compared to those pregnant at recruitment (9.1 (SD, 5.7) vs. 8.4 (SD, 5.3), p = 0.009). Maternal anxiety (aOR 1.51; 95%CI 1.44–1.59) and stress (aOR 1.35; 95%CI 1.24–1.48) were the most significant predictors of severe maternal depression (EDPS ˃ 13) in pregnancy. Conclusion: The COVID-19 pandemic had a significant impact on maternal depression during pregnancy and in the post-partum period. Given that gestational depression/anxiety/stress has been associated with preterm birth and childhood cognitive problems, it is essential to continue following women/children, and develop strategies to reduce COVID-19′s longer-term impact. MDPI 2022-03-02 /pmc/articles/PMC8910614/ /pubmed/35270623 http://dx.doi.org/10.3390/ijerph19052926 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bérard, Anick Gorgui, Jessica Tchuente, Vanina Lacasse, Anaïs Gomez, Yessica-Haydee Côté, Sylvana King, Suzanne Muanda, Flory Mufike, Yves Boucoiran, Isabelle Nuyt, Anne Monique Quach, Caroline Ferreira, Ema Kaul, Padma Winquist, Brandace O’Donnell, Kieran J. Eltonsy, Sherif Chateau, Dan Zhao, Jin-Ping Hanley, Gillian Oberlander, Tim Kassai, Behrouz Mainbourg, Sabine Bernatsky, Sasha Vinet, Évelyne Brodeur-Doucet, Annie Demers, Jackie Richebé, Philippe Zaphiratos, Valerie The COVID-19 Pandemic Impacted Maternal Mental Health Differently Depending on Pregnancy Status and Trimester of Gestation |
title | The COVID-19 Pandemic Impacted Maternal Mental Health Differently Depending on Pregnancy Status and Trimester of Gestation |
title_full | The COVID-19 Pandemic Impacted Maternal Mental Health Differently Depending on Pregnancy Status and Trimester of Gestation |
title_fullStr | The COVID-19 Pandemic Impacted Maternal Mental Health Differently Depending on Pregnancy Status and Trimester of Gestation |
title_full_unstemmed | The COVID-19 Pandemic Impacted Maternal Mental Health Differently Depending on Pregnancy Status and Trimester of Gestation |
title_short | The COVID-19 Pandemic Impacted Maternal Mental Health Differently Depending on Pregnancy Status and Trimester of Gestation |
title_sort | covid-19 pandemic impacted maternal mental health differently depending on pregnancy status and trimester of gestation |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910614/ https://www.ncbi.nlm.nih.gov/pubmed/35270623 http://dx.doi.org/10.3390/ijerph19052926 |
work_keys_str_mv | AT berardanick thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT gorguijessica thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT tchuentevanina thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT lacasseanais thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT gomezyessicahaydee thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT cotesylvana thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT kingsuzanne thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT muandaflory thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT mufikeyves thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT boucoiranisabelle thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT nuytannemonique thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT quachcaroline thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT ferreiraema thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT kaulpadma thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT winquistbrandace thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT odonnellkieranj thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT eltonsysherif thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT chateaudan thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT zhaojinping thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT hanleygillian thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT oberlandertim thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT kassaibehrouz thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT mainbourgsabine thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT bernatskysasha thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT vinetevelyne thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT brodeurdoucetannie thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT demersjackie thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT richebephilippe thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT zaphiratosvalerie thecovid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT berardanick covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT gorguijessica covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT tchuentevanina covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT lacasseanais covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT gomezyessicahaydee covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT cotesylvana covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT kingsuzanne covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT muandaflory covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT mufikeyves covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT boucoiranisabelle covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT nuytannemonique covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT quachcaroline covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT ferreiraema covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT kaulpadma covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT winquistbrandace covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT odonnellkieranj covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT eltonsysherif covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT chateaudan covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT zhaojinping covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT hanleygillian covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT oberlandertim covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT kassaibehrouz covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT mainbourgsabine covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT bernatskysasha covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT vinetevelyne covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT brodeurdoucetannie covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT demersjackie covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT richebephilippe covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation AT zaphiratosvalerie covid19pandemicimpactedmaternalmentalhealthdifferentlydependingonpregnancystatusandtrimesterofgestation |