A Longitudinal Study on Maternal Depressive Symptoms During the COVID-19 Pandemic: The Role of Strict Lockdown Measures and Social Support

Fernandes, Joana; Tavares, Inês M.; Bem-Haja, Pedro; Barros, Tânia; Carrito, Mariana L.

doi:10.3389/ijph.2022.1604608

Cited by 7 publications

(5 citation statements)

References 47 publications

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“…Findings indicate that greater negative COVID impact, lower education, and lower social support were positively associated with higher levels of distress levels during pregnancy. These findings are in line with prior research indicating that social support is a protective factor (e.g., Lebel et al, 2020;Zhou et al, 2021;Khoury et al, 2021b;Fernandes et al, 2022) and COVID-related stress is a risk factor (e.g., Khoury et al, 2021b;Awad-Sirhan et al, 2022;Giesbrecht et al, 2022) for mental health and distress in prenatal and postpartum samples during the pandemic. In particular, prior work by Fernandes et al (2022) showed that higher social support was associated with lower levels of depression from pregnancy 6-months postpartum.…”

Section: Factors Related To Distress: Education Level Covid Impact An...supporting

confidence: 91%

“…These findings are in line with prior research indicating that social support is a protective factor (e.g., Lebel et al, 2020;Zhou et al, 2021;Khoury et al, 2021b;Fernandes et al, 2022) and COVID-related stress is a risk factor (e.g., Khoury et al, 2021b;Awad-Sirhan et al, 2022;Giesbrecht et al, 2022) for mental health and distress in prenatal and postpartum samples during the pandemic. In particular, prior work by Fernandes et al (2022) showed that higher social support was associated with lower levels of depression from pregnancy 6-months postpartum. The present study adds to this literature by demonstrating longitudinal effects of social support and COVID stress on trajectories of multiple indices of distress (depression, anxiety, and stress) from pregnancy to 15-months postpartum.…”

Section: Factors Related To Distress: Education Level Covid Impact An...supporting

confidence: 91%

“…Additionally, a study of pregnant people in Quebec, Canada, found that prenatal maternal distress was associated with distress at 2-months postpartum, and that postpartum distress mediated the association between prenatal distress and early infant social-emotional development (Duguay et al, 2022). Furthermore, Fernandes et al (2022) conducted a 3-wave longitudinal study, spanning from the third trimester of pregnancy until 6-months postpartum. They found that lockdown measures, lower social support, and higher levels of depressive symptoms during pregnancy predicted trajectories of depression over time.…”

Section: Introductionmentioning

confidence: 99%

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Trajectories of distress from pregnancy to 15-months post-partum during the COVID-19 pandemic

et al. 2023

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BackgroundThe COVID-19 pandemic has particularly burdened pregnant and postpartum women. It remains unclear how distress levels of pregnant and postpartum people have changed (or persisted) as the pandemic continues on and which factors may contribute to these trajectories of distress.MethodsThis longitudinal study included 304 pregnant people, who were followed during pregnancy, 6-weeks, 6-months and 15-months postpartum. At each time point, a latent “distress” factor was estimated using self-reported depressive symptoms, anxiety symptoms, and stress. Reported negative impact of COVID-19 and social support were assessed during pregnancy as risk and protective factors related to distress. Second-order latent growth curve modeling with a piecewise growth function was used to estimate initial levels and changes in distress over time.ResultsMean distress was relatively stable from the pregnancy to 6-weeks postpartum and then declined from 6-weeks to 15-months postpartum. Higher education, greater social support, and lower negative impact of COVID-19 were associated with a lower distress during pregnancy. Unexpectedly, negative impact of COVID-19 was associated with a faster decrease in distress and more social support was associated with a greater increase in distress from pregnancy to 6-weeks postpartum. However, these effects became non-significant after controlling for distress during pregnancy.ConclusionFindings indicate high but declining levels of distress from pregnancy to the postpartum period. Changes in distress are related to social support and the negative impact of the pandemic in pregnancy. Findings highlight the continued impact of COVID-19 on perinatal mental health and the need for support to limit the burden of this pandemic on pregnant people and families.

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Section: Factors Related To Distress: Education Level Covid Impact An...supporting

confidence: 91%

Section: Factors Related To Distress: Education Level Covid Impact An...supporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Trajectories of distress from pregnancy to 15-months post-partum during the COVID-19 pandemic

et al. 2023

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“…Our ndings demonstrated that the negative between PSS and for women in low, moderate and high pandemic severity. Similar ndings reinforced that PSS had a strong protective effect against depressive symptoms when women were under severe lockdown strictions during COVID-19 [43].…”

Section: Associations Of Pss and Pds Under Different Covid-19 Pandemi...supporting

confidence: 69%

Postpartum Depressive Symptoms, Perceived Social Support and Their Associations of Women Under Different COVID-19 Pandemic Severities: Analysis of A Chinese Nationwide Multicenter Study

Huang

Chen

et al. 2022

Preprint

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Background The evidence for associations of mental health with COVID-19 pandemic severity is scarce in postpartum women. We aimed to investigate the associations of postpartum depressive symptoms (PDS), perceived social support (PSS) with COVID-19 pandemic severity, respectively, and to explore the associations between PSS and PDS under different pandemic severities. Methods This was a nationwide multicenter study. An online survey was launched from January 23 through February 29, 2020 in mainland China. Participants’ PDS and PSS were measured by Edinburgh Postnatal Depression Scale and Multidimensional Scale of Perceived Social Support, respectively. Results The final sample consisted of 452 participants from 19 hospitals in 19 provinces/municipalities of mainland China. After covariate adjustment, women in Hubei Province experienced higher PDS levels than those in moderate (β coefficient = − 3.883, p = 0.001) and high (β coefficient = − 3.760, p = 0.005) pandemic severity; women in moderate pandemic severity reported higher PSS levels not only than those in high (β coefficient = − 4.947, p = 0.008) pandemic severity and Hubei Province (β coefficient = − 6.480, p = 0.049), but also than low (β coefficient = − 7.428, p = 0.005) pandemic severity. Also, no significant associations were found between PSS and pandemic severity for women with moderate-to-severe PDS (p > 0.05). There were significantly negative associations between PSS and PDS for women under low (OR = 0.837, p = 0.039), moderate (OR = 0.919, p < 0.001), and high (OR = 0.951, p = 0.012) pandemic severity, and no significant association between PSS and PDS was observed in Hubei Province after covariate adjustment (p > 0.05). Conclusion Women in Hubei Province experienced higher PDS levels than those in moderate and high pandemic severity. Women in moderate pandemic severity reported higher PSS levels not only than those in high pandemic severity and Hubei Province, but also than low pandemic severity, and no associations were found between PSS and pandemic severity for women with moderate-to-severe PDS. There were negative associations between PSS and PDS for women in low, moderate and high pandemic severity, but no association between PSS and PDS of women in Hubei Province.

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“…Recruitment occurred either in‐person at regularly scheduled clinical appointments to gynecologists in an obstetrics outpatient unit (81%) or via community (i.e., pregnancy‐related services, hospital bulletin boards) or online advertisements (19%), as part of a larger study on couples' relationships during the transition to parenthood (Fernandes et al, 2022; Tavares et al, 2021; Tavares, Rosen, et al, 2022, Tavares, Barros, et al, 2022; Tavares et al, 2023). Participants recruited through advertisements completed all materials online.…”

Section: Methodsmentioning

confidence: 99%

Longitudinal associations between relational and sexual well‐being in couples transitioning to parenthood

et al. 2023

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There is limited understanding of the dynamic between relational and sexual well‐being as couples adjust to new parenthood, despite this being a vulnerable period for couples' relationships. This study was aimed at examining the bidirectional links between relationship quality and sexual well‐being (i.e., sexual satisfaction, sexual distress) across the transition to parenthood. We assessed new parent couples (N = 257) across four time points (two prenatal) from mid‐pregnancy through 6 months postpartum. Parallel dyadic latent growth curve modeling was employed to examine the associations between trajectories of perceived relationship quality, sexual satisfaction, and sexual distress. New parents' declines in relationship quality were associated with declines in own and partners' sexual satisfaction and with increases in own sexual distress. Mothers' prenatal relationship quality and sexual distress predicted subsequent changes in own sexual distress and fathers' relationship quality, respectively. Results indicate that changes to new parents' relational and sexual well‐being mutually influence each other over time. Current results indicate that the impact of the transition on couples' relationships is partly determined by own and partners' prenatal factors, to which clinicians and researchers can attend to early on. Cross‐domain links between relational and sexual well‐being should be considered in research and clinical practice.

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A Longitudinal Study on Maternal Depressive Symptoms During the COVID-19 Pandemic: The Role of Strict Lockdown Measures and Social Support

Cited by 7 publications

References 47 publications

Trajectories of distress from pregnancy to 15-months post-partum during the COVID-19 pandemic

Trajectories of distress from pregnancy to 15-months post-partum during the COVID-19 pandemic

Postpartum Depressive Symptoms, Perceived Social Support and Their Associations of Women Under Different COVID-19 Pandemic Severities: Analysis of A Chinese Nationwide Multicenter Study

Longitudinal associations between relational and sexual well‐being in couples transitioning to parenthood

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