A cross-country study on the impact of governmental responses to the COVID-19 pandemic on perinatal mental health
Abstract This study aimed to analyse the role of governmental responses to the coronavirus disease 2019 (COVID-19) outbreak, measured by the Containment and Health Index (CHI), on symptoms of anxiety and depression during pregnancy and postpartum, while considering the countries’ Inequality-adjusted...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-02-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-29300-w |
| _version_ | 1797864671501352960 |
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| author | Ana Mesquita Raquel Costa Rena Bina Carmen Cadarso-Suárez Francisco Gude Carla Díaz-Louzao Pelin Dikmen-Yildiz Ana Osorio Vera Mateus Sara Domínguez-Salas Eleni Vousoura Drorit Levy Samira Alfayumi-Zeadna Claire A. Wilson Yolanda Contreras-García Mercedes Carrasco-Portiño Sandra Saldivia Andri Christoforou Eleni Hadjigeorgiou Ethel Felice Rachel Buhagiar Camellia Hancheva Erilda Ajaz Ana Uka Emma Motrico |
| author_facet | Ana Mesquita Raquel Costa Rena Bina Carmen Cadarso-Suárez Francisco Gude Carla Díaz-Louzao Pelin Dikmen-Yildiz Ana Osorio Vera Mateus Sara Domínguez-Salas Eleni Vousoura Drorit Levy Samira Alfayumi-Zeadna Claire A. Wilson Yolanda Contreras-García Mercedes Carrasco-Portiño Sandra Saldivia Andri Christoforou Eleni Hadjigeorgiou Ethel Felice Rachel Buhagiar Camellia Hancheva Erilda Ajaz Ana Uka Emma Motrico |
| author_sort | Ana Mesquita |
| collection | DOAJ |
| description | Abstract This study aimed to analyse the role of governmental responses to the coronavirus disease 2019 (COVID-19) outbreak, measured by the Containment and Health Index (CHI), on symptoms of anxiety and depression during pregnancy and postpartum, while considering the countries’ Inequality-adjusted Human Development Index (IHDI) and individual factors such as age, gravidity, and exposure to COVID-19. A cross-sectional study using baseline data from the Riseup-PPD-COVID-19 observational prospective international study (ClinicalTrials.gov: NCT04595123) was carried out between June and October 2020 in 12 countries (Albania, Brazil, Bulgaria, Chile, Cyprus, Greece, Israel, Malta, Portugal, Spain, Turkey, and the United Kingdom). Participants were 7645 pregnant women or mothers in the postpartum period—with an infant aged up to 6 months—who completed the Edinburgh Postnatal Depression Scale (EPDS) or the Generalised Anxiety Disorder Assessment (GAD-7) during pregnancy or the postpartum period. The overall prevalence of clinically significant depression symptoms (EPDS ≥ 13) was 30%, ranging from 20,5% in Cyprus to 44,3% in Brazil. The prevalence of clinically significant anxiety symptoms (GAD-7 ≥ 10) was 23,6% (ranging from 14,2% in Israel and Turkey to 39,5% in Brazil). Higher symptoms of anxiety or depression were observed in multigravida exposed to COVID-19 or living in countries with a higher number of deaths due to COVID-19. Furthermore, multigravida from countries with lower IHDI or CHI had higher symptoms of anxiety and depression. Perinatal mental health is context-dependent, with women from more disadvantaged countries at higher risk for poor mental health. Implementing more restrictive measures seems to be a protective factor for mental health, at least in the initial phase of the COVID-19. |
| first_indexed | 2024-04-09T22:55:40Z |
| format | Article |
| id | doaj.art-07ffd98c93e1431d843231ab4b3d9318 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T22:55:40Z |
| publishDate | 2023-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-07ffd98c93e1431d843231ab4b3d93182023-03-22T11:15:23ZengNature PortfolioScientific Reports2045-23222023-02-0113111410.1038/s41598-023-29300-wA cross-country study on the impact of governmental responses to the COVID-19 pandemic on perinatal mental healthAna Mesquita0Raquel Costa1Rena Bina2Carmen Cadarso-Suárez3Francisco Gude4Carla Díaz-Louzao5Pelin Dikmen-Yildiz6Ana Osorio7Vera Mateus8Sara Domínguez-Salas9Eleni Vousoura10Drorit Levy11Samira Alfayumi-Zeadna12Claire A. Wilson13Yolanda Contreras-García14Mercedes Carrasco-Portiño15Sandra Saldivia16Andri Christoforou17Eleni Hadjigeorgiou18Ethel Felice19Rachel Buhagiar20Camellia Hancheva21Erilda Ajaz22Ana Uka23Emma Motrico24School of Psychology, University of MinhoEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas,n° 135School of Social Work, Bar Ilan UniversityDepartment of Statistics, Mathematical Analysis, and Optimization, Group of Biostatistics and Biomedical Data Science, University of Santiago de CompostelaDepartment of Epidemiology, Research Group On Epidemiology of Common Diseases, University Clinical Hospital of Santiago, Santiago de Compostela Health Research Institute (IDIS)Department of Statistics, Mathematical Analysis, and Optimization, Group of Biostatistics and Biomedical Data Science, University of Santiago de CompostelaDepartment of Psychology, Kirklareli UniversityGraduate Program on Developmental Disorders and Mackenzie Center for Research in Childhood and Adolescence, Center for Biological and Health Sciences, Mackenzie Presbyterian UniversityGraduate Program on Developmental Disorders and Mackenzie Center for Research in Childhood and Adolescence, Center for Biological and Health Sciences, Mackenzie Presbyterian UniversityPsychology Department, Universidad Loyola AndaluciaDepartment of Psychology, School of Philosophy, National and Kapodestrian University of AthensSchool of Social Work, Bar Ilan UniversityThe Center for Women’s Health Studies and Promotion, Ben-Gurion University of the NegevSection of Women’s Mental Health, King’s College London and South London and Maudsley NHS Foundation TrustDepartment of Obstetrics and Puericulture. Faculty of Medicine, Universidad de ConcepciónDepartment of Obstetrics and Puericulture. Faculty of Medicine, Universidad de ConcepciónDepartment of Psychiatry and Mental Health. Faculty of Medicine, Universidad de ConcepciónDepartment of Social and Behavioral Sciences, European University CyprusDepartment of Nursing, School of Health Science, Cyprus University of TechnologyDepartment of Psychiatry, University of MaltaDepartment of Psychiatry, University of MaltaSofia University “St. Kliment Ochridski”Department of Education and English Language, Beder University CollegeDepartment of Education and English Language, Beder University CollegePsychology Department, Universidad Loyola AndaluciaAbstract This study aimed to analyse the role of governmental responses to the coronavirus disease 2019 (COVID-19) outbreak, measured by the Containment and Health Index (CHI), on symptoms of anxiety and depression during pregnancy and postpartum, while considering the countries’ Inequality-adjusted Human Development Index (IHDI) and individual factors such as age, gravidity, and exposure to COVID-19. A cross-sectional study using baseline data from the Riseup-PPD-COVID-19 observational prospective international study (ClinicalTrials.gov: NCT04595123) was carried out between June and October 2020 in 12 countries (Albania, Brazil, Bulgaria, Chile, Cyprus, Greece, Israel, Malta, Portugal, Spain, Turkey, and the United Kingdom). Participants were 7645 pregnant women or mothers in the postpartum period—with an infant aged up to 6 months—who completed the Edinburgh Postnatal Depression Scale (EPDS) or the Generalised Anxiety Disorder Assessment (GAD-7) during pregnancy or the postpartum period. The overall prevalence of clinically significant depression symptoms (EPDS ≥ 13) was 30%, ranging from 20,5% in Cyprus to 44,3% in Brazil. The prevalence of clinically significant anxiety symptoms (GAD-7 ≥ 10) was 23,6% (ranging from 14,2% in Israel and Turkey to 39,5% in Brazil). Higher symptoms of anxiety or depression were observed in multigravida exposed to COVID-19 or living in countries with a higher number of deaths due to COVID-19. Furthermore, multigravida from countries with lower IHDI or CHI had higher symptoms of anxiety and depression. Perinatal mental health is context-dependent, with women from more disadvantaged countries at higher risk for poor mental health. Implementing more restrictive measures seems to be a protective factor for mental health, at least in the initial phase of the COVID-19.https://doi.org/10.1038/s41598-023-29300-w |
| spellingShingle | Ana Mesquita Raquel Costa Rena Bina Carmen Cadarso-Suárez Francisco Gude Carla Díaz-Louzao Pelin Dikmen-Yildiz Ana Osorio Vera Mateus Sara Domínguez-Salas Eleni Vousoura Drorit Levy Samira Alfayumi-Zeadna Claire A. Wilson Yolanda Contreras-García Mercedes Carrasco-Portiño Sandra Saldivia Andri Christoforou Eleni Hadjigeorgiou Ethel Felice Rachel Buhagiar Camellia Hancheva Erilda Ajaz Ana Uka Emma Motrico A cross-country study on the impact of governmental responses to the COVID-19 pandemic on perinatal mental health Scientific Reports |
| title | A cross-country study on the impact of governmental responses to the COVID-19 pandemic on perinatal mental health |
| title_full | A cross-country study on the impact of governmental responses to the COVID-19 pandemic on perinatal mental health |
| title_fullStr | A cross-country study on the impact of governmental responses to the COVID-19 pandemic on perinatal mental health |
| title_full_unstemmed | A cross-country study on the impact of governmental responses to the COVID-19 pandemic on perinatal mental health |
| title_short | A cross-country study on the impact of governmental responses to the COVID-19 pandemic on perinatal mental health |
| title_sort | cross country study on the impact of governmental responses to the covid 19 pandemic on perinatal mental health |
| url | https://doi.org/10.1038/s41598-023-29300-w |
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