Prenatal stress perception and coping strategies: Insights from a longitudinal prospective pregnancy cohort

Goletzke, Janina; Kocalevent, Rüya-Daniela; Hansen, Gudula; Rose, Matthias; Becher, Heiko; Hecher, Kurt; Arck, Petra C.

doi:10.1016/j.jpsychores.2017.09.002

Cited by 51 publications

(48 citation statements)

References 35 publications

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“…Regarding the entire sample as well as the two ethnic groups, it was found that poorer health was found to be related to psychological distress. This is consistent with previous studies indicating that poorer health among women contributes to pregnancy-related psychological distress (Goletzke et al 2017;Lobel et al 2008). As people with underlying diseases are more at risk for morbidity from the COVID-19 infection, it is reasonable to assume that pregnant women whose health is compromised will feel greater distress during the pandemic.…”

Section: Discussionsupporting

confidence: 90%

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Jewish and Arab pregnant women’s psychological distress during the COVID-19 pandemic: the contribution of personal resources

2020

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Objective: The study sought to examine the psychological distress of Israeli pregnant women during the worldwide spread of COVID-19. As Israel has a diverse cultural-religious population, the sample included both Jewish and Arab women, allowing us to explore the differences between them. Furthermore, we examined the contribution of personal resources, both internal (self-mastery and resilience) and external (perceived social support), as well as the level of infection-related anxiety to the women's psychological distress. Method: A convenience sample of 403 Israeli women (233 Jewish and 170 Arab) was recruited through social media. Results: Arab women reported significantly higher infection-related anxiety and psychological distress than Jewish women. In addition, Jewish women reported significantly higher self-mastery than Arab pregnant women. Finally, poorer health, being an Arab woman, and lower levels of self-mastery, resilience, and perceived social support, as well as a higher level of infection-related anxiety, contributed significantly to greater psychological distress. Conclusions: The findings show that pregnant women in general may be at risk of psychological distress in times of crisis, and that minority populations in particular may be at greater risk than others. Moreover, the results highlight the contribution of women's personal and environmental resources in the face of crisis, an understanding that may be used in targeted interventions to reduce distress in vulnerable populations.

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Section: Discussionsupporting

confidence: 90%

“…This include lower age, lower education level, lower economic status (McMahon et al 2011;Ritter et al 2000), poorer health, early gestation week, and being multiparous (i.e. having children already) (Goletzke et al 2017;Lobel et al 2008). We thus examined their contribution in the current study as well.…”

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confidence: 99%

Jewish and Arab pregnant women’s psychological distress during the COVID-19 pandemic: the contribution of personal resources

2020

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“…Further, use of analgesics increased the risk of incident high stress, suggesting that pain rather than use of analgesics may be the stressor. Although maternal smoking and alcohol use have been associated with increased stress [21,25,26], in our study very few individuals reported such exposure. Our results indicate that having asthma symptoms between mid and late pregnancy increased the risk of high stress in the general population and among symptomatic versus asymptomatic women with doctor-diagnosed asthma.…”

Section: Discussioncontrasting

confidence: 67%

Allergic disease and risk of stress in pregnant women: a PreventADALL study

et al. 2020

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BackgroundMaternal stress during pregnancy may negatively affect the health of mother and child. We therefore aimed to identify the proportion of women reporting high maternal stress in mid and late pregnancy and explore whether symptoms of maternal allergic disease are associated with perceived maternal stress in late pregnancy.MethodThe population-based Preventing Atopic Dermatitis and Allergy in Children (PreventADALL) study enrolled 2697 pregnant women at their 18-week routine ultrasound examination in Norway and Sweden. Information about sociodemographic factors, symptoms and doctor-diagnosed asthma, allergic rhinitis, atopic dermatitis, food allergy, and anaphylaxis and stress using the 14-item perceived stress scale (PSS) was collected at 18 weeks (mid) and 34 weeks (late) pregnancy. High stress was defined as a PSS score ≥29. Scores were analysed using multivariate logistic and linear regression.ResultsAmong the 2164 women with complete PSS data, 17% reported asthma, 20% atopic dermatitis, 23% allergic rhinitis, 12% food allergy and 2% anaphylaxis. The proportion of women reporting high stress decreased from 15% at mid to 13% at late pregnancy (p<0.01). The adjusted odds ratio for high stress in late pregnancy was 2.25 (95% CI 1.41–3.58) for self-reported symptoms of asthma, 1.46 (95% CI 1.02–2.10) for allergic rhinitis and 2.25 (95% CI 1.32–3.82) for food allergy. A multivariate linear regression model confirmed that symptoms of asthma (β coefficient 2.11; 0.71–3.51), atopic dermatitis (β coefficient 1.76; 0.62–2.89) and food allergy (β coefficient 2.24; 0.63–3.84) were independently associated with increased PSS score.ConclusionAllergic disease symptoms in pregnancy were associated with increased stress, highlighting the importance of optimal disease control in pregnancy.

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“…Few studies have continuously evaluated stress throughout pregnancy and assessed the effects of changes in maternal stress on the infants' risks of AD (15,16). Pregnancy is a dynamic process, and maternal prenatal stress constantly changes (17). Stress during different trimesters has varying effects on fetal development.…”

Section: Introductionmentioning

confidence: 99%

Association Between Maternal Perceived Stress in All Trimesters of Pregnancy and Infant Atopic Dermatitis: A Prospective Birth Cohort Study

et al. 2020

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Background: Currently, most studies indicate that there is a potential link between maternal psychologic stress and the risk of atopic dermatitis (AD) in offspring. However, it is unknown which trimester of pregnancy is most sensitive to maternal stress in terms of risk of infant AD and whether the changes of maternal stress level in different trimesters of pregnancy may be associated with infant AD. In this study, we aimed to investigate the association between maternal perceived stress across three trimesters of pregnancy and AD in infants at 6 months. Methods: A total of 1,638 pregnant women participated in the population-based birth cohort study. Maternal prenatal stress was assessed by self-report questionnaires during each trimester. Infant AD was diagnosed at age 6 months, according to the UK Working Party diagnostic criteria. Univariate and multivariate logistic regression models were used to analyze the association between maternal prenatal stress in each trimester of pregnancy and infant AD. Results: Maternal perceived stress in the 2nd trimester was associated with AD in infants at 6 months (aOR 1.56; 95% CI 1.08–2.25, P = 0.019). Furthermore, increased level of perceived stress from the 1st to the 2nd trimester (aOR 2.05, 95% CI 1.33–3.15, P = 0.001) and from the 1st to the 3rd trimester (aOR 1.92, 95% CI 1.22–3.00, P = 0.004) were also associated with the risk of infant AD at 6 months. Conclusion: A high level of maternal perceived stress in the 2nd trimester and increased level of perceived stress from the 1st to the 2nd and 3rd trimesters of pregnancy may increase the risk of offspring developing AD at 6 months.

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Prenatal stress perception and coping strategies: Insights from a longitudinal prospective pregnancy cohort

Cited by 51 publications

References 35 publications

Jewish and Arab pregnant women’s psychological distress during the COVID-19 pandemic: the contribution of personal resources

Jewish and Arab pregnant women’s psychological distress during the COVID-19 pandemic: the contribution of personal resources

Allergic disease and risk of stress in pregnant women: a PreventADALL study

Association Between Maternal Perceived Stress in All Trimesters of Pregnancy and Infant Atopic Dermatitis: A Prospective Birth Cohort Study

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