Association of social support and antepartum depression among pregnant women

Friedman, Lauren E.; Gelaye, Bizu; Sánchez, Sixto E.; Williams, Michelle A.

doi:10.1016/j.jad.2019.12.017

Cited by 55 publications

(52 citation statements)

References 34 publications

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“…Consistent with the broader literature, better social support was associated with lower symptoms of depression and anxiety. The finding that higher perceived support and support effectiveness are associated with decreased depression and anxiety symptoms is consistent with the notion that social support buffers the effects of stress on anxiety and depression symptoms ( Cohen, 2004 ) and previous research showing decreased prenatal and postnatal anxiety and depression among women with higher levels of social support ( Akiki et al., 2016 ; Friedman et al., 2020 ). Social support is an important determinant of physical and psychological well-being, especially during pregnancy when individuals take on new responsibilities and roles ( Dunkel Schetter, 2011 ).…”

Section: Discussionsupporting

confidence: 90%

Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic

Lebel

MacKinnon

Bagshawe

et al. 2020

Journal of Affective Disorders

831

733

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Background Anxiety and depression symptoms in pregnancy typically affect between 10 and 25% of pregnant individuals. Elevated symptoms of depression and anxiety are associated with increased risk of preterm birth, postpartum depression, and behavioural difficulties in children. The current COVID-19 pandemic is a unique stressor with potentially wide-ranging consequences for pregnancy and beyond. Methods We assessed symptoms of anxiety and depression among pregnant individuals during the current COVID-19 pandemic and determined factors that were associated with psychological distress. 1987 pregnant participants in Canada were surveyed in April 2020. The assessment included questions about COVID-19-related stress and standardized measures of depression, anxiety, pregnancy-related anxiety, and social support. Results We found substantially elevated anxiety and depression symptoms compared to similar pre-pandemic pregnancy cohorts, with 37% reporting clinically relevant symptoms of depression and 57% reporting clinically relevant symptoms of anxiety. Higher symptoms of depression and anxiety were associated with more concern about threats of COVID-19 to the life of the mother and baby, as well as concerns about not getting the necessary prenatal care, relationship strain, and social isolation due to the COVID-19 pandemic. Higher levels of perceived social support and support effectiveness, as well as more physical activity, were associated with lower psychological symptoms. Conclusion This study shows concerningly elevated symptoms of anxiety and depression among pregnant individuals during the COVID-19 pandemic, that may have long-term impacts on their children. Potential protective factors include increased social support and exercise, as these were associated with lower symptoms and thus may help mitigate long-term negative outcomes.

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Section: Discussionsupporting

confidence: 90%

Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic

Lebel

MacKinnon

Bagshawe

et al. 2020

Journal of Affective Disorders

831

733

View full text Add to dashboard Cite

show abstract

“…Therefore, the medical staffs might alleviate the anxiety and depression accompanied by improved life quality with the help of international and national support. Several data have shown that perceived emotional and instrumental support from family, friends and perceived social support and recognition had significantly relieved anxiety (18,26,27). Consistently, our study revealed that social support was correlated with anxiety and depression in OR medical staffs, suggesting that the OR medical staffs might alleviate their depression by gaining social support (Figure 2).…”

Section: Discussionsupporting

confidence: 86%

Psychological Status Among Anesthesiologists and Operating Room Nurses During the Outbreak Period of COVID-19 in Wuhan, China

Wang

Zhang

et al. 2020

Front. Psychiatry

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Background: Coronavirus Disease 2019 (COVID-19) caused by a novel strain of coronavirus (SARS-CoV-2) posed a major threat to public health. Anesthesiologists and operating room (OR) nurses are at high risk of occupational exposure to SARS-CoV-2 and developing COVID-19. We conducted a single-center survey to investigate the psychological status and perceived social support among operation room (OR) medical staffs during the outbreak of Coronavirus Disease 2019 (COVID-19).Methods: A total of 197 OR medical staffs were enrolled in the survey. The authors performed a cohort study during the period of Wuhan lockdown and then conducted a longitudinal follow-up after lifting of lockdown. The Patient Health Questionaire-9 (PHQ-9) was used to assess for depression and Generalized Anxiety Disorder-7 (GAD-7) for anxiety. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess perceived social support. We compared the psychological status of OR medical staffs before and after lifting of Wuhan lockdown.Results: During the period of city lockdown, 177 (89.8%) had close contact with confirmed COVID-19 cases. The prevalence of depression and anxiety in OR medical staffs was 41.6 and 43.1% under Wuhan lockdown, while 13.2 and 15.7% after lifting of lockdown (P = 0.002, P = 0.004). Logistic regression analysis showed that being female, living in suburb areas, shortage of protective equipment and close contact with COVID-19 patients were associated with a higher risk of depression and anxiety. Perceived social support was negatively correlated with depression and anxiety severity in the OR medical staffs (P < 0.05).Conclusions: OR medical staffs exhibited high incidence of anxiety and depression faced with the high risk of exposure to COVID-19 patients. More social support and social recognition for anesthesiologists and OR nurses might potentially help them relieve their psychological pressure.

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“…During the pandemic, and especially during the lockdown period, pregnant and postpartum women have experienced a limited access to their formal and informal support network, thus facing new and unforeseen struggles potentially putting their mental health in jeopardy. The presence of a support network has, in fact, been widely recognized as a crucial protective factor for prospective mothers and postpartum women alike (Friedman et al, 2020;Huschke et al, 2020). The importance of such support is particularly relevant in family centered cultures, such as the Italian one, where -also thanks to the geographic proximity -children tend to turn to their parents for support also during adulthood (Scabini, 2000).…”

Section: Psychological Well-being During the Covid-19 Pandemicmentioning

confidence: 99%

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

2020

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The birth of a child is a critical and potentially stressful experience for women, entailing several changes both at the individual and interpersonal level. This event can lead to different forms of distress, ranging in intensity and duration. Many studies highlighted medical, psychological, and social variables as risk factors potentially influencing the onset or aggravation of perinatal maternal conditions. The current pandemic emergency and the restrictive measures adopted by local governments to prevent the spread of the coronavirus infection may negatively affect mothers-to-be and new mothers potentially increasing the likelihood of anxiety, depressive or post-traumatic symptoms to develop. Moreover, the forced quarantine combined with the limited access to professional or family support may increase feelings of fatigue and isolation. The present study aims to investigate women's psychological well-being during pregnancy and in the first months after childbirth, integrating the evaluation of some traditionally studied variables with the specificities of the current situation. 575 Italian women have been administered an online self-report questionnaire assessing the presence of anxiety disorders, depressive and post-traumatic symptoms as well as the expectations toward childbirth (for mothersto-be) or the subjective experience of childbirth (for postpartum women). Findings revealed a higher percentage of women than that reported in the literature scored above the clinical cutoff both during pregnancy and postpartum on a series of measures of psychological well-being, thus demonstrating that this period was perceived as particularly challenging and stressful and had significant impact on the women's wellbeing. Moreover, some socio-demographic, medical, and pandemic-related variables, especially the lack of presence and support from one's partner during labor and delivery as well as in the first days postpartum was found to predict women's mental health. These findings suggest the need for developing specific interventions targeted at women who cannot benefit from the support of their partners or family.

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Association of social support and antepartum depression among pregnant women

Cited by 55 publications

References 34 publications

Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic

Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic

Psychological Status Among Anesthesiologists and Operating Room Nurses During the Outbreak Period of COVID-19 in Wuhan, China

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

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