Prevalence and Associated Factors of Postpartum Anxiety and Depression Symptoms Among Women in Shanghai, China

Liu, Ying; Guo, Nafei; Li, Tengteng; Zhuang, Wei; Jiang, Hui

doi:10.1016/j.jad.2020.05.028

Cited by 56 publications

(56 citation statements)

References 47 publications

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“…Next, the survey was distributed via all the open WeChat groups of the research assistants, to render the survey easily available to their close contacts. The survey was distributed between February 10 and February 24, 2020, during which we achieved a sample size that was adequate in accordance with previous related studies [44][45][46][47]. The questionnaire comprised the validated Chinese version of the Generalized Anxiety Disorder 7-item (GAD-7) scale, questions on positive psychological responses, and questions on information-seeking behaviors practiced during the early stage of the COVID-19 pandemic.…”

Section: Study Participants and Proceduresmentioning

confidence: 99%

Factors Influencing Anxiety Among WeChat Users During the Early Stages of the COVID-19 Pandemic in Mainland China: Cross-sectional Survey Study

Zou¹,

Zhang²,

Sznajder³

et al. 2021

J Med Internet Res

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Background The rapid outbreak of COVID-19 around the world has adversely affected the mental health of the public. The prevalence of anxiety among the public has increased dramatically during the COVID-19 pandemic. However, there are few studies evaluating the effects of positive psychological responses and information-seeking behaviors on anxiety experienced among social media users during the COVID-19 pandemic. Objective This study evaluated the prevalence of anxiety and its associated factors among WeChat users in mainland China during the early stages of the COVID-19 pandemic. Methods From February 10 to February 24, 2020, a nationwide, web-based cross-sectional survey study was carried out using convenience sampling. Participants’ levels of anxiety, positive psychological responses, and information-seeking behaviors were assessed. The survey was distributed among WeChat users via the WeChat smartphone platform. Chi-square tests and multivariable logistic regression analyses were performed to examine the factors associated with anxiety. Results This study found that the prevalence of anxiety (Generalized Anxiety Disorder 7-item [GAD-7] scale score ≥7) among WeChat users in China was 17.96% (446/2483) during the early stages of the COVID-19 pandemic. Results of multivariable logistic regression analysis showed that information-seeking behaviors such as cannot stop searching for information on COVID-19, being concerned about the COVID-19 pandemic, and spending more than 1 hour per day consuming information about the pandemic were found to be associated with increased levels of anxiety. Additionally, participants who chose social media and commercial media as the primary sources to obtain information about the COVID-19 pandemic were found more likely to report anxiety. Conversely, participants who were confident or rational about the COVID-19 pandemic were less likely to report anxiety. Conclusions This study found that positive psychological responses and information-seeking behaviors were closely associated with anxiety among WeChat users during the COVID-19 pandemic in China. It might be paramount to enhance mental well-being by helping people respond to the COVID-19 pandemic more rationally and positively in order to decrease symptoms of anxiety.

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Section: Study Participants and Proceduresmentioning

confidence: 99%

Factors Influencing Anxiety Among WeChat Users During the Early Stages of the COVID-19 Pandemic in Mainland China: Cross-sectional Survey Study

Zou¹,

Zhang²,

Sznajder³

et al. 2021

J Med Internet Res

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show abstract

“…Despite the increased interest from researchers in PPD and PP-PTSD globally, related studies are limited in China. The prevalence of PPD has only been reported in several regions of China and there is wide variability among the studies (6.7% in Hunan [ 20 ], 11.8% in Guangzhou [ 21 ], 21.4% in Fujian [ 22 ], and 23.2% in Shanghai [ 23 ]). Moreover, there is less or no available data on PP-PTSD at present.…”

Section: Introductionmentioning

confidence: 99%

Postpartum depression and postpartum post-traumatic stress disorder: prevalence and associated factors

et al. 2021

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Background Despite the increased global interest from researchers in postpartum depression (PPD) and postpartum post-traumatic stress disorder (PP-PTSD), studies of PPD in China have shown a wide range of variability. Indeed, the prevalence and risk factors for PP-PTSD have received little attention in China. Aim To determine the prevalence of PPD and PP-PTSD in China, and to examine the relationships between a range of sociodemographic, pregnancy-related, and newborn-related variables, and PPD and PP-PTSD. Methods A cross-sectional study involving 1136 women who returned to the obstetrics clinic for routine postpartum examination were enrolled. The sociodemographic, pregnancy-related, and newborn-related characteristics were collected. Social support, and PPD and PP-PTSD symptoms were measured by the Perceived Social Support Scale (PSSS), the Edinburgh Postnatal Depression Scale (EPDS), and the Perinatal Post-traumatic Stress Questionnaire (PPQ). Results The prevalence rates of PPD and PP-PTSD symptoms were 23.5 and 6.1%, respectively. A multivariate model showed that the presence of PP-PTSD was the strongest risk factor for PPD symptoms and vice versa. Other risk factors for PPD included low sleep quality, low social support and newborn’s incubator admission. In terms of PP-PTSD symptoms, risk factors included the presence of PPD symptoms, non-Han ethnicity, and low social support, while having one child was a protective factor. Conclusions This study addressed some gaps in the literature and provided a better understanding of PPD and PP-PTSD in China, which may contribute to early detection and intervention. Attention should be paid to women who are most susceptible to PPD and/or PP-PTSD, including those with low social support, low sleep quality, newborn’s incubator admission, non-Han ethnicity, and women with siblings.

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“…Furthermore, if hospital staff members are empathetic towards mothers' emotions as well as the challenges that they face in their lives, the stresses that mothers experience would be reduced. Empathy would also help mothers greatly in their attainment of the maternal role [15,16].…”

Section: Discussionmentioning

confidence: 99%

Psychological Processes of Postpartum Mothers with Newborns Admitted to the Intensive Care Unit

Lee

Huang

2022

Asian Nursing Research

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Family-centered care Grounded theory Neonatal intensive care units Newborns Postpartum mothers s u m m a r yPurpose: This research aims to explore the psychological processes of postpartum mothers during the admission of their newborns to the intensive care unit. It is hoped that the findings from this study will serve as a reference for clinical medical staff in providing individual and holistic patient care. Methods: Using grounded theory methodology, we collected data through semistructured, one-to-one in-depth interviews. When data saturation occurred, 12 participants were involved through the constant comparative analysis process. Results: The psychological processes consisted of a core category and three main categories. The core category was "worrying about the baby and striving to fulfill maternal responsibilities." The three main categories were as follows: "impact on the maternal role," "recognition of the maternal identity," and "exhibition of maternal role." The entire process may be affected by intrinsic and extrinsic factors, such as breast milk supply, skin-to-skin contact opportunities for mother and baby, seriousness of the newborn's health conditions, the support system, and the style of postpartum confinement care. Conclusions: It is recommended that the neonatal intensive care unit should adopt family-centered care, taking an initiative to empathize and care for the mother, assisting skin-to-skin contact for the mother and baby as soon as possible, maintaining established breastfeeding, providing the correct concept of postpartum care, and encouraging participation in support groups. These activities can reduce the impact of the situation on the maternal role and improve maternal identity recognition.

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Prevalence and Associated Factors of Postpartum Anxiety and Depression Symptoms Among Women in Shanghai, China

Cited by 56 publications

References 47 publications

Factors Influencing Anxiety Among WeChat Users During the Early Stages of the COVID-19 Pandemic in Mainland China: Cross-sectional Survey Study

Factors Influencing Anxiety Among WeChat Users During the Early Stages of the COVID-19 Pandemic in Mainland China: Cross-sectional Survey Study

Postpartum depression and postpartum post-traumatic stress disorder: prevalence and associated factors

Psychological Processes of Postpartum Mothers with Newborns Admitted to the Intensive Care Unit

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