Associations of COVID-19 Stressors and Postpartum Depression and Anxiety Symptoms in New Mothers.


Journal

Maternal and child health journal
ISSN: 1573-6628
Titre abrégé: Matern Child Health J
Pays: United States
ID NLM: 9715672

Informations de publication

Date de publication:
Oct 2023
Historique:
accepted: 22 06 2023
medline: 25 9 2023
pubmed: 10 7 2023
entrez: 10 7 2023
Statut: ppublish

Résumé

Early reports during the COVID-19 pandemic showed pregnant and postpartum women have increased rates of anxiety and depression. We hypothesized that exposure to more COVID-19-related events (e.g., stay-at-home orders, school closures, work layoffs, family members ill with COVID-19; Event Exposure), greater perceived impact of COVID-19 events on the family (Family Impact), and less social support would be associated with more anxiety and depression symptoms among first-time mothers. We interviewed 125 first-time mothers of infants under 3 months of age from four pediatric primary care offices (June 2020 - February 2021) to assess COVID-19 experiences, anxiety and depression symptoms, and social support. Hierarchical linear regression evaluated relations between COVID-19 Event Exposure, COVID-19 Family Impact, and social support on maternal anxiety and depression symptoms. COVID-19 Event Exposure was not associated with depression or anxiety symptom scores. However, greater COVID-19 Family Impact was related to increased maternal depression and anxiety symptoms when controlling for COVID-19 Event Exposure. Reduced social support predicted higher depression symptom scores, but not anxiety symptom scores, when accounting for other variables. The number of COVID-19-related events experienced by first-time mothers did not predict anxiety or depression symptoms. However, greater perceived impact of COVID-19 on their family was associated with higher symptoms of anxiety and depression in these mothers. Pediatricians can promote resilience strategies to help new mothers adapt during the COVID-19 pandemic to help decrease anxiety and depression symptoms.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
Early reports during the COVID-19 pandemic showed pregnant and postpartum women have increased rates of anxiety and depression. We hypothesized that exposure to more COVID-19-related events (e.g., stay-at-home orders, school closures, work layoffs, family members ill with COVID-19; Event Exposure), greater perceived impact of COVID-19 events on the family (Family Impact), and less social support would be associated with more anxiety and depression symptoms among first-time mothers.
METHODS METHODS
We interviewed 125 first-time mothers of infants under 3 months of age from four pediatric primary care offices (June 2020 - February 2021) to assess COVID-19 experiences, anxiety and depression symptoms, and social support. Hierarchical linear regression evaluated relations between COVID-19 Event Exposure, COVID-19 Family Impact, and social support on maternal anxiety and depression symptoms.
RESULTS RESULTS
COVID-19 Event Exposure was not associated with depression or anxiety symptom scores. However, greater COVID-19 Family Impact was related to increased maternal depression and anxiety symptoms when controlling for COVID-19 Event Exposure. Reduced social support predicted higher depression symptom scores, but not anxiety symptom scores, when accounting for other variables.
CONCLUSION CONCLUSIONS
The number of COVID-19-related events experienced by first-time mothers did not predict anxiety or depression symptoms. However, greater perceived impact of COVID-19 on their family was associated with higher symptoms of anxiety and depression in these mothers. Pediatricians can promote resilience strategies to help new mothers adapt during the COVID-19 pandemic to help decrease anxiety and depression symptoms.

Identifiants

pubmed: 37428309
doi: 10.1007/s10995-023-03749-7
pii: 10.1007/s10995-023-03749-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1846-1854

Subventions

Organisme : Nemours Foundation
ID : Research Fellow's Grant

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

Bagner, D. M., Pettit, J. W., Lewinsohn, P. M., Seeley, J. R., & Jaccard, J. (2013). Disentangling the temporal relationship between parental depressive symptoms and early child behavior problems: A transactional framework. Journal of Clinical Child and Adolescent Psychology, 42(1), 78–90. https://doi.org/10.1080/15374416.2012.715368 .
doi: 10.1080/15374416.2012.715368 pubmed: 22963145
Bright Futures/American Academy of Pediatrics (2021). Recommendations for Preventative Pediatric Health Care. https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf . Accessed 1 February 2022.
Ceulemans, M., Foulon, V., Ngo, E., Panchaud, A., Winterfeld, U., Pomar, L., Lambelet, V., Cleary, B., O’Shaughnessy, F., Passier, A., Richardson, J. L., Hompes, T., & Nordeng, H. (2021). Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic-A multinational cross-sectional study. Acta Obstetricia et Gynecologica Scandinavica, 100(7), 1219–1229. https://doi.org/10.1111/aogs.14092 .
doi: 10.1111/aogs.14092 pubmed: 33475148
Choi, K. W., Houts, R., Arseneault, L., Pariante, C., Sikkema, K. J., & Moffitt, T. E. (2019). Maternal depression in the intergenerational transmission of childhood maltreatment and its sequelae: Testing postpartum effects in a longitudinal birth cohort. Development and Psychopathology, 31(1), 143–156. https://doi.org/10.1017/S0954579418000032 .
doi: 10.1017/S0954579418000032 pubmed: 29562945
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. The British Journal of Psychiatry: The Journal of Mental Science, 150, 782–786. https://doi.org/10.1192/bjp.150.6.782 .
doi: 10.1192/bjp.150.6.782 pubmed: 3651732
Critchlow, E., Birkenstock, L., Hotz, M., Sablone, L., Riley, A. H., Mercier, R., & Frasso, R. (2022). Experiences of New Mothers during the Coronavirus Disease 2019 (COVID-19) pandemic. Obstetrics and Gynecology, 139(2), 244–253. https://doi.org/10.1097/AOG.0000000000004660 .
doi: 10.1097/AOG.0000000000004660 pubmed: 34991140
Cummings, P. (2013). Missing data and multiple imputation. JAMA Pediatrics, 167(7), 656–661. https://doi.org/10.1001/jamapediatrics.2013.1329 .
doi: 10.1001/jamapediatrics.2013.1329 pubmed: 23699969
Cutuli, J. J., Herbers, J. E., Masten, A. S., & Reed, M. G. (2021). Resilience in development. In C. R. Snyder, S. J. Lopez, L. M. Edwards, & S. C. Marques (Eds.), The Oxford handbook of positive psychology (3rd ed., pp. 171–188). New York: Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199396511.013.9 .
doi: 10.1093/oxfordhb/9780199396511.013.9
De Machado, S., Chur-Hansen, T., A., & Due, C. (2020). First-time mothers’ perceptions of social support: Recommendations for best practice. Health Psychology Open, 7(1), 2055102919898611. https://doi.org/10.1177/2055102919898611 .
doi: 10.1177/2055102919898611
Denson, T. F., Spanovic, M., & Miller, N. (2009). Cognitive appraisals and emotions predict cortisol and immune responses: A meta-analysis of acute laboratory social stressors and emotion inductions. Psychological Bulletin, 135(6), 823–853. https://doi.org/10.1037/a0016909 .
doi: 10.1037/a0016909 pubmed: 19883137
Dietz, L. J., Jennings, K. D., Kelley, S. A., & Marshal, M. (2009). Maternal depression, paternal psychopathology, and toddlers’ behavior problems. Journal of Clinical Child and Adolescent Psychology, 38(1), 48–61. https://doi.org/10.1080/15374410802575362 .
doi: 10.1080/15374410802575362 pubmed: 19130357 pmcid: 3548442
Earls, M. F., Yogman, M. W., Mattson, G., Rafferty, J., & COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH. (2019). Incorporating Recognition and Management of Perinatal Depression into Pediatric Practice. Pediatrics, 143(1), e20183259. https://doi.org/10.1542/peds.2018-3259 .
doi: 10.1542/peds.2018-3259 pubmed: 30559120
Enlow, P. T., Phan, T. T., Lewis, A. M., Hildenbrand, A. K., Sood, E., Canter, K. S., Vega, G., Alderfer, M. A., & Kazak, A. E. (2022). Validation of the COVID-19 exposure and family impact scales. Journal of Pediatric Psychology, 47(3), 259–269. https://doi.org/10.1093/jpepsy/jsab136 .
doi: 10.1093/jpepsy/jsab136 pubmed: 34969064
Felitti, V. J. (2019). Origins of the ACE study. American Journal of Preventive Medicine, 56(6), 787–789. https://doi.org/10.1016/j.amepre.2019.02.011 .
doi: 10.1016/j.amepre.2019.02.011 pubmed: 31104723
Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior & Development, 33(1), 1–6. https://doi.org/10.1016/j.infbeh.2009.10.005 .
doi: 10.1016/j.infbeh.2009.10.005
Field, T. (2018). Postnatal anxiety prevalence, predictors and effects on development: A narrative review. Infant Behavior and Development, 51, 24–32. https://doi.org/10.1016/j.infbeh.2018.02.005 .
Goodman, J. H., Watson, G. R., & Stubbs, B. (2016). Anxiety disorders in postpartum women: A systematic review and meta-analysis. Journal of Affective Disorders, 203, 292–331. https://doi.org/10.1016/j.jad.2016.05.033 .
doi: 10.1016/j.jad.2016.05.033 pubmed: 27317922
Gustafsson, H. C., Young, A. S., Doyle, O., Nagel, B. J., Seghete, M., Nigg, K., Sullivan, J. T., E. L., & Graham, A. M. (2021). Trajectories of perinatal depressive symptoms in the context of the COVID-19 pandemic. Child Development, 92(5), e749–e763. https://doi.org/10.1111/cdev.13656 .
doi: 10.1111/cdev.13656 pubmed: 34448493 pmcid: 8652588
Hessami, K., Romanelli, C., Chiurazzi, M., & Cozzolino, M. (2022). COVID-19 pandemic and maternal mental health: A systematic review and meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine, 35(20), 4014–4021. https://doi.org/10.1080/14767058.2020.1843155 .
doi: 10.1080/14767058.2020.1843155
Hui, P. W., Ma, G., Seto, M., & Cheung, K. W. (2021). Effect of COVID-19 on delivery plans and postnatal depression scores of pregnant women. Hong Kong Medical Journal = Xianggang yi xue za zhi, 27(2), 113–117. https://doi.org/10.12809/hkmj208774 .
doi: 10.12809/hkmj208774 pubmed: 33154187
Kazak, A. E., Alderfer, M., Enlow, P. T., Lewis, A. M., Vega, G., Barakat, L., Kassam-Adams, N., Pai, A., Canter, K. S., Hildenbrand, A. K., McDonnell, G. A., Price, J., Schultz, C., Sood, E., & Phan, T. L. (2021). COVID-19 exposure and family impact scales: Factor structure and initial psychometrics. Journal of Pediatric Psychology, 46(5), 504–513. https://doi.org/10.1093/jpepsy/jsab026 .
doi: 10.1093/jpepsy/jsab026 pubmed: 33749794
Leeb, R. T., Bitsko, R. H., Radhakrishnan, L., Martinez, P., Njai, R., & Holland, K. M. (2020). Mental health-related emergency department visits among children aged <18 years during the COVID-19 pandemic - United States, January 1-October 17, 2020. MMWR Morbidity and Mortality Weekly Report, 69(45), 1675–1680. https://doi.org/10.15585/mmwr.mm6945a3 .
Levis, B., Negeri, Z., Sun, Y., Benedetti, A., Thombs, B. D., & DEPRESsion Screening Data (DEPRESSD) EPDS Group. (2020). & Accuracy of the Edinburgh postnatal depression scale (EPDS) for screening to detect major depression among pregnant and postpartum women: Systematic review and meta-analysis of individual participant data. BMJ (Clinical research ed.), 371, m4022. https://doi.org/10.1136/bmj.m4022 .
Liu, C. H., Erdei, C., & Mittal, L. (2021). Risk factors for depression, anxiety, and PTSD symptoms in perinatal women during the COVID-19 pandemic. Psychiatry Research, 295, 113552. https://doi.org/10.1016/j.psychres.2020.113552 .
doi: 10.1016/j.psychres.2020.113552 pubmed: 33229122
Masten, A. S., & Cicchetti, D. (2016). Resilience in Development: Progress and Transformation. In Developmental Psychopathology (pp. 1–63). https://doi.org/10.1002/9781119125556.devpsy406 .
Masten, A. S., & Motti-Stefanidi, F. (2020). Multisystem resilience for children and youth in disaster: Reflections in the Context of COVID-19. Adversity and Resilience Science, 1(2), 95–106. https://doi.org/10.1007/s42844-020-00010-w .
doi: 10.1007/s42844-020-00010-w pubmed: 32838305 pmcid: 7314620
Matthey, S., Fisher, J., & Rowe, H. (2013). Using the Edinburgh postnatal depression scale to screen for anxiety disorders: Conceptual and methodological considerations. Journal of Affective Disorders, 146(2), 224–230. https://doi.org/10.1016/j.jad.2012.09.009 .
doi: 10.1016/j.jad.2012.09.009 pubmed: 23116811
Moyer, S. W., & Kinser, P. A. (2021). A comprehensive conceptual Framework to Guide Clinical Practice and Research about Mental Health during the Perinatal Period. The Journal of Perinatal & Neonatal Nursing, 35(1), 46–56. https://doi.org/10.1097/JPN.0000000000000535 .
doi: 10.1097/JPN.0000000000000535
Murray, L., Arteche, A., Fearon, P., Halligan, S., Goodyer, I., & Cooper, P. (2011). Maternal postnatal depression and the development of depression in offspring up to 16 years of age. Journal of the American Academy of Child and Adolescent Psychiatry, 50(5), 460–470. https://doi.org/10.1016/j.jaac.2011.02.001 .
Nkansah-Amankra, S., Dhawain, A., Hussey, J. R., & Luchok, K. J. (2010). Maternal social support and neighborhood income inequality as predictors of low birth weight and preterm birth outcome disparities: analysis of South Carolina Pregnancy Risk Assessment and Monitoring System survey, 2000–2003. Maternal and Child Health Journal, 14(5), 774–785. https://doi.org/10.1007/s10995-009-0508-8 .
O’Hara, M. W., & McCabe, J. E. (2013). Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology, 9, 379–407. https://doi.org/10.1146/annurev-clinpsy-050212-185612 .
doi: 10.1146/annurev-clinpsy-050212-185612 pubmed: 23394227
Phillips, J., Charles, M., Sharpe, L., & Matthey, S. (2009). Validation of the subscales of the Edinburgh postnatal depression scale in a sample of women with unsettled infants. Journal of Affective Disorders, 118(1–3), 101–112. https://doi.org/10.1016/j.jad.2009.02.004 .
doi: 10.1016/j.jad.2009.02.004 pubmed: 19275960
Razurel, C., Kaiser, B., Sellenet, C., & Epiney, M. (2013). Relation between perceived stress, social support, and coping strategies and maternal well-being: A review of the literature. Women & Health, 53(1), 74–99. https://doi.org/10.1080/03630242.2012.732681 .
doi: 10.1080/03630242.2012.732681
Shulman, H. B., D’Angelo, D. V., Harrison, L., Smith, R. A., & Warner, L. (2018). The pregnancy risk Assessment Monitoring System (PRAMS): Overview of design and methodology. American Journal of Public Health, 108(10), 1305–1313. https://doi.org/10.2105/AJPH.2018.304563 .
doi: 10.2105/AJPH.2018.304563 pubmed: 30138070 pmcid: 6137777
Stojanov, J., Stankovic, M., Zikic, O., Stankovic, M., & Stojanov, A. (2021). The risk for nonpsychotic postpartum mood and anxiety disorders during the COVID-19 pandemic. International Journal of Psychiatry in Medicine, 56(4), 228–239. https://doi.org/10.1177/0091217420981533 .
doi: 10.1177/0091217420981533 pubmed: 33322982
Sutter-Dallay, A. L., Murray, L., Dequae-Merchadou, L., Glatigny-Dallay, E., Bourgeois, M. L., & Verdoux, H. (2011). A prospective longitudinal study of the impact of early postnatal vs. chronic maternal depressive symptoms on child development. European Psychiatry: The Journal of the Association of European Psychiatrists, 26(8), 484–489. https://doi.org/10.1016/j.eurpsy.2010.05.004 .
doi: 10.1016/j.eurpsy.2010.05.004 pubmed: 20621453
van Ginkel, J. R., Linting, M., Rippe, R., & van der Voort, A. (2020). Rebutting existing Misconceptions about multiple imputation as a method for handling Missing Data. Journal of Personality Assessment, 102(3), 297–308. https://doi.org/10.1080/00223891.2018.1530680 .
doi: 10.1080/00223891.2018.1530680 pubmed: 30657714
Wu, T., Jia, X., Shi, H., Niu, J., Yin, X., Xie, J., & Wang, X. (2021). Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Affective Disorders, 281, 91–98. https://doi.org/10.1016/j.jad.2020.11.117 .
doi: 10.1016/j.jad.2020.11.117 pubmed: 33310451

Auteurs

Jessica F Rohde (JF)

Division of General Academic Pediatrics, Nemours Children's Health, Wilmington, DE, USA. jessica.rohde@nemours.org.
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA. jessica.rohde@nemours.org.

Meghan Harrison (M)

Division of General Academic Pediatrics, Nemours Children's Health, Wilmington, DE, USA.
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.

Tara Berman (T)

Nemours Children's Health, Philadelphia, PA, USA.
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.

Claire Flatley (C)

Center for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, USA.

Katherine Okonak (K)

Center for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, USA.

J J Cutuli (JJ)

Center for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, USA.

Danielle Hatchimonji (D)

Center for Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, USA.

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