Social Support and Mental Health in the Postpartum Period in Times of SARS-CoV-2 Pandemic : Spanish Multicentre Cohort Study
Brik, Maia (Hospital Universitari Vall d'Hebron)
Sandonis, Miguel Angel (Hospital Universitari Vall d'Hebron)
Horrillo Murillo, Elena Rocio (Hospital Universitario 12 de Octubre (Madrid))
Monfort Ortiz, Rogelio (Hospital Universitari i Politècnic La Fe (València))
Arteaga Fernandez, Alexandra (Hospital Universitario 12 de Octubre (Madrid))
de Arriba, Maria (Hospital Universitari i Politècnic La Fe (València))
Fernández, Sara (Hospital Universitari Vall d'Hebron)
Iglesias Román, Nuria (Hospital Universitario 12 de Octubre (Madrid))
Parramón Puig, Gemma (Hospital Universitari Vall d'Hebron)
Suy, Anna (Hospital Universitari Vall d'Hebron)
Dip Perez, María Emilia (Hospital Universitari Vall d'Hebron)
Perales Marin, Alfredo (Hospital Universitari i Politècnic La Fe (València))
Maiz, Nerea (Hospital Universitari Vall d'Hebron)
Ramos-Quiroga, Josep Antoni (Centro de Investigación Biomédica en Red de Salud Mental)
Carreras Moratonas, Elena (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Data:	2022
Resum:	To explore the depression and anxiety symptoms in the postpartum period during the SARS-CoV-2 pandemic and to identify potential risk factors. Methods: A multicentre observational cohort study including 536 women was performed at three hospitals in Spain. The Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI) Scale, the Medical Outcomes Study Social Support Survey (MOS-SSS), and the Postpartum Bonding Questionnaire (PBQ) were assessed after birth. Depression (EPDS) and anxiety (STAI) symptoms were measured, and the cut-off scores were set at 10 and 13 for EPDS, and at 40 for STAI. Results: Regarding EPDS, 32. 3% (95% CI, 28% to 36. 5%) of women had a score ≥ 10, and 17. 3% (95% CI, 13. 9% to 20. 7%) had a score ≥ 13. Women with an STAI score ≥ 40 accounted for 46. 8% (95% CI, 42. 3% to 51. 2%). A lower level of social support (MOS-SSS), a fetal malformation diagnosis and a history of depression (p = 0. 000, p = 0. 019 and p = 0. 043) were independent risk factors for postpartum depression. A lower level of social support and a history of mental health disorders (p = 0. 000, p = 0. 003) were independent risk factors for postpartum anxiety. Conclusion: During the SARS-CoV-2 pandemic, an increase in symptoms of anxiety and depression were observed during the postpartum period.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Anxiety ; COVID-19 ; Depression ; Pandemic ; Pregnancy ; SARS-CoV-2 ; Social support
Publicat a:	International journal of environmental research and public health, Vol. 19 (november 2022) , ISSN 1660-4601

DOI: 10.3390/ijerph192315445
PMID: 36497529

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