The psychological burden of COVID-19 on the desire for parenthood in minoritized sexual identities: a study on depressive symptoms and family planning in Germany

Abstract Background The COVID-19 pandemic continues to spread across the globe and is associated with significant clinical and humanitarian burden. The desire for parenthood has been described to be positively correlated with psychological well-being: An unfulfilled wish for parenthood is associated...

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Main Authors: Falk Batz, Eva Lermer, Sonia Lech, Grace O’Malley, Alaleh Zati zehni, Davina Zenz-Spitzweg, Sven Mahner, Joachim Behr, Christian J. Thaler, Pichit Buspavanich
Format: Article
Language:English
Published: BMC 2023-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15127-7
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author Falk Batz
Eva Lermer
Sonia Lech
Grace O’Malley
Alaleh Zati zehni
Davina Zenz-Spitzweg
Sven Mahner
Joachim Behr
Christian J. Thaler
Pichit Buspavanich
author_facet Falk Batz
Eva Lermer
Sonia Lech
Grace O’Malley
Alaleh Zati zehni
Davina Zenz-Spitzweg
Sven Mahner
Joachim Behr
Christian J. Thaler
Pichit Buspavanich
author_sort Falk Batz
collection DOAJ
description Abstract Background The COVID-19 pandemic continues to spread across the globe and is associated with significant clinical and humanitarian burden. The desire for parenthood has been described to be positively correlated with psychological well-being: An unfulfilled wish for parenthood is associated with impaired mental health, and the wish for parenthood is a predictor for the development of depressive symptoms. While higher rates of anxiety and depression have been reported in individuals with minoritized sexual identities (compared to heterosexual individuals) during the COVID-19 pandemic, the specific impact of the pandemic and its social restriction measures on this population is poorly understood. Methods From April to July 2020, we conducted an anonymous cross-sectional survey online among N = 2463 adults living in Germany. We screened for depressive symptoms (Patient Health Questionnaire-4; PHQ-4) and assessed individuals’ desire for parenthood during the pandemic, and motives for or against the desire for parenthood (Leipzig questionnaire on motives for having a child, Version 20; LKM-20), with the aim of identifying differences between individuals with minoritized sexual identities and heterosexual individuals. Results Compared to heterosexual individuals (n = 1304), individuals with minoritized sexual identities (n = 831) indicated higher levels of depressive symptoms. In our study sample the majority of all participants (81.9%) reported no change in the desire for parenthood since the COVID-19 pandemic. Conclusion The findings underline the unmet need for social, psychological and medical support in regard to family-planning and the desire for parenthood during a pandemic. Furthermore, future research should explore COVID-19-related psychological consequences on individuals’ desire for parenthood and building a family.
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spelling doaj.art-d4448a5e792d47c7834d10cf1af3ac662023-05-07T11:26:20ZengBMCBMC Public Health1471-24582023-02-0123111110.1186/s12889-023-15127-7The psychological burden of COVID-19 on the desire for parenthood in minoritized sexual identities: a study on depressive symptoms and family planning in GermanyFalk Batz0Eva Lermer1Sonia Lech2Grace O’Malley3Alaleh Zati zehni4Davina Zenz-Spitzweg5Sven Mahner6Joachim Behr7Christian J. Thaler8Pichit Buspavanich9Department of Obstetrics and Gynecology, Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU MunichCenter for Leadership and People Management, LMU MunichInstitute of Medical Sociology and Rehabilitation Science, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt- Universität zu BerlinDepartment of Paediatric Oncology/Haematology, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu BerlinDepartment of Obstetrics and Gynecology, Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU Munich Applied Business and Media Psychology, Ansbach University of Applied SciencesDepartment of Obstetrics and Gynecology, Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU MunichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Brandenburg Medical School Theodor FontaneDepartment of Obstetrics and Gynecology, Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU MunichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Brandenburg Medical School Theodor FontaneAbstract Background The COVID-19 pandemic continues to spread across the globe and is associated with significant clinical and humanitarian burden. The desire for parenthood has been described to be positively correlated with psychological well-being: An unfulfilled wish for parenthood is associated with impaired mental health, and the wish for parenthood is a predictor for the development of depressive symptoms. While higher rates of anxiety and depression have been reported in individuals with minoritized sexual identities (compared to heterosexual individuals) during the COVID-19 pandemic, the specific impact of the pandemic and its social restriction measures on this population is poorly understood. Methods From April to July 2020, we conducted an anonymous cross-sectional survey online among N = 2463 adults living in Germany. We screened for depressive symptoms (Patient Health Questionnaire-4; PHQ-4) and assessed individuals’ desire for parenthood during the pandemic, and motives for or against the desire for parenthood (Leipzig questionnaire on motives for having a child, Version 20; LKM-20), with the aim of identifying differences between individuals with minoritized sexual identities and heterosexual individuals. Results Compared to heterosexual individuals (n = 1304), individuals with minoritized sexual identities (n = 831) indicated higher levels of depressive symptoms. In our study sample the majority of all participants (81.9%) reported no change in the desire for parenthood since the COVID-19 pandemic. Conclusion The findings underline the unmet need for social, psychological and medical support in regard to family-planning and the desire for parenthood during a pandemic. Furthermore, future research should explore COVID-19-related psychological consequences on individuals’ desire for parenthood and building a family.https://doi.org/10.1186/s12889-023-15127-7COVID − 19Minoritized sexual identitiesMinoritized gender identitiesMotives for parenthoodDesire for parenthood
spellingShingle Falk Batz
Eva Lermer
Sonia Lech
Grace O’Malley
Alaleh Zati zehni
Davina Zenz-Spitzweg
Sven Mahner
Joachim Behr
Christian J. Thaler
Pichit Buspavanich
The psychological burden of COVID-19 on the desire for parenthood in minoritized sexual identities: a study on depressive symptoms and family planning in Germany
BMC Public Health
COVID − 19
Minoritized sexual identities
Minoritized gender identities
Motives for parenthood
Desire for parenthood
title The psychological burden of COVID-19 on the desire for parenthood in minoritized sexual identities: a study on depressive symptoms and family planning in Germany
title_full The psychological burden of COVID-19 on the desire for parenthood in minoritized sexual identities: a study on depressive symptoms and family planning in Germany
title_fullStr The psychological burden of COVID-19 on the desire for parenthood in minoritized sexual identities: a study on depressive symptoms and family planning in Germany
title_full_unstemmed The psychological burden of COVID-19 on the desire for parenthood in minoritized sexual identities: a study on depressive symptoms and family planning in Germany
title_short The psychological burden of COVID-19 on the desire for parenthood in minoritized sexual identities: a study on depressive symptoms and family planning in Germany
title_sort psychological burden of covid 19 on the desire for parenthood in minoritized sexual identities a study on depressive symptoms and family planning in germany
topic COVID − 19
Minoritized sexual identities
Minoritized gender identities
Motives for parenthood
Desire for parenthood
url https://doi.org/10.1186/s12889-023-15127-7
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