Sleep Conditions Associate with Anxiety and Depression Symptoms among Pregnant Women during the Epidemic of COVID-19 in Shenzhen

One Year Into the Pandemic: A Systematic Review of Perinatal Mental Health Outcomes During COVID-19

“…Eleven studies examined additional factors (i.e., factors not examined elsewhere) that may influence perinatal mental health outcomes during COVID-19, such as emotional eating ( 107 ), exercise ( 119 ), sleep deprivation ( 123 ), financial stress ( 125 ), access to prenatal care ( 121 ), knowledge, concerns, or worries about COVID-19 ( 118 , 124 ), social or marital support ( 116 ), and pregnancy discrimination ( 122 ) ( Table 8 ). Pregnant women reporting changes in their exercise routine [encompassing both increase or decrease in exercise; ( 119 )], decreased sleep ( 123 ), or increased COVID-19-related financial stress ( 125 ) were at greater risk for experiencing depression during the pandemic, while access to prenatal care information was associated with lower risk of perceived stress, anxiety, and depression ( 121 ). Concerns about COVID-19 also emerged as a significant factor affecting perinatal mental health, showing links to increased anxiety, depression, and sleep disturbance during pregnancy and the postpartum ( 117 , 124 ), as well as high emotional eating in the postpartum ( 107 ).…”

Association of Sleep Duration and Screen Time With Anxiety of Pregnant Women During the COVID-19 Pandemic

“…Importantly, COVID-19 induces a later and longer sleep pattern on weekdays, lower levels of social jetlag, and a delayed chronotype (Leone et al, 2020). Though the sleep condition and quality were associated with the mental health of pregnant women in Shenzhen (Lin et al, 2021), the participants in this study were restricted to Shenzhen, only from one city. To date, little is known regarding the association between sleep duration and mental health in a representative population.…”

“…Furthermore, Wu et al uncovered that pregnant women who are underweight, in employment, and have an economic burden were more likely to develop into anxiety in the Chinese population (Wu et al, 2020). Recently, data showed that sleep condition and sleep quality was associated with psychological stress (Lin et al, 2021). Importantly, a sedentary lifestyle also can contribute to various adverse health outcomes and is associated with poor sleep (Cao et al, 2011;The, 2019;Choi et al, 2020;Leger et al, 2020;van de Vegte et al, 2020).…”

Mental health among pregnant women under public health interventions during COVID-19 outbreak in Wuhan, China

“…An earlier report also indicated high perceived stress was a common predictor of chronic anxiety symptoms in pregnancy ( Bayrampour et al, 2015 ). The perceived stress stem from the emerging infectious disease outbreak, health-related concerns, home confinement, and shortage of medical resources ( Stein et al, 2014 , Xie et al, 2020 , Fu, 2020 ) may result in poor sleep condition, including difficulty in falling asleep and short sleep duration in some pregnant women ( Alan et al, 2020 , Lin et al, 2021 ).…”

“…These findings demonstrated that more effort should be made for the public to better understand of the diseases, avoid somatosensory amplification and reduce the over-concern of the health conditions. In addition, during the outbreak, a series of restrictive measures had greatly interfered the access to routine health services, including prenatal health checks, which might further intensify pregnant women's concerns about their fetus's health, affecting their sleep condition and mental well-being ( Dong et al, 2020 , Lin et al, 2021 ).…”