The Impact of the COVID-19 Pandemic on Women's Perinatal Mental Health: Preliminary Data on the Risk of Perinatal Depression/Anxiety from a National Survey in Italy

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2022 Nov 26

PMID 36429541

Authors

Laura Camoni

Fiorino Mirabella

Antonella Gigantesco

Sonia Brescianini

Maurizio Ferri

Gabriella Palumbo

Gemma Calamandrei

The Perinatal Mental Health Network

Affiliations

Soon will be listed here.

Abstract

Increasing evidence suggests that during the COVID-19 pandemic, anxiety and depression during the perinatal period increased. The aim of the study is to estimate the prevalence of risk for both maternal depression and anxiety among women attending 18 healthcare centres in Italy during the SARS-COV-2 pandemic and to investigate the psychosocial risks and protective factors associated. It was divided into a retrospective phase (2019, 2020, and the first nine months of 2021) and a prospective phase (which began in November 2021 and it is still ongoing), which screened 12,479 and 2349 women, respectively, for a total of 14,828 women in the perinatal period. To evaluate the risk of anxiety and depression, the General Anxiety Disorder-7 (GAD-7), the Edinburgh Postnatal Depression Scale (EPDS), and an ad hoc form were used to collect sociodemographic variables. In the prospective study, the average age of the women is 31 (range 18-52) years. Results showed that the percentage of women who had EPDS score ≥9 increased from 11.6% in 2019 to 25.5% in the period ranging from November 2021 to April 2022. In logistic regression models, the variables associated with the risk of depression at a level ≤0.01 include having economic problems (OR 2.16) and not being able to rely on support from relatives or friends (OR 2.36). Having the professional status of the housewife is a lower risk (OR 0.52). Those associated with the risk of anxiety include being Italian (OR 2.97), having an education below secondary school level (OR 0.47), having some or many economic problems (OR 2.87), being unable to rely on support from relatives or friends (OR 2.48), and not having attended an antenatal course (OR 1.41). The data from this survey could be useful to determine the impact of the SARS-COV-2 pandemic on women and to establish a screening program with common and uniformly applied criteria which are consistent with national and international women's mental health programs.

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References

Pieh C, Budimir S, Probst T . The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria. J Psychosom Res. 2020; 136:110186. PMC: 7832650. DOI: 10.1016/j.jpsychores.2020.110186. View

Camoni L, Mirabella F, Palumbo G, Del Re D, Gigantesco A, Calamandrei G . A screening and treatment programme to deal with perinatal anxiety and depression during the COVID-19 pandemic. Epidemiol Prev. 2021; 44(5-6 Suppl 2):369-373. DOI: 10.19191/EP20.5-6.S2.139. View

Tianyi F, Li Y, Alderdice F, Quigley M, Kurinczuk J, Bankhead C . The association between conception history and subsequent postpartum depression and/or anxiety: Evidence from the Clinical Practice Research Datalink 1991-2013. J Affect Disord. 2022; 310:266-273. DOI: 10.1016/j.jad.2022.04.138. View

Mirabella F, Michielin P, Piacentini D, Veltro F, Barbano G, Cattaneo M . [Effectiveness of a postnatal psychological treatment for women who had screened positive for depression]. Riv Psichiatr. 2016; 51(6):260-269. DOI: 10.1708/2596.26728. View

Fisher J, de Mello M, Patel V, Rahman A, Tran T, Holton S . Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ. 2012; 90(2):139G-149G. PMC: 3302553. DOI: 10.2471/BLT.11.091850. View

Biaggi A, Conroy S, Pawlby S, Pariante C . Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord. 2015; 191:62-77. PMC: 4879174. DOI: 10.1016/j.jad.2015.11.014. View

Bayrampour H, McDonald S, Tough S . Risk factors of transient and persistent anxiety during pregnancy. Midwifery. 2015; 31(6):582-9. DOI: 10.1016/j.midw.2015.02.009. View

McGovern M, Rokicki S, Reichman N . Maternal depression and economic well-being: A quasi-experimental approach. Soc Sci Med. 2022; 305:115017. DOI: 10.1016/j.socscimed.2022.115017. View

Lambelet V, Ceulemans M, Nordeng H, Favre G, Horsch A, Stojanov M . Impact of the COVID-19 pandemic on Swiss pregnant and breastfeeding women - a cross-sectional study covering the first pandemic wave. Swiss Med Wkly. 2021; 151:w30009. DOI: 10.4414/smw.2021.w30009. View

10.

Bennett H, Boon H, Romans S, Grootendorst P . Becoming the best mom that I can: women's experiences of managing depression during pregnancy--a qualitative study. BMC Womens Health. 2007; 7:13. PMC: 2048943. DOI: 10.1186/1472-6874-7-13. View

11.

Cena L, Mirabella F, Palumbo G, Gigantesco A, Trainini A, Stefana A . Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in Italy. Eur Psychiatry. 2020; 63(1):e84. PMC: 7576533. DOI: 10.1192/j.eurpsy.2020.82. View

12.

Thakur V, Jain A . WITHDRAWN: COVID 2019-suicides: A global psychological pandemic. Brain Behav Immun. 2020; 88:952-953. DOI: 10.1016/j.bbi.2020.04.062. View

13.

MacMillan K, Lewis A, Watson S, Bourke D, Galbally M . Maternal social support, depression and emotional availability in early mother-infant interaction: Findings from a pregnancy cohort. J Affect Disord. 2021; 292:757-765. DOI: 10.1016/j.jad.2021.05.048. View

14.

Akgor U, Fadiloglu E, Soyak B, Unal C, Cagan M, Temiz B . Anxiety, depression and concerns of pregnant women during the COVID-19 pandemic. Arch Gynecol Obstet. 2021; 304(1):125-130. PMC: 7802427. DOI: 10.1007/s00404-020-05944-1. View

15.

Galea S, Merchant R, Lurie N . The Mental Health Consequences of COVID-19 and Physical Distancing: The Need for Prevention and Early Intervention. JAMA Intern Med. 2020; 180(6):817-818. DOI: 10.1001/jamainternmed.2020.1562. View

16.

Plummer F, Manea L, Trepel D, McMillan D . Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry. 2016; 39:24-31. DOI: 10.1016/j.genhosppsych.2015.11.005. View

17.

Thapa S, Mainali A, Schwank S, Acharya G . Maternal mental health in the time of the COVID-19 pandemic. Acta Obstet Gynecol Scand. 2020; 99(7):817-818. PMC: 7267371. DOI: 10.1111/aogs.13894. View

18.

Corbett G, Milne S, Hehir M, Lindow S, OConnell M . Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. Eur J Obstet Gynecol Reprod Biol. 2020; 249:96-97. PMC: 7194619. DOI: 10.1016/j.ejogrb.2020.04.022. View

19.

Dennis C, Dowswell T . Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2013; (2):CD001134. DOI: 10.1002/14651858.CD001134.pub3. View

20.

Cena L, Mirabella F, Palumbo G, Gigantesco A, Trainini A, Stefana A . Prevalence of maternal antenatal and postnatal depression and their association with sociodemographic and socioeconomic factors: A multicentre study in Italy. J Affect Disord. 2020; 279:217-221. DOI: 10.1016/j.jad.2020.09.136. View