Acta Medica Bulgarica,
Journal Year:
2025,
Volume and Issue:
52(1), P. 64 - 74
Published: March 1, 2025
Abstract
Background
and
Objectives
The
World
Health
Organization
declared
pregnant
women
mothers
of
infants
to
be
among
the
most
vulnerable
groups
during
COVID-19
pandemic.
This
study,
a
part
large
international
prospective
aimed
1)
evaluate
levels
perinatal
depression
anxiety,
2)
determine
risk
protective
factors
that
predict
mental
health
outcomes,
3)
ascertain
possible
effects
different
behavioral
coping
strategies
overcome
stress
challenges
Covid-19
lockdowns
restrictions.
Materials
Methods
is
comparative
cross
sectional,
non-interventional
study
non-clinical
population
peripartum
(N
=
328,
62%
pregnant,
38%
infants).
Participants
completed
adapted
Bulgarian
version
Coronavirus
Perinatal
Experiences
–
Impact
Survey
(COPE–IS),
which
includes
self-assessment
scales
(Edinburgh
Postnatal
Depression
Scale,
EPDS)
anxiety
(Generalized
Anxiety
Disorder
Screener,
GAD-7),
preferred
social
support
questions.
Results
24.8%
23%
showed
very
high
(>
13)
EPDS
score,
while
22.8%
18.3%
presented
severe
10)
GAD-7
symptoms.
Several
hierarchical
linear
regression
analyses
revealed
that:
history
previous
mood
disorders
mother
was
predictor
peripartum,
perceived
decreased
time
on
media
were
postnatally,
family
had
beneficial
effect
outcomes
for
both
periods,
4)
predicting
in
appear
configurations
two
studied
periods
pregnancy
postpartum.
Conclusions:
Tailoring
interventions
address
strategies,
taking
into
account
stages
early
motherhood,
holds
promise
optimizing
this
population,
especially
critical
global
or
local
crises.
BMC Psychiatry,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: Sept. 4, 2023
Abstract
Background
Loneliness
and
social
isolation
are
increasingly
recognised
as
prevalent
among
people
with
mental
health
problems,
potential
targets
for
interventions
to
improve
quality
of
life
outcomes,
well
preventive
strategies.
Understanding
the
relationship
between
quantity
relationships
a
range
conditions
is
helpful
step
towards
development
such
interventions.
Purpose
Our
aim
was
give
an
overview
associations
constructs
related
(including
loneliness
isolation)
diagnosed
symptoms,
reported
in
systematic
reviews
observational
studies.
Methods
For
this
umbrella
review
(systematic
reviews)
we
searched
five
databases
(PsycINFO,
MEDLINE,
EMBASE,
CINAHL,
Web
Science)
relevant
online
resources
(PROSPERO,
Campbell
Collaboration,
Joanna
Briggs
Institute
Evidence
Synthesis
Journal).
We
included
studies
diagnoses
or
psychiatric
symptom
severity,
clinical
general
population
samples.
also
investigating
risk
onset
problems.
Results
identified
53
reviews,
including
them
narrative
synthesis.
found
evidence
regarding
(i)
loneliness,
isolation,
support,
network
size
composition,
individual-level
capital
(ii)
severity
various
symptoms.
Depression
post-natal)
psychosis
were
most
often
on,
few
on
eating
disorders
post-traumatic
stress
disorder
(PTSD),
only
four
anxiety.
Social
support
commonly
construct.
findings
limited
by
low
their
inclusion
mainly
cross-sectional
evidence.
Conclusion
Good
needed
wider
constructs,
other
than
depression,
longitudinal
symptoms
conditions.
BMC Psychiatry,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: Aug. 7, 2023
Antenatal
depression
and
anxiety
symptoms
may
have
negative
consequences
for
both
mothers
offspring,
upward
trends
in
the
prevalence
of
these
were
especially
apparent
during
COVID-19
epidemic.
The
purpose
this
study
was
to
evaluate
relevant
factors
influencing
depressive
Chinese
pregnant
women
post-COVID-19
era.We
conducted
an
online
survey
1,963
Jiangsu
Province,
using
a
cross-sectional
design,
collected
their
general
demographic
data.
nine-item
Patient
Health
Questionnaire
9
(PHQ-9)
used
symptoms,
seven-item
Generalized
Anxiety
Disorder
7
(GAD-7)
measure
symptoms.The
reported
antenatal
combined
with
25.2%,
27.9%,
18.6%,
respectively.
Of
respondents,
moderate
severe
depression,
7.9%
7.7%,
Binary
logistic
regression
analysis
demonstrated
that
age,
low
level
education,
rural
area,
unemployment,
pregnancy
complications,
poor
marital
relationship,
fair
household
income
positively
association
(all
P
<
0.05).
proportion
reporting
third
trimester
1.91-fold
higher
than
first
trimester.
Parity
factor
0.05).In
era,
expected,
it
is
vital
establish
hospital,
community,
family
psychological
health
screening
systems
based
on
enhance
early
preventive
measures.
BMC Public Health,
Journal Year:
2022,
Volume and Issue:
22(1)
Published: March 17, 2022
Abstract
Young
parents
(aged
16–24
years)
in
the
perinatal
period
are
at
an
increased
risk
of
poor
mental
health
especially
during
COVID-19
pandemic,
due
to
multiple
factors
including
social
and
economic
instability.
related
restrictions
had
profound
implications
for
delivery
care
services
other
support
structures
young
parents.
Investigating
parents’
experiences
their
perceived
challenges
needs,
is
important
inform
good
practice
provide
appropriate
Qualitative
interviews
were
conducted
with
(
n
=
21)
pandemic
United
Kingdom
from
February
–
May
2021.
Data
analysed
using
thematic
analysis.
Three
key
themes
identified
describe
pandemic.
Parents
reported
specific
anxieties
stressors,
worries
around
contracting
virus
feelings
distress
uncertainty
created
by
described
feeling
alone
both
home
antenatal
appointments
highlighted
absence
as
a
major
area
concern.
also
felt
been
disrupted
experienced
difficulties
accessing
online
or
over
phone.
This
study
highlights
potential
impact
on
parents,
wellbeing
they
able
access.
Insights
this
can
offered
families
going
forward.
Specifically,
findings
emphasise
importance
(a)
supporting
appointments,
(b)
providing
early
(c)
finding
ways
facilitate
communication
pathways
between
professionals
BMC Pregnancy and Childbirth,
Journal Year:
2022,
Volume and Issue:
22(1)
Published: March 8, 2022
Antenatal
depression
(AD)
is
common
in
pregnant
women
and
associated
with
adverse
outcomes
for
the
mother,
fetus,
infant
child.
The
influencing
factors
of
AD
among
have
been
studied;
however,
mechanisms
these
remain
unclear.
This
study
was
designed
to
examine
direct
serial
mediating
roles
coping
styles
relationship
between
perceived
social
support
women.A
cross-sectional
conducted
1486
who
registered
give
birth
at
a
tertiary
hospital.
A
self-developed
questionnaire
administered
obtain
sociodemographic
obstetric
data.
Perceived
Social
Support
Scale
(PSSS),
Simplified
Coping
Style
Questionnaire
(SCSQ),
Edinburgh
Postnatal
Depression
(EPDS)
were
measure
support,
styles,
depressive
symptoms
women,
respectively.
Multiple
linear
stepwise
regression
analysis
used,
then,
specific
relationships
determined
through
structural
equation
modelling
(SEM).The
prevalence
24.02%.
average
scores
intrafamily
extrafamily
positive
negative
EPDS
reported
by
24.16
±
3.09,
44.52
6.16,
27.34
4.89,
9.79
3.82,
7.44
3.56,
showed
that
higher
level
exhibited
style
decreased
risk
AD.
Compared
effect
(-0.16
vs.
-0.10,
P
<
0.05)
indirect
(-0.028
-0.027,
on
stronger.
Two
pathways
explained
17.46%
variance
scores.Higher
likelihood
AD,
not
only
directly
but
also
styles.
should
be
strengthened,
advocated
every
stage
pregnancy.
Specifically,
given
more
attention
Chinese
women.
Obstetrics & Gynecology Science,
Journal Year:
2022,
Volume and Issue:
65(4), P. 287 - 302
Published: June 27, 2022
Coronavirus
disease
2019
(COVID-19)
emerged
as
a
global
pandemic
in
March
2020
and
caused
big
crisis,
especially
the
health
crisis.
Pregnant
postpartum
women
experienced
significant
physical,
social,
mental
changes
that
put
them
at
higher
risk
for
several
conditions
during
pandemic.
This
study
aimed
to
report
prevalence
of
depression
pregnant
COVID-19
Eligible
studies
were
identified
using
databases.
Prevalence
analysis
was
conducted
MedCalc
ver.
19.5.1.
systematic
review
metaanalysis
registered
PROSPERO
on
July
12,
2021
with
registration
number
CRD42021266976.
We
included
54
95.326
participants.
The
overall
32.60%
among
rate
(31.49%)
compared
(27.64%).
increased
European Journal of Public Health,
Journal Year:
2024,
Volume and Issue:
34(Supplement_1), P. i58 - i66
Published: July 1, 2024
Abstract
Background
Despite
concerns
about
worsening
pregnancy
outcomes
resulting
from
healthcare
restrictions,
economic
difficulties
and
increased
stress
during
the
COVID-19
pandemic,
preterm
birth
(PTB)
rates
declined
in
some
countries
2020,
while
stillbirth
appeared
stable.
Like
other
shocks,
pandemic
may
have
exacerbated
existing
socioeconomic
disparities
pregnancy,
but
this
remains
to
be
established.
Our
objective
was
investigate
changes
PTB
by
status
(SES)
European
countries.
Methods
The
Euro-Peristat
network
implemented
study
within
Population
Health
Information
Research
Infrastructure
(PHIRI)
project.
A
common
data
model
developed
collect
aggregated
tables
routine
for
2015–2020.
SES
based
on
mother’s
educational
level
or
area-level
deprivation/maternal
occupation
if
education
unavailable
harmonized
into
low,
medium
high
SES.
Country-specific
relative
risks
(RRs)
of
March
December
adjusted
linear
trends
2015
2019,
group
were
pooled
using
random
effects
meta-analysis.
Results
Twenty-one
provided
perinatal
an
average
4%
2020
{pooled
RR:
0.96
[95%
confidence
intervals
(CIs):
0.94–0.97]}
with
similar
estimates
across
all
groups.
Stillbirths
rose
5%
[RR:
1.05
(95%
CI:
0.99–1.10)],
increases
between
3
6%
three
groups,
overlapping
limits.
Conclusions
decreases
regardless
group,
without
marked
differences
Frontiers in Psychology,
Journal Year:
2021,
Volume and Issue:
12
Published: Dec. 22, 2021
Background:
Maternal
prenatal
anxiety
is
among
important
public
health
issues
as
it
may
affect
child
development.
However,
there
are
not
enough
studies
to
examine
the
impact
of
a
mother's
on
child's
early
development,
especially
up
1
year.
Objective:
The
present
prospective
cohort
study
aimed
whether
maternal
trait
anxiety,
perceived
social
support,
and
COVID-19
related
fear
impacted
speech-language,
sensory-motor,
socio-emotional
development
in
12
months
old
Serbian
infants
during
pandemic.
Methods:
This
follow-up
included
142
pregnant
women
(Time
1)
their
children
at
2).
Antenatal
children's
were
examined.
was
assessed
using
State-Trait
Anxiety
Inventory
(STAI).
Child
developmental
scale
form
an
online
questionnaire
that
examined
psychophysiological
Information
socioeconomic
factors,
demographics,
clinical
viral
infection
collected.
Multivariable
General
Linear
Model
analysis
conducted,
adjusted
for
demographic,
clinical,
coronavirus
experiences,
levels,
motor
skills,
cognitive
infants'
age
months.
Results:
revealed
influence
pandemic
anxiety.
association
between
selected
independent
factors
found
demographically
unified
sample
except
employment
number
children.
There
correlation
all
observed
functions.
Univariate
model
statistical
indicated
linear
models
with
covariates
could
account
30.9%
(Cognition)
40.6%
(Speech-language)
variability
It
turned
out
two-way
three-way
interactions
had
dominant
role
models,
STAI-T
Level
interaction
terms.
Conclusion:
Our
findings
reveal
determinants
outcomes
underline
These
lay
groundwork
following
interdisciplinary
research
pregnancy
facilitate
achieve
positive
mental
health.
International Journal of Women s Health,
Journal Year:
2021,
Volume and Issue:
Volume 13, P. 653 - 662
Published: July 1, 2021
In
February
2020,
Italy
became
the
first
European
country
to
face
coronavirus
disease
2019
(COVID-19)
outbreak.
The
concerns
of
infection,
financial
worries,
loss
freedom,
and
isolation
during
ongoing
pandemic
can
lead
negative
psychological
effects,
including
anxiety,
depression,
obsessive-compulsive
disorder.
main
aim
our
study
was
evaluate
relationship
between
pandemic-related
stress
pregnancy-specific
assess
their
role
in
development
psychiatric
symptoms.
We
predicted
that
would
mediate
an
association
with
symptoms.A
total
258
pregnant
women
were
assessed
for
general
emotional
symptoms
General
Anxiety
Disorder-7
(GAD-7),
Patient
Health
Questionnaire-2
(PHQ-2),
Obsessive-Compulsive
Disorder
screening
(OCD).
Revised
Prenatal
Distress
Questionnaire
(NuPDQ)
Pandemic-Related
Pregnancy
Stress
Scale
(PREPS)
administered
as
measures
(PSS
pandemic-related,
respectively).
Mediation
effects
by
NuPDQ
PREPS
scales
on
outcomes
calculated,
using
regression
series
correcting
covariates.Almost
a
third
sample
reported
clinically
relevant
anxiety
levels
(32.6%),
11.2%
positive
OCD
less
than
5%
depression
screening.
related
feeling
unprepared
delivery
postpartum
(PREPS-PS)
PHQ-2
score,
both
directly
indirectly
via
PSS,
it
GAD-7
score
only
indirectly.
fear
infection
(PREPS-PIS)
associated
-
through
PSS
OCD.The
onset
contributed
poor
mental
health,
especially
substantial
portion
Italian
women.
Our
results
emphasize
importance
strategies
reduce
stress,
well
diminish
due
pandemic.
Identifying
risk
factors
suffering
is
important
prevent
potential
long-term
consequences
mothers
offspring.