中国团队:疫情防控,别忘孕妇心理健康
创作:Epi汪 审核:Epi汪 2020年12月18日
  • 基于网络的横断面调查中国19515名孕妇,在疫情期间(2020年2月24-3月10日)心理健康状况;
  • 其中62.6%的孕妇报告在家中自我隔离,而有3.8的孕妇报告被强制隔离;
  • 报告可能抑郁、可能焦虑和有自杀观念的孕妇分别达到44.6%、29.2%、7.4%;
  • 强制隔离状态可直接影响孕妇的精神健康,也可通过感知社会支持减少、适应性不良等,间接影响精神健康;
  • 而居家隔离仅通过社会支持和非适应性认知影响精神健康;
  • 疫情封锁期间应注重孕妇心理健康。
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Epi汪
中国疾控以及香港中文大学的研究团队通过对疫情期间的孕妇心理健康调查发现,因为疫情居家隔离以及接受强制隔离的孕妇其心理健康问题更加严重,包括焦虑、抑郁等。而这些心理健康问题与社会支持等具有较强的相关性,这提示我们在疫情防控期间,应该注重孕妇的心理健康干预,降低因此造成的健康损害。
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Whether and how lockdown and mandatory quarantine regarding COVID-19 may affect mental health among pregnant women in China: Potential social, cognitive, and eHealth-related mechanisms

因COVID-19封锁和强制隔离是否及如何影响中国孕妇的精神卫生:潜在的社会、认知和电子健康相关机制

10.2196/24495

2020-11-30, Article

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BACKGROUND: Although lockdown and mandatory quarantine have played crucial roles in the sharp decrease in the number of newly confirmed/suspected COVID-19 cases, concerns are raised over their threat to mental health especially among vulnerable groups including pregnant women. Few empirical studies have tested whether and how these control measures may affect mental health. No study investigated prevalence and impacts of utilizing eHealth among pregnant women during the outbreak.
OBJECTIVE: This study investigated 1) the roles of lockdown and mandatory quarantine in affecting mental health problems (i.e., anxiety and depressive symptoms), 2) the potential mediation effects of perceived social support and maladaptive cognition, and 3) the moderation roles of eHealth-related factors (i.e., social media use for health information and means of utilizing prenatal care services during COVID-19) among pregnant women in China.
METHODS: An online cross-sectional survey was conducted among 19,515 pregnant women from all 34 Chinese provincial-level administrative regions (24 February-10 March, 2020).
RESULTS: Of the participants, 62.6% reported lockdown in the areas of residence and 3.8% were subjected to mandatory quarantine; 44.6% reported probable depression, 29.2% had probable anxiety, and 7.4% reported suicidal ideation. Only 3.3% of the participants reported using online prenatal care service during the outbreak. Significant socio-demographic/maternal variables of anxiety/depressive symptoms included age, education, occupation, area of residence, gestational duration, number of children born, complication during pregnancy, means of utilizing prenatal care services, and social media use for health information. Multiple Indicators Multiple Causes (MIMIC) modeling [χ2(df)=495.21(14), p<.05, CFI=.99, NNFI=.98, RMSEA=.04 (90%CI=.038, .045)] showed quarantine status was strongly associated with poor mental health status directly and indirectly through decreased perceived social support and increased maladaptive cognition (B=.04, β =.02, 95%CI=.01 to .02, p=.001), while lockdown was indirectly associated with mental health through increased social support and maladaptive cognition among pregnant women (B=.03, β=.03, 95%CI=.02 to .03, p=.001). Multi-group analyses revealed social media use for health information and means of utilizing prenatal care services were significant moderators of the model paths.
CONCLUSIONS: The findings provide epidemiological evidence for the importance to integrate mental health care and eHealth into the planning and implementation of control measure policy. The observed social and cognitive mechanisms and moderators are modifiable, and can inform the design of evidence-based mental health promotion among pregnant women.
CLINICALTRIAL:

First Authors:
Xue Yang

Correspondence Authors:
Qian Wang

All Authors:
Xue Yang,Bo Song,Anise Wu,Phoenix K H Mo,Jiang Li Di,Qian Wang,Joseph T F Lau,Lin Hong Wang

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