scholarly journals COVID-19 Pandemic-Related Anxiety in Pregnant Women

Author(s):  
Urszula Nowacka ◽  
Szymon Kozlowski ◽  
Marcin Januszewski ◽  
Janusz Sierdzinski ◽  
Artur Jakimiuk ◽  
...  

The COVID-19 pandemic outbreak influenced general and mental health worldwide. The objective of this study was to assess the anxiety level during the COVID-19 pandemic among pregnant women and compare it between COVID-infected and non-infected groups. We prospectively assessed the daily routine and anxiety level using a bespoke questionnaire and GAD-7 scale validated for pregnant women. With logistic regression, we established possible risk factors of generalized anxiety disorder spectrum and main causes of concern. The dataset included 439 responders of our survey. Of which, 21% had COVID-19 infection during pregnancy; 38% were screened for possible generalized anxiety disorder and the proportion was higher in women who suffered from COVID-19 (48% vs. 35%, p = 0.03). Pre-pregnancy anxiety or depression diagnosis and intentional social contact avoidance increased the risk of anxiety (aOR 3.4 and 3.2). Fetal wellbeing was the main concern for 66% of the responders. The COVID-19 pandemic and related restrictions substantially altered daily lives of pregnant women, exaggerating the prevalence of anxiety compared with the pre-COVID-19 studies (38% vs. 15%). COVID-19 infection during pregnancy was associated with increased levels of generalized anxiety scores. Patient-tailored psychological support should be a mainstay of comprehensive antenatal medical care in order to avoid anxiety- and stress-related complications.

2018 ◽  
Vol 54 ◽  
pp. 51-56 ◽  
Author(s):  
Mariana Bonati de Matos ◽  
Carolina Coelho Scholl ◽  
Jéssica Puchalski Trettim ◽  
Mariane Lopez Molina ◽  
Mariana Carret Soares ◽  
...  

AbstractBackground:The parental bonding is influenced by two dimensions: care and control or protection over the child of both parents. The lack of care during childhood may make the individual more susceptible to the onset of psychiatric disorders when adult. These psychiatric disorders when present during pregnancy may have a negative impact on the health of pregnant women and children. The aim of this study was to assess the association between generalized anxiety disorder (GAD) in pregnant adolescents and the perception of parental bonding.Methods:This is a cross-sectional study with 871 pregnant women under the age of 19, receiving prenatal care in 47 Basic Health Units in the one city, Brazil. The generalized anxiety disorder was measured using the Mini International Neuropsychiatric Interview (MINI) and the perception of parental bonding in childhood using the Parental Bonding Instrument (PBI).Results:The prevalence of GAD was 8.5%. Among all the parental bonding dimensions, only a perceived lack of maternal care under 16 years was associated with GAD.Conclusions:The results showed that only the perception of maternal bonding was associated with later GAD. It suggests that an adequate maternal bond is an essential component of psychological health.


PLoS ONE ◽  
2015 ◽  
Vol 10 (4) ◽  
pp. e0125096 ◽  
Author(s):  
Qiu-Yue Zhong ◽  
Bizu Gelaye ◽  
Alan M. Zaslavsky ◽  
Jesse R. Fann ◽  
Marta B. Rondon ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Zheng Zheng ◽  
Ruoxi Zhang ◽  
Tao Liu ◽  
Pei Cheng ◽  
Yanhong Zhou ◽  
...  

Background: The coronavirus disease 2019 (COVID-19) pandemic has been reported to have negative psychological impact on mental health. Nonetheless, there are few studies investigating the impacts on pregnant women. This study investigated the psychological impact of COVID-19 pandemic on pregnant women, and the associated risk factors that moderated this impact.Methods and Materials: A total of 2,798 pregnant participants were recruited from the Guangzhou Women and Children's Medical Center. The Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) and Insomnia Severity Index (ISI) were used to assess depression, generalized anxiety disorder and insomnia, respectively, during and before the COVID-19 pandemic. The Impact of Event Scale-Revised (IES-R) was used to assess psychological stress during the COVID-19 pandemic.Results: During the COVID-19 pandemic, over one third of pregnant participants reported mild depression, around 20% experienced mild generalized anxiety, about one third reported problems with sleeping, and more than 15% felt mild psychological stress. The occurrence of psychological problems was significantly higher during the COVID-19 pandemic when compared to before the outbreak. The previously described pattern that pregnant women in the first trimester are more likely to report depression, and those in the third trimester are more likely to report insomnia and psychological stress, was also recognized in our study population. Mental health issues existing before the outbreak were risk factors, while family support was a protective factor in the occurrence of the measured mental health problems during the COVID-19 pandemic.Conclusion: Our data suggest pregnant women's mental health is inevitably affected during the COVID-19 pandemic. Pregnant women in the first and third trimester and those who experienced mental issues before the outbreak may be particularly affected.


Humaniora ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 161
Author(s):  
Putri Dewinta ◽  
Adhityawarman Menaldi

This research aimed to test the efficacy of Cognitive Behavior Therapy (CBT) and psychoeducation methods to decrease anxiety level in arrhythmia patient. Besides that, it was also to discuss how CBT could reduce anxiety level on a subject who had Generalized Anxiety Disorder (GAD) and also had the medical disease. This research used the qualitative method. The subject in this research was a 22-years-old single female, called S (initials), who came to community health center (Puskesmas) to get help regarding her uncomfortable feelings about her thoughts and concerns. The subject was given a pre-post test using Hamilton Anxiety Rating Scale (HARS) to see the differences in the anxiety level before, during, and after the treatment. Results of the research show that the level of anxiety in the subject is decreased. The categorization score goes from “very severe anxiety” to “moderate anxiety”. The subject also conveys on the last session that she feels less anxious and that she can control her negative thought.


Author(s):  
Daniele Behling de Mello ◽  
Jéssica Puchalski Trettim ◽  
Gabriela Kurz da Cunha ◽  
Bárbara Borges Rubin ◽  
Carolina Coelho Scholl ◽  
...  

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