Pregnancy-related COVID worry, depressive symptom severity, and mediation through sleep disturbance in a low-income, primarily Latinx population in California's Central valley

Felder, Jennifer N.; Afulani, Patience A.; Coleman‐Phox, Kimberly; Omowale, Serwaa S.; McCulloch, Charles E.; Lessard, Lauren; Kuppermann, Miriam

doi:10.1016/j.jpsychires.2022.11.019

Cited by 6 publications

(11 citation statements)

References 22 publications

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“…Second, this was not a diverse sample in terms of demographic factors such as race, as a majority of participants identified as white. Recent research suggests prenatal internalizing symptoms may differ for women from diverse backgrounds during the pandemic (Felder et al., 2023; King et al., 2021), which could have implications for how maternal distress in response to COVID‐19 relates to infant temperament. Therefore, the results of the present study may differ among women from racially diverse backgrounds, which warrants the need for replication among a more racially diverse sample.…”

Section: Discussionmentioning

confidence: 99%

“…This variable was important to control for given stress levels may have changed during the course of the pandemic, influencing outcomes of interest (Wu et al., 2020). COVID‐19 infection during pregnancy was also controlled for in these analyses, as recent research has demonstrated associations between perinatal infection and maternal internalizing symptoms (Felder et al., 2023). Of note, these variables were only included as covariates in the Aim 2 analyses, as they caused poor fit in models involving both samples due to being coded as missing in the pre‐COVID sample.…”

Section: Methodsmentioning

confidence: 99%

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COVID‐19 pandemic effects: Examining prenatal internalizing symptoms and infant temperament

Mattera,

Erickson,

Barbosa‐Leiker

et al. 2024

Infancy

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For pregnant women, the COVID‐19 pandemic has resulted in unprecedented stressors, including uncertainty regarding prenatal care and the long‐term consequences of perinatal infection. However, few studies have examined the role of this adverse event on maternal wellbeing and infant socioemotional development following the initial wave of the pandemic when less stringent public health restrictions were in place. The current study addressed these gaps in the literature by first comparing prenatal internalizing symptoms and infant temperament collected after the first wave of the pandemic to equivalent measures in a pre‐pandemic sample. Second, associations between prenatal pandemic‐related stress and infant temperament were examined. Women who were pregnant during the COVID‐19 pandemic endorsed higher pregnancy‐specific anxiety relative to the pre‐pandemic sample. They also reported greater infant negative emotionality and lower positive affectivity and regulatory capacity at 2 months postpartum. Prenatal infection stress directly predicted infant negative affect. Both prenatal infection and preparedness stress were indirectly related to infant negative emotionality through depression symptoms during pregnancy and at 2 months postpartum. These results have implications for prenatal mental health screening procedures during the pandemic and the development of early intervention programs for infants born to mothers during this adverse event.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

COVID‐19 pandemic effects: Examining prenatal internalizing symptoms and infant temperament

Mattera,

Erickson,

Barbosa‐Leiker

et al. 2024

Infancy

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“…Measurement of the variables have been previously described. 39 All questions were pretested with participants prior to being administered in the survey.…”

Section: Methodsmentioning

confidence: 99%

“…The data for this analysis were collected between October 2020 and June 2022. The recruitment and study procedures have been previously described 39 and are summarized here. Research staff worked closely with clinic staff to identify potentially eligible participants by reviewing appointment records and approaching them in-person in the waiting rooms of participating clinical sites or remotely over the telephone.…”

Section: Participants and Proceduresmentioning

confidence: 99%

Psychometric assessment of the US person-centered prenatal and maternity care scales in a low-income predominantly Latinx population in California

Afulani,

Coleman-Phox,

Leon-Martinez

et al. 2023

Preprint

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Objectives To assess psychometric properties of two scales developed to measure the quality of person-centered care during pregnancy and childbirth in the United States—the Person-Centered Prenatal Care (PCPC-US) and Person-Centered Maternity Care (PCMC-US) scales—in a low-income predominantly Latinx population in California. Methods Data were collected from October 2020 to January 2023 from surveys of low-income pregnant and birthing people in Fresno, California, participating in the “Engaging Mothers and Babies; Reimagining Antenatal Core for Everyone (EMBRACE) trial. Research staff administered the 26-item PCPC-US scale at 30–34 weeks’ gestation (n = 315) and the 35-item PCMC-US scale at 10–14 weeks after birth (n = 286), using the language preferred by the participant (English or Spanish). We assessed construct, criterion, and known group validity and internal consistency of the scales. Results 78% of respondents identified as Latinx. Factor analysis identified one dominant factor for each scale that accounted for over 60% of the cumulative variance, with most items loading at > 0.3. The items also loaded adequately on sub-scales for “dignity and respect,” “communication and autonomy,” and “responsive and supportive care.” Cronbach’s alpha for the full scales were > 0.9 and between 0.70 and 0.87 for the sub-scales. Summative scores range from 0 to 100, with higher scores indicating higher PCMC. Correlations with scores on scales measuring prenatal care quality and birth experience provided evidence for criterion validity, while associations with known predictors provided evidence for known-group validity. Conclusions The PCPC-US and PCMC-US scales, which were developed using a community-engaged process and found to have good psychometric properties in a largely high-income sample of Black women, were shown to also have good psychometric properties in a sample of low-income primarily Latinx women. Both scales provide valid and reliable tools to measure person-centered care experiences among minoritized communities to support efforts to reduce existing birth inequities.

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“…Unfortunately, a limited number of studies exist in the domain of COVID‐19 and Latinx sleep health. Emerging work has revealed an inverse association between psychological resilience during the pandemic and anxiety‐related sleep disturbances among Latinx persons (Mayorga, Garey, et al., 2022), and other work demonstrates a positive association between becoming pregnant during the COVID‐19 pandemic and increased stress and sleep disturbance among Latinx women (Felder et al., 2023). In a sample of majority Latinx college students, pandemic‐related poor sleep health was found to predict more daytime fatigue and worse mental and physical health (Becerra et al., 2022).…”

Section: Pandemic Stress and Sleep Disturbancesmentioning

confidence: 99%

Potentially traumatic pandemic stressors and anxiety‐related sleep disturbance among Latinx persons

Buitron,

Mayorga,

Vujanovic

et al. 2023

Journal of Traumatic Stress

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Latinx persons have endured elevated rates of traumatic stress related to the COVID‐19 pandemic. The effect of potentially traumatic pandemic stressors on anxiety‐related sleep disturbances, a factor implicated in trauma‐related psychopathology, is largely unexamined in this population. The present study evaluated the additive effect of potentially traumatic pandemic stressors (e.g., hospitalization) on anxiety‐related sleep disturbances. Further, given within‐group disparities across Latinx communities with intersectional identities and COVID‐19–related risk factors, comparisons of the likelihood of pandemic stressors, by subgroup (i.e., older persons, individuals with chronic illness, and Black Latinx persons), were evaluated. Participants were 292 (29.8% female, Mage = 35.03 years, SD = 8.72) Latinx adults who completed a questionnaire battery during a period of high contagion (June 2020–July 2021). There were statistically significant differences across groups such that participants who experienced any potentially traumatic pandemic stressors reported elevated scores on indices of anxiety, depressive symptoms, and anxiety‐related sleep disturbances compared to those who had not experienced these stressors, ds = 0.54–93. Hierarchical regression analysis revealed that hospitalization was associated with anxiety‐related sleep disturbances after controlling for age, sex, chronic illness history, other stressors, anxiety, depressive symptoms, and somatic symptom burden, ΔR2 = .01. Black Latinx identity and chronic illness were significantly associated with potentially traumatic pandemic‐related stressors. This is the first empirical work to evaluate the role of potentially traumatic pandemic stressors on sleep disturbances among Latinx persons and indicates that hospitalization in a pandemic context has an incremental effect on sleep disturbances in this minoritized group.

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Pregnancy-related COVID worry, depressive symptom severity, and mediation through sleep disturbance in a low-income, primarily Latinx population in California's Central valley

Cited by 6 publications

References 22 publications

COVID‐19 pandemic effects: Examining prenatal internalizing symptoms and infant temperament

COVID‐19 pandemic effects: Examining prenatal internalizing symptoms and infant temperament

Psychometric assessment of the US person-centered prenatal and maternity care scales in a low-income predominantly Latinx population in California

Potentially traumatic pandemic stressors and anxiety‐related sleep disturbance among Latinx persons

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