Stress, Coping, and Psychiatric Symptoms in Pregnant Women in Outpatient Care During the 2021 Second-Wave Covid-19 Pandemic
Bibliographic Data
| ID | 15523641 |
|---|---|
| Authors | Chiara Penengo (0000-0003-2766-5005, University of Udine, corresponding author), Chiara Colli (0000-0002-3247-7714, University of Udine), Maddalena Cesco (0009-0007-3992-7320, University of Udine), Veronica Croccia (University of Udine), Matilde Degano (0000-0002-0290-8800, University of Udine), Alessandra Ferreghini (University of Udine), Marco Garzitto (0000-0001-7565-420X, University of Udine), Michael Lobel (0000-0002-7841-2422, Stony Brook University), Marci Lobel, Heidi Preis (0000-0002-0459-290X, Stony Brook University), Alessia Sala (0000-0003-4390-933X, University of Udine), Lorenza Driul (0000-0003-1896-9410, University of Udine), M Balestrieri (0000-0003-4616-7714, University of Udine) |
| Year | 2022 |
| Volume | 12 |
| Pages | 775585-775585 |
| Publication date | 2022-01-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2021.775585 |
| PMID | 35069284 |
| OpenAlex | W4205896818 |
| Language | EN |
| Citations received | 4 |
| References cited | 60 |
Aims: Women face many sources of stress throughout their lives, and some periods are particularly sensitive; pregnancy is one of them. The COVID-19 pandemic is a likely source of additional stress for pregnant women. Moreover, there is evidence that pregnant women have experienced high levels of anxiety and depression symptoms during the pandemic. Our study aimed to evaluate the association of pregnancy-specific stress, pandemic-related stress, and coping strategies with anxiety, depressive and obsessive-compulsive symptomatology in Italian women during the second wave of the COVID-19 pandemic (December 2020-June 2021). We also investigated whether there were differences in these levels of psychopathology compared to a prior study conducted during the first pandemic wave (April-August 2020) in Italian pregnant women. Methods: We assessed 325 pregnant women receiving outpatient prenatal care, using the Revised Prenatal Distress Questionnaire (NuPDQ), Pandemic-Related Pregnancy Stress Scale (PREPS), the Revised Prenatal Coping Inventory (NuPCI), General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-2 (PHQ-2), and Obsessive-Compulsive Disorder (OCD) screening. The main analysis was conducted comparing multiple logistic regression models predicting each psychopathological outcome from specific covariates and NuPDQ, PREPS, and NuPCI scores. Results: 42.8% of the sample reported significant levels of anxiety, while 10.3% was positive on depression screening and 13.1% on OCD screening. No significant difference was found in the prevalence of high anxiety, depression, or OCD screening scores compared with the first pandemic wave. Controlling for covariates, we found that GAD-7 and PHQ-2 scores were predicted by pregnancy-specific stress; positive OCD screening was not. The model of high anxiety was improved by adding pandemic-related stress as a predictor (in particular, feeling unprepared for delivery and postpartum). Finally, coping strategies (avoidance, spiritual coping, and planning-preparation) significantly improved prediction of all three psychopathological outcomes. Conclusions: The present study suggests the importance of pregnancy-related stress, COVID-19 pandemic stress, and of coping strategies in counteracting or contributing to psychiatric symptomatology during the current pandemic
2019-20 coronavirus outbreak · Coping (psychology · Coronavirus disease 2019 (COVID-19 · Disease · Infectious disease (medical specialty · Pandemic · Psychiatry · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · Clinical Psychology · COVID-19 and Mental Health · COVID-19 Impact on Reproduction · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology · Internal Medicine · Virology
Identifying the women at risk of antenatal anxiety and depression
Prevalence of depression during the Covid-19 outbreak
Offspring of Depressed Parents
Coping behaviors associated with decreased anxiety and depressive symptoms during the Covid-19 pandemic and lockdown
Anxiety, depression and stress in pregnancy
Psychometric properties and clinical utility of brief measures of depression, anxiety, and general distress
Validation of the 7-item Generalized Anxiety Disorder scale (GAD-7) as a screening tool for anxiety among pregnant Chinese women
Covid-19 pandemic and maternal mental health
Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population
Pregnancy-specific stress, prenatal health behaviors, and birth outcomes.
Maternal depressive and anxiety symptoms before and during the Covid-19 pandemic in Canada
MissForest—non-parametric missing value imputation for mixed-type data
The psychological impact of quarantine and how to reduce it
Impact of Covid-19 pandemic on mental health in the general population
A Brief Measure for Assessing Generalized Anxiety Disorder
Prevalence of stress, anxiety, depression among the general population during the Covid-19 pandemic
Stress and Anxiety Levels in Pregnant and Post-Partum Women during the Covid-19 Pandemic
The Impact of Covid-19 Epidemic Declaration on Psychological Consequences
A Nationwide Survey of Psychological Distress among Italian People during the Covid-19 Pandemic
Incidence of PTSD and generalized anxiety symptoms during the first wave of Covid-19 outbreak
The Patient Health Questionnaire-2
Coping and tolerance of uncertainty
| Unique citing works | 4 |
|---|---|
| Citations per year | 1,33 |
| Citation span | 2023 - 2025 (3) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 4 |