Anxiety in pregnancy and length of gestation: Findings from the healthy babies before birth study.

Health Psychology, Год журнала: 2022, Номер 41(12), С. 894 - 903

Опубликована: Сен. 26, 2022

Anxiety is prevalent in pregnancy and predicts risk of adverse birth outcomes. Many instruments measure anxiety pregnancy, some which assess defined as maternal concerns about a current (e.g., baby, childbirth). The present study examined covariance among four or distress measures at two times tested joint individual effects on gestational length. We hypothesized that the common variance each trimester would predict earlier delivery.Research staff interviewed 196 women first third utilizing clinical screener severity/impairment, measuring anxiety, one prenatal distress. Birth outcomes medical factors were obtained from records after birth. Structural equation modeling fit latent for measures. Subsequent models whether predicted length, unique measure.The third-trimester factor shorter length adjusting mother's age, education, parity, obstetric risk. Scores four-item pregnancy-specific (PSAS) added uniquely to prediction In trimester, scores (OASIS) whereas did not.These results support existing evidence indicating reliable Findings point possible screening clinically significant symptoms thereafter advance efforts prevent delivery. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Язык: Английский

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How the COVID‐19 global pandemic further jeopardized women's health, mental well‐being, and safety: Intersectionality framework and social policy action

Journal of Social Issues, Год журнала: 2023, Номер 79(2), С. 543 - 555

Опубликована: Июнь 1, 2023

Abstract The COVID‐19 pandemic has disproportionately endangered women's health, well‐being and safety. According to the World Health Organization, nearly 7 million people worldwide have died from virus by May 2023. While posed an immediate threat lives of around world, interconnections gender, race, ethnicity, class resulted in differential consequences global pandemic. With a focus on intersecting identities, this special issue explores how women became more vulnerable during suggest what policies interventions would work buffer against such risks. In issue, authors use empirical, review, policy implication demonstrate women, particularly those with other minoritized were impacted COVID‐19. examine impacts physical, emotional, reproductive along issues unique role that play mothering caretaking, within their homes, workplaces, communities, means endangerment widespread potentially intergenerational impacts. Moreover, it is clear empirically‐driven social resource responses are crucial.

Язык: Английский

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Maternal and Neonatal Hair Cortisol Levels Are Associated with Infant Neurodevelopment at Six Months of Age

Journal of Clinical Medicine, Год журнала: 2019, Номер 8(11), С. 2015 - 2015

Опубликована: Ноя. 19, 2019

Maternal stress during pregnancy can affect fetal development certain sensitive periods.To longitudinally assess maternal hair cortisol levels pregnancy, and the postpartum along with neonatal that could be associated infant neurodevelopment at six months of age.A sample 41 pregnant women assessed first, second, third trimester postpartum, their full-term neonates participated in this study. Hair were from participants. Infant was by means Bayley Scale Infants Development, Third Edition age months.Maternal first second accounted for 24% 23%, respectively, variance gross motor (p < 0.05). 31% cognitive 0.05), 25% Neonatal 28% 0.05).The preconception prenatal time are periods related to surrounding fetus while womb. Pregnant attending a appointment.

Язык: Английский

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Prenatal Stress and Psychiatric Symptoms During Early Phases of the COVID-19 Pandemic in Italy

International Journal of Women s Health, Год журнала: 2021, Номер Volume 13, С. 653 - 662

Опубликована: Июль 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.

Язык: Английский

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Pandemic-related pregnancy stress among pregnant women during the COVID-19 pandemic in Spain

Midwifery, Год журнала: 2021, Номер 103, С. 103163 - 103163

Опубликована: Окт. 7, 2021

The aim was to develop and establish the psychometric properties of Pandemic-Related Pregnancy Stress Scale (PREPS) in European Spanish speaking pregnant women Spain.A cross section design using a non-random sample 206 completed questionnaire during first COVID-19 pandemic lockdown from April June 2020 Spain. Psychological, sociodemographic obstetric factors new PREPS were collected.Bartlett's test sphericity (χ2(105) = 580.36, p < .001), KMO .79 confirmed appropriateness for factor analysis PREPS. Confirmatory analyses based on structure original USA English version this instrument three - Preparedness (7 items), Perinatal Infection (5 Positive Appraisal (3 items). 15-item demonstrates internal consistency reliability are adequate (α > .77), F1 .65), F2 0.60) F3 appraisal .55). exhibited good inter-item correlations, (F1 Preparedness: .21; Infection: .23, Appraisal: .29). Convergent validity examined through Pearson's correlation coefficients with Perceived (PSS) Prenatal Distress Questionnaire (PDQ). Correlation between total PSS high, moderate PDQ (p .05).The make it valuable psychological measure assess pandemic-related stress among women.

Язык: Английский

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Common model of stress, anxiety, and depressive symptoms in pregnant women from seven high-income Western countries at the COVID-19 pandemic onset

Social Science & Medicine, Год журнала: 2022, Номер 315, С. 115499 - 115499

Опубликована: Ноя. 1, 2022

Язык: Английский

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Stress, Coping, and Psychiatric Symptoms in Pregnant Women in Outpatient Care During the 2021 Second-Wave COVID-19 Pandemic

Frontiers in Psychiatry, Год журнала: 2022, Номер 12

Опубликована: Янв. 6, 2022

Aims: Women face many sources of stress throughout their lives, and some periods are particularly sensitive; pregnancy is one them. The COVID-19 pandemic a likely source additional for pregnant women. Moreover, there evidence that women have experienced high levels anxiety depression symptoms during the pandemic. Our study aimed to evaluate association pregnancy-specific stress, pandemic-related coping strategies with anxiety, depressive obsessive-compulsive symptomatology in Italian second wave (December 2020–June 2021). We also investigated whether were differences these psychopathology compared prior conducted first (April–August 2020) Methods: assessed 325 receiving outpatient prenatal care, using Revised Prenatal Distress Questionnaire (NuPDQ), Pandemic-Related Pregnancy Stress Scale (PREPS), Coping Inventory (NuPCI), General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-2 (PHQ-2), Obsessive-Compulsive Disorder (OCD) screening. main analysis was comparing multiple logistic regression models predicting each psychopathological outcome from specific covariates NuPDQ, PREPS, NuPCI scores. Results: 42.8% sample reported significant while 10.3% positive on screening 13.1% OCD No difference found prevalence depression, or scores wave. Controlling covariates, we GAD-7 PHQ-2 predicted by stress; not. model improved adding as predictor (in particular, feeling unprepared delivery postpartum). Finally, (avoidance, spiritual coping, planning-preparation) significantly prediction all three outcomes. Conclusions: present suggests importance pregnancy-related counteracting contributing psychiatric current

Язык: Английский

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Anxiety among pregnant women during the first wave of the COVID-19 pandemic in Poland

Scientific Reports, Год журнала: 2022, Номер 12(1)

Опубликована: Май 19, 2022

Although anxiety is common because of the transitional nature perinatal period, particularly high levels have been observed in some studies pregnant women during pandemic. The purpose this study was to evaluate severity among first wave COVID-19 pandemic Poland, and factors associated with it. Cross-sectional a total 1050 recruited via social media Poland pandemic, from March 1 until June 1, 2020. survey included validated psychological measures: GAD-7 (anxiety), PREPS (pandemic stress), two subscales: preparedness infection stress, obstetric, sociodemographic related variables. T-tests, ANOVAs, hierarchical binary logistic regression for dichotomized scores (minimal or mild vs. moderate severe) were used. Over third respondents experienced severe anxiety. Predictors non-pandemic like unplanned pregnancy emotional psychiatric problems, as well stress. Levels exceeded pre-pandemic norms. Findings suggest that prior conditions, pregnancy, elevated pandemic-related stress due concerns about poor preparation birth contributed risk Polish onset. Given harmful effects antenatal on health well-being mothers their children, psychotherapeutic interventions, efforts alleviate women's training adaptive ways cope are vital reduce prevalence maternal its potential consequences global crisis.

Язык: Английский

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Economic Insecurities and Mental Health Among Low-Income Pregnant People in the Central Valley Region of California

Women s Health Issues, Год журнала: 2025, Номер unknown

Опубликована: Фев. 1, 2025

The association between economic insecurity and mental health among low-income pregnant people is understudied. We examined the relationship perinatal stress, anxiety, depressive symptoms a low-income, racially/ethnically diverse study population, differentiated associations by nativity status. used cross-sectional data from EMBRACE Study that enrolled Medi-Cal (California's Medicaid program) eligible in Central Valley region of California. Economic was assessed through measures food insecurity, low financial well-being, inability to pay an emergency expense, bills, fear eviction, history homelessness. these with perceived stress (Perceived Stress Scale), generalized anxiety (Generalized Anxiety Disorder-7), (Patient Health Questionnaire-9), adjusting for age, status, education level. also effect measure modification Latinx population. report estimated differences 95% confidence intervals each exposure outcome. In our sample 674 participants, we observed health. Among 24 models, 15 showed medium large effects (>0.35 standard deviation differences) only three negligible sizes. Across all outcomes, stronger U.S.-born compared their foreign-born (93% Mexico-born) counterparts. found experience significant insecurities may impact adversely. Programs increase supports during pregnancy serve as important maternal interventions, especially racial/ethnic minoritized groups.

Язык: Английский

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Modifiable risk factors for hypertensive disorders in pregnancy

Critical Public Health, Год журнала: 2025, Номер 35(1)

Опубликована: Март 20, 2025

Язык: Английский

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