Pregnant women’s psychological state and influence factors: anxiety, and depression during COVID-19 outbreak

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Yuming Cao ◽  
Juan Liu ◽  
Yuanzhen Zhang ◽  
Yating Li ◽  
Zhenlie Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Influence Factors ◽  
Psychological Status ◽  
Psychological State ◽  
The Internet ◽  
Fetal Malformation ◽  
Physical And Mental Health ◽  
Factors Affecting ◽  
Adverse Pregnancy

Abstract Objectives The outbreak of COVID-19 affects both physical and mental health of pregnant women. This study focuses on their psychological status, and analyzes the main factors affecting their emotions of pregnant women so as to provide guidance for psychological counseling and social intervention during epidemics. Methods Multiple researchers distributed a questionnaire online via the Internet. Pregnant women volunteered, and the questionnaire was automatically collected in the background. Results The 298 valid questionnaires recovered showed that 82 cases of pregnant women were in states of anxiety, accounting for 27.51%, of which 78.05% were mild (82 cases), 19.51% were moderate (16 cases), and 2.44% were severe (2 cases). Moreover, 31.21% of pregnant women were in states of depression (93 cases), of which 52.69% were mild (49 cases), 40.86% were moderate (38 cases), and 6.45% were severe (6 cases). The risk factors for states of anxiety or depression were fear of fetal malformation or genetic disease, history of adverse pregnancy, can’t do routine prenatal examination, and insufficient support and care from husbands and families. Besides, 16 cases had sought psychological help during the epidemic, among whom 62.50% (10 cases) experienced anxiety, 68.75% (11 cases) had depression. Conclusions During the outbreak of COVID-19, obstetricians may take use of the Internet, based on the advantages in epidemic prevention, controlling health education, and popularizing science. In addition, husbands and family members should provide greater care for pregnant women, to protect their mental health during public health incidents.

scholarly journals The hidden burden of adolescent pregnancies in rural Sri Lanka; findings of the Rajarata Pregnancy Cohort

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Thilini Chanchala Agampodi ◽  
Nuwan Darshana Wickramasinghe ◽  
Hemali Gayathri Jayakodi ◽  
Gayani Shashikala Amarasinghe ◽  
Janith Niwanthaka Warnasekara ◽  
...  
Keyword(s):  
Mental Health ◽  
Sri Lanka ◽  
Pregnant Women ◽  
Adolescent Mothers ◽  
Depression Scale ◽  
Ultra Sound ◽  
Physical And Mental Health ◽  
Pregnancy Cohort ◽  
Contraceptive Usage ◽  
Adolescent Pregnancies

Abstract Background Adolescent fertility is a main indicator of the Sustainable Developmental Goal (SGD) three. Although Sri Lanka is exemplary in maternal health, the utilization of Sexual and Reproductive Health services (SRH) by adolescents is less documented. We describe the hidden burden, associated biological and psychosocial factors and utilization patterns of pre-conceptional services among pregnant adolescents in rural Sri Lanka. Methods The study is based on the baseline assessment of the Rajarata Pregnancy Cohort (RaPCo) in Anuradhapura. Pregnant women newly registered from July to September 2019 were recruited to the study. The period of gestation was confirmed during the second follow-up visit (around 25–28 weeks of gestation) using ultra sound scan data. A history, clinical examination, anthropometric measurements, blood investigations were conducted. Mental health status was assessed using the Edinburgh Postpartum Depression Scale (EPDS). Results Baseline data on gestation was completed by 3,367 pregnant women. Of them, 254 (7.5%) were adolescent pregnancies. Among the primigravida mothers (n = 1037), 22.4% (n = 233) were adolescent pregnancies. Maternal and paternal low education level, being unmarried, and less time since marriage were statistically significant factors associated with adolescent pregnancies (p < 0.05). Contraceptive usage before pregnancy, utilization of pre-conceptional health care services, planning pregnancy and consuming folic acid was significantly low among adolescents (p < 0.001). They also had low body mass index (p < 0.001) and low hemoglobin levels (p = 0.03). Adolescent mothers were less happy of being pregnant (p = 0.006) and had significantly higher levels of anxiety (p = 0.009). Conclusion One fifth of women in their first pregnancy in this study population are adolescents. Nulli-parous adolescents exert poor social stability and compromised physical and mental health effects. The underutilization and/or unavailability of SRH services is clearly associated with adolescent pregnancies.

scholarly journals Survey on Public Psychological Intervention Demand and Influence Factors Analysis

2021 ◽  
Vol 18 (9) ◽  
pp. 4808
Author(s):  
Fang Su ◽  
Bingjie Fan ◽  
Nini Song ◽  
Xue Dong ◽  
Yanxia Wang ◽  
...  
Keyword(s):  
Risk Perception ◽  
Family Size ◽  
Psychological Intervention ◽  
Control Period ◽  
Influence Factors ◽  
Negative Influence ◽  
Internet Survey ◽  
Psychological Status ◽  
Factors Affecting ◽  
Epidemic Period

Major public health emergencies would have a negative influence on the psychology of the public, and an effective psychological intervention can help them to relieve some emotions, such as tension and panic. However, differences in individual environments affect people’s psychological intervention demands and intervention mode choices. Therefore, it is of great theoretical and practical value to analyze and identify the key factors affecting these demands and choices. Based on a nationwide sample of 24,188 respondents from the “Internet Survey of Residents’ Behavioral Changes and Psychological Conditions during the Epidemic,” the different characteristics of public psychological intervention demands and choices under different factors are explored in this paper. The results demonstrate that: (1) the psychological status of Chinese people was relatively stable during the epidemic period, and there were 1016 respondents who had subjective demands for a psychological intervention, (2) age, gender, occupation type, residence, family size, risk perception, psychological status, education level, and fixed expenditure all significantly affect public psychological intervention demands, and (3) risk perception, psychological status, age, gender, and family size will impact the choice of psychological intervention methods. The above results can provide a decision-making basis for the construction of a psychological intervention system in psychological crisis management during the post-epidemic prevention and control period, as well as reference and suggestions for handling psychological stress of similar sudden crisis events in the future.

scholarly journals Association Between Physical Exercise and Mental Health During the COVID-19 Outbreak in China: A Nationwide Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Yingjun Nie ◽  
Yuanyan Ma ◽  
Yankong Wu ◽  
Jiahui Li ◽  
Ting Liu ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Exercise ◽  
Exercise Intervention ◽  
Mitigation Strategies ◽  
Psychological Status ◽  
Whole Body ◽  
Moderate Intensity ◽  
Negative Consequences ◽  
Physical And Mental Health ◽  
Health Burden

The COVID-19 has undergone several mutations, and caused deleterious effects on physical and mental health of people worldwide. Whilst physical exercise is known for its positive effect on enhancing immunity and reducing the negative consequences of unhealthy emotional states caused by the pandemic; there is a severe lack of psychological exercise intervention measures and mitigation strategies to advance the knowledge and role of physical exercise to improve mental health in most countries. This study surveyed the association between physical exercise and mental health burden during the COVID-19 outbreak in China to better understand the influence of different physical exercise types on reducing mental health burden during the pandemic. ANOVA, binary logistic regression, the chi-square test, and Spearman's correlation analysis were used for statistical analysis. 14,715 participants were included. The results showed that Chinese residents had several poor mental health conditions during the COVID-19 outbreak. And there was a significant positive correlation between the extent of adverse effects on mental health and provincial proportions of confirmed COVID-19 cases (r = 0.365, p &lt; 0.05). Some main factors caused an unhealthy psychological status, including epidemic severity (62.77%, 95% CI 58.62-65.64%), prolonged home quarantine (60.84%, 95% CI 58.15-63.25%), spread of large amounts of negative information about COVID-19 in the media (50.78%, 95% CI 47.46-53.15%), limitations in daily life and social interaction (45.93%, 95%CI 42.46-47.55%), concerns about students' learning (43.13%, 95% CI 40.26-45.48%), and worries about being infected (41.13%, 95% CI 39.16-45.23%). There was a significant association between physical exercise and mental health. The largest associations were seen for home-based group entertainment exercise (i.e., family games, rope skipping, and badminton), Chinese traditional sports (i.e., Chinese martial arts, Taijiquan and Qigong), and popular sports (i.e., yoga, video dancing, sensory-motor games, and whole-body vibration), as well as durations of 30-60 min per session, frequencies of three to five times per week and a total of 120-270 min of moderate-intensity exercise weekly during the COVID-19 outbreak (p &lt; 0.05).

scholarly journals Perceptions, Uses of, and Interests in Complementary Health Care Approaches in Depressed Pregnant Women

2016 ◽  
Vol 22 (1) ◽  
pp. 81-95 ◽  
Author(s):  
Jennifer Matthews ◽  
Jennifer L. Huberty ◽  
Jenn A. Leiferman ◽  
Darya McClain ◽  
Linda K. Larkey
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Lifestyle Behaviors ◽  
Health And Wellness ◽  
Physical And Mental Health ◽  
Unhealthy Lifestyle ◽  
Complementary Health Approaches ◽  
Increased Risk ◽  
Women’S Perceptions ◽  
Study Participants

Depression affects up to 23% of pregnant women and is associated with adverse physical/mental health outcomes for both the mother and baby. Depressed pregnant women may be more likely to engage in unhealthy lifestyle behaviors that contribute to an increased risk for chronic disease. Little is known regarding depressed pregnant women’s perceptions, uses of, and interests in complementary health approaches. Study participants (mean age 28.7 ± 6.8; n = 1032) included pregnant women ≥8 weeks gestation who responded to a survey assessing physical and mental health and wellness practices. Of those completing the survey, depressed pregnant women (n = 272) had significantly higher levels of anxiety ( P < .001) and stress ( P < .001) and had poorer sleep quality ( P < .001), mindfulness ( P < .001), and social support ( P < .001) compared to nondepressed pregnant women (n = 760). A majority (84%) of depressed pregnant women would consider using a complementary health approach for weight and/or stress management during pregnancy, and more than 50% were interested in yoga.

scholarly journals Psychological Status and Associated Factors During the Lockdown Period of the COVID-19 Epidemic in China: A Web-Based Survey

2020 ◽  
Author(s):  
Qi Chen ◽  
Mengying Li ◽  
Ling Zhang ◽  
Li Ran ◽  
Xuyu Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Daily Life ◽  
Psychological Trauma ◽  
Infection Risk ◽  
Psychological Status ◽  
Psychological State ◽  
Regression Analyses ◽  
Subjective Indicators ◽  
Anxiety Depression

Abstract Background: The aim of this study was to survey the general public in China to better understand their levels of psychological state and its influencing factors after the Wuhan shutdown on 23 Jan.Methods: A survey was conducted on Feb 20-24, using an online self-administrated questionnaire among 4071 participants. Data on subjective indicators of daily-life change was collected, and individual scores on changes in anxiety, depression, and stress were generated by 8-item, 11-item, and 6-item questions. After bivariate analyses, multiple linear regression analyses were conducted to investigate independent associations between socio-demographic variables, subjective indicators of changes in daily life， and summary scores including anxiety, depression, and stress scores.Results: Information from 3803 participants was available for analysis. Multivariable regression analyses showed that the anxiety (B=-1.27, 95%CI=-1.71 to -0.82), depression (B=-1.47, 95%CI=-2.06 to -0.88), and stress (B=-0.79, 95%CI=-1.13 to -0.46) scores of people in rural areas are lower than those in urban areas. People living in the other regions except Hubei, higher education were independent correlates of less negative emotions, while people with relatively high incomes had poor psychological status in anxiety (B=0.73, 95%CI=0.08 to 1.38),depression (B=1.45, 95%CI=0.60 to 2.30) and stress (B=0.65, 95%CI=0.17 to 1.13). Married people were less anxious (B=-0.67, 95%CI=-1.30 to -0.05), depressed (B=-1.14, 95%CI=-1.96 to -0.33), and stressed (B=-0.47, 95%CI=-0.93 to 0.00) than single people. The level of attention, self-assessed infection risk, impact of the daily life and mental-health help-seeking tended to be positively associated with the scores of anxiety, depression, and stress (p<0.001).Conclusions: Usual residence, education, marital status, monthly income, the level of attention, self-assessed infection risk, impact of the daily life and mental-health help-seeking are important correlates of the scores of anxiety, depression, and stress. Awareness of these relevant factors could help the government and related personnel to prevent more severe psychological trauma in the later period.

scholarly journals The Hidden Burden of Adolescent Pregnancies in Rural Sri Lanka; Findings of The Rajarata Pregnancy Cohort

2021 ◽  
Author(s):  
Thilini Chanchala Agampodi ◽  
Nuwan Darshana Wickramasinghe ◽  
Hemali Gayathri Jayakodi ◽  
Gayani Shashikala Amarasinghe ◽  
Janith Niwanthaka Warnasekara ◽  
...  
Keyword(s):  
Mental Health ◽  
Sri Lanka ◽  
Pregnant Women ◽  
Adolescent Mothers ◽  
Depression Scale ◽  
Ultra Sound ◽  
Physical And Mental Health ◽  
Pregnancy Cohort ◽  
Contraceptive Usage ◽  
Adolescent Pregnancies

Abstract BackgroundAdolescent fertility is a main indicator of the Sustainable Developmental Goal (SGD) three. Although Sri Lanka is exemplary in maternal health the utilization of Sexual and Reproductive Health services (SRH) by adolescents is less documented. We describe the hidden burden, associated biological and psychosocial factors and utilization patterns of pre-conceptional services among pregnant adolescents in rural Sri Lanka. MethodsThe study is based on the baseline assessment of the Rajarata Pregnancy Cohort (RaPCo) in Anuradhapura. Pregnant women newly registered from July to September 2019 were recruited to the study. The period of gestation was confirmed during the second follow-up visit (around 25-28 weeks of gestation) using ultra sound scan data. A history, clinical examination, anthropometric measurements, blood investigations were conducted. Mental health status was assessed using the Edinburgh Postpartum Depression Scale (EPDS). ResultsBaseline data on gestation was completed by 3,367 pregnant women. Of them, 253 (7.5%) were adolescent pregnancies. Among the primiparous mothers (n=1037), 22.4% (n=232) were adolescent pregnancies. Maternal and paternal low education level, being unmarried, and less time since marriage were statistically significant factors associated with adolescent pregnancies (p<0.05). Contraceptive usage before pregnancy, utilization of pre-conceptional health care services, planning pregnancy and consuming folic acid was significantly low among adolescents (p<0.001). They also had low body mass index (p<0.001) and low hemoglobin levels (p<0.03). Adolescent mothers were less happy of being pregnant (p<0.006) and had significantly higher levels of anxiety (p<0.009).ConclusionOne fifth of women in their first pregnancy in this study population are adolescents. Primi-parous adolescents exert poor social stability and compromised physical and mental health effects. The underutilization and/or unavailability of SRH services is clearly associated with adolescent pregnancies.

scholarly journals Pregnant Women’s Health-related Behavior Changes and Psychological Status After the Peak of COVID-19 Outbreak in China: A Cross-sectional Study

2020 ◽  
Author(s):  
Ruixue Tian ◽  
Xu Zhang ◽  
Xiaoli Chen ◽  
Che Deng ◽  
Zhijie Zou ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Women’S Health ◽  
Women's Health ◽  
Psychological Status ◽  
Behavior Changes ◽  
Health Related ◽  
Anxiety Depression ◽  
The Relationship ◽  
Antenatal Visits

Abstract Background: Little is known about the relationship between health-related behavior and psychological status of pregnant women during the COVID-19 outbreak. We aimed to describe the health-related behavior changes and psychological status of Chinese pregnant women, and to explore the relationship between pregnant women’s characteristics, health-related behavior and different psychological status following the peak of COVID-19 outbreak.Methods: We conducted an online survey through social media (WeChat) from March 14 to April 7. A self-designed questionnaire was used to investigate Chinese pregnant women’s health-related behavior changes. Generalized Anxiety Disorder scale, Edinburgh Postnatal Depression Scale and Perceived Stress Scale were used to assess anxiety, depression and stress among pregnant women. Wilcoxon signed-rank test was used to compare health-related behavior changes before and during the COVID-19 outbreak and Spearman’s rank correlation analysis or logistic regression analysis were used to explore the relationships between variables.Results: A total of 113 pregnant women were included in this study. Most pregnant women wore masks (98.2%), changed location or tried to stay away from those who seem to have a cold or fever (99.1%) and washed hands more often than before (96.5%). Pregnant women washed hands with soap or hand sanitizer more often and went out less often than before the outbreak. There were 41.6% pregnant women who didn’t have antenatal visits or weren’t on time for antenatal visits. Majority (77.9%) pregnant women sought help when feeling panic or anxiety, whereas few turned to psychological workers. The rates of pregnant women with anxiety, depression and health risk stress were 64.6%, 58.4% and 54.9%, respectively. Analysis of relationship between variables showed that household income, gestational age, pregnancy complications, knowledge about COVID-19 and maternal and child protection, perception of the likelihood of infection, the frequency of going out, prenatal check-up behavior, help-seeking behavior were significantly associated or correlated with psychological status. Conclusions: Attention should be paid to the mental health of pregnant women with specific health-related behaviors changes. Screening for mental health problems and psychological interventions among pregnant women are needed.

scholarly journals Determinants of Internet Usage During COVID-19 on the Young People in Dhaka, Bangladesh

2020 ◽  
Vol 7 (1) ◽  
pp. 118-124
Author(s):  
Apu Chandra Das ◽  
Aninda Roy ◽  
Md Sakib Ibne Salam
Keyword(s):  
Mental Health ◽  
Regression Method ◽  
Least Square ◽  
Internet Usage ◽  
The Internet ◽  
Dhaka City ◽  
Factors Affecting ◽  
Ordinary Least Square ◽  
Potential Factors ◽  
Use Of The Internet

As the COVID-19 pandemic is spreading and becoming more contagious, people tend to stay home and face mental health challenges such as anxiety, fear, nervousness, and loneliness. In this time, students are using the internet heavily for their study purpose, and jobholders are for their official works. At the same time, the use of the internet might be a relief from those mental challenges. This manuscript assesses a correlation between daily internet usage before and during COVID-19 and found to be nearly strong positive (r=0.66). Then we determine the potential factors affecting daily internet usage during COVID-19 among Bangladeshi students and jobholders who are currently living in Dhaka city by the ordinary least square (OLS) regression method. Our results underpin that the type of internet, regular internet usage before COVID-19, and the effect of internet usage on the study are significantly affecting current internet usage.

The Impact of Variable Factors on the Health-Related Quality of Life in the Elderly in Japan and Russia

2020 ◽  
Vol 13 (2) ◽  
pp. 119-128
Author(s):  
Kirill Kosilov ◽  
Hiroki Amedzawa ◽  
Irina Kuzina ◽  
Vladimir Kuznetsov ◽  
Liliya Kosilova
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
The Elderly ◽  
Physical And Mental Health ◽  
Factors Affecting ◽  
Living Together ◽  
Elderly Japanese ◽  
The Impact

Aim: The study of the impact of socio-economic, demographic factors and polymorbidity on the quality of life associated with health (HRQoL) in elderly people from Japan and Russia. Background: Factors affecting the quality of life of the elderly in both countries are poorly understood. Objective: Make a comparative analysis of factors affecting the quality of life of the elderly of both sexes in Japan and Russia. Methods: The age range in this study is 65-95 years old. For the study of HRQoL, a questionnaire Health Status Survey-Short Form 36v2 was used, including two main domains: physical and mental health. The level of polymorbidity was studied using CIRS-G. The linear regression model of the influence of variables upon HRQoL was calculated for SES, demographic characteristics, and morbidity. Results: Strong associations with HRQoL in the combined sample had a living together with relatives (r=6.94 (5.17-8.72) p<0,05), the incidence rate (r=8.50 (5.51-11.49), p<0.01) and the older age (r=5.39 (2.63-8.16), p<0,01.). The elderly inhabitants of Japan had a higher self-assessment for physical health in the age ranges 65-74 and over 85 years old (p<0.05), and a higher selfassessment of mental health at the age of 75-84 years old. Sixty-eight elderly Japanese and 48% Russians estimated their physical health as normal. Conclusion: The effect of living together, morbidity and age upon HRQoL is manifested equally strongly both among the inhabitants of Japan and among the Russians. The elderly Japanese estimate the state of physical and mental health as a whole higher than their Russian peers.

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