Confinement variables by COVID-19 predictors of anxious and depressive symptoms in pregnant women

Romero-González, Borja; Puertas-Gonzalez, José A.; Mariño-Narvaez, Carolina; Peralta-Ramírez, María Isabel

doi:10.1016/j.medcle.2020.10.010

Cited by 19 publications

(20 citation statements)

References 6 publications

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“…This result is similar to that reported by Ibrahim and Lobel 17 in their systematic review prior to the pandemic, where they identify a mean prenatal stress score (PDQ) of 16.21 (SD = 6.22). It also coincides with the results reported by Romero-González et al 24 during the pandemic in Spain, where they identify a mean prenatal stress (PDQ) of 16.87 (6.71). That is, women's specific concerns and stress related to gestational development remain at similar levels to those observed before the pandemic.…”

Section: Discussionsupporting

confidence: 91%

Factors associated with prenatal stress and anxiety in pregnant women during COVID-19 in Spain

Awad-Sirhan¹,

Simó-Teufel²,

Molina-Muñoz³

et al. 2022

Enfermería Clínica (English Edition)

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Aim of the study To describe prenatal stress and state anxiety levels in pregnant women living in Spain during the lockdown of the first wave of COVID-19 and its relation with obstetric factors, perception of health care, and concerns about the socio-sanitary situation. Methods The present study is an observational, correlational, and cross-sectional quantitative study. The participants in the study were pregnant women recruited through non-probabilistic convenience and snowball sampling during the lockdown. A web link was provided to an online questionnaire designed for this research, which collected socio-demographic and obstetric variables, perceptions of health care received during the pandemic and preoccupations associated with COVID-19. It also included the Prenatal Stress Questionnaire (PDQ) and the State Anxiety Inventory (STAI-S). Results Based on the responses of 695 pregnant women, the results showed a mean of 16.98 (SD = 25.20) of prenatal stress and elevated levels of anxiety (M = 25.20/SD = 11.07) in the first wave of the pandemic. Risk factors for prenatal stress and anxiety were the level of preoccupation associated with COVID-19 and previous mental health issues. A specific risk factor for anxiety was having more than one child and a protective factor were perceiving accessibility and availability of health care, with clear and consistent pregnancy care and follow-up protocols. Conclusions The lockdown period for COVID-19 was a stressful experience for pregnant women, highlighting the need to address their psychological well-being through clear and coherent protocols in terms of maternal-foetal health control and follow-up.

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Section: Discussionsupporting

confidence: 91%

Factors associated with prenatal stress and anxiety in pregnant women during COVID-19 in Spain

Awad-Sirhan¹,

Simó-Teufel²,

Molina-Muñoz³

et al. 2022

Enfermería Clínica (English Edition)

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“…A particularly vulnerable population group is pregnant women. Indeed, their levels of pregnancy-specific stress, as well as general stress and anxiety were found to have increased (Boekhorst et al, 2021 ; Lebel et al, 2020 ; Medina-Jimenez et al, 2020 ; Romero-Gonzalez et al, 2021 ). Pregnancy-related stress along with general stress has a strong comorbidity during pregnancy (Alderdice et al, 2012 ; Romero-Gonzalez et al, 2020a ), and were also shown to be predictors of psychopathological symptomatology, including anxiety, at various times during pregnancy, before and at the time of the pandemic (Moyer et al, 2020 ; Peñacoba-Puente et al, 2016 ; Romero-Gonzalez et al, 2020a ).…”

Section: Introductionmentioning

confidence: 99%

Resilience, stress and anxiety in pregnancy before and throughout the pandemic: a structural equation modelling approach

Puertas-Gonzalez

Mariño-Narvaez²,

Romero-González

et al. 2022

Curr Psychol

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The present study explored and compared the link between resilience and pregnancy-related stress, perceived stress, and anxiety, employing two structural equation models. One model focused on pregnant women before the outbreak of the pandemic, and the other on pregnancies throughout the pandemic. For this purpose, a total sample of 690 women during their pregnancy were collected: the Pre-Pandemic Group (P-PG) was composed of 341 pregnant women evaluated prior to the pandemic; and 349 pregnant women assessed at the time of the pandemic constituted the Pandemic Group (PG). The resilience, pregnancy-related stress, perceived stress, and anxiety symptomatology of the women were assessed. For both samples, resilience was found to lower levels of pregnancy-specific stress, as well as general perceived stress, and anxiety symptomatology. Furthermore, pregnancy-specific stress and perceived stress showed a covariance relationship and, that these, in turn, increased the anxiety. Moreover, the PG showed greater levels of pregnancy-specific stress, anxiety, somatisations, and obsessions-compulsions, while the P-PG presented higher perceived stress levels.

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“…Anxiety among pregnant women may be affected by the COVID-19 pandemic due to their perceived stress (Preis et al, 2020a;Romero-Gonzalez et al, 2021). Perceived stress is experiencing distress while responding to stressors.…”

Section: Introductionmentioning

confidence: 99%

“…Research on the relation between perceived stress and anxiety among pregnant women during the COVID-19 pandemic overwhelmingly took a variable-centered approach that overlooked individual differences (e.g., Preis et al, 2020a;Romero-Gonzalez et al, 2021). Although some studies have found that both HEL and SEL can predict psychological problems (e.g., depression; Hewitt et al, 1992), others have found that HEL but not SEL is related to psychological problems (Martin et al, 1995).…”

Section: Introductionmentioning

confidence: 99%

Perceived Stress, Resilience, and Anxiety Among Pregnant Chinese Women During the COVID-19 Pandemic: Latent Profile Analysis and Mediation Analysis

et al. 2021

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Objective: The coronavirus disease 2019 (COVID-19) pandemic has posed a major threat to pregnant women's mental health. This study aimed to characterize the patterns of perceived stress in pregnant Chinese women during the COVID-19 pandemic, to examine the profile differences on anxiety and resilience, and to investigate whether the differences in these profiles on anxiety were mediated by resilience.Methods: From February 28, 2020 to April 26, 2020, a sample of 2,116 pregnant Chinese women who participated in online crisis interventions completed an online self-reporting questionnaire assessing their demographic characteristics, perceived stress, resilience, and anxiety.Results: Latent profile analysis (LPA) on two stress dimensions [perceived helplessness (HEL) and perceived self-efficacy (SEL)] indicated four perceived stress profiles: adaptive (33.7% of the sample), resistant (44.6%), insensitive (19.1%), and sensitive (2.6%). The women with both adaptive and insensitive profiles had the lowest levels of anxiety, whereas those with the resistant profile had the lowest levels of resilience. Multicategorical mediation analysis showed that resilience partially mediated the differences in the pregnant women's anxiety between the adaptive/insensitive and resistant profile.Conclusion: This study showed the heterogeneity in the perceived stress patterns of pregnant women during the COVID-19 pandemic, revealing the internal mechanisms of pregnant women's anxiety using a person-centered approach, and provided initial evidence guiding the development of differentiated stress interventions to alleviate pregnant women's anxiety during the pandemic.

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Confinement variables by COVID-19 predictors of anxious and depressive symptoms in pregnant women

Cited by 19 publications

References 6 publications

Factors associated with prenatal stress and anxiety in pregnant women during COVID-19 in Spain

Factors associated with prenatal stress and anxiety in pregnant women during COVID-19 in Spain

Resilience, stress and anxiety in pregnancy before and throughout the pandemic: a structural equation modelling approach

Perceived Stress, Resilience, and Anxiety Among Pregnant Chinese Women During the COVID-19 Pandemic: Latent Profile Analysis and Mediation Analysis

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