Prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China: a cross-sectional study

Zhang, Qiuxiang; Wang, Na; Hu, Yinchu; Creedy, Debra

doi:10.1186/s12978-022-01366-1

Cited by 9 publications

(9 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Numerous risk factors can help identify which women might be at risk of negative psychological outcomes after an induced abortion. Improved screening for these risk factors should help identify women who might benefit from additional pre-or post-abortion counseling (41). We classify these risk factors as being associated with: social support, previous mental health issues, and clinical factors (42):…”

Section: Induced Abortionmentioning

confidence: 99%

Pregnancy loss: Consequences for mental health

Cuenca-Gomez

2023

Front. Glob. Womens Health

View full text Add to dashboard Cite

Pregnancy loss, in all its forms (miscarriage, abortion, and fetal death), is one of the most common adverse pregnancy outcomes, but the psychological impact of such loss is often underestimated. The individual response to this outcome may vary between women—and could be influenced by age, race, culture, or religious beliefs—but most experience anxiety, stress, and symptoms of depression. Because pregnancy loss is not uncommon, health providers are used to dealing with this diagnosis, however the correct management of the process of diagnosis, information-gathering, and treatment can greatly ameliorate the adverse mental consequences for these women. The aim of this review is to examine the different types of pregnancy loss, and consider how each can influence the mental health of the women affected and their partners—in both the short- and long-term; to review the risk factors with the aim of identifying the women who may be at risk of consequential mental health problems; and to provide some advice for health providers to help these women better cope with pregnancy loss. Finally, we provide some points for health providers to follow in order to aid the management of a pregnancy loss, particularly for spontaneous, induced, or recurrent miscarriage, or stillbirth.

show abstract

Section: Induced Abortionmentioning

confidence: 99%

Pregnancy loss: Consequences for mental health

Cuenca-Gomez

2023

Front. Glob. Womens Health

View full text Add to dashboard Cite

show abstract

“…(1) 18 years of age or older; (2) able to read and write Chinese; (3) seeking abortion with confirmed intrauterine pregnancy less than 14 gestational weeks (98 days); (4) making the decision of abortion of their own free will. Individuals who had been infected by COVID-19 or had a history of mental illness were excluded.…”

Section: Participants and Proceduresmentioning

confidence: 99%

“… 2 A cross‐sectional study conducted in a tertiary hospital in Beijing showed that the magnitude of perceived stress and depression was high among Chinese women seeking abortion. 3 The COVID‐19 pandemic has exacerbated barriers to abortion access in many countries. 4 China's “zero‐tolerance” fight against the virus has effectively restrained the spread of the virus until February 2022, when the extra‐contagious version of omicron shocked Shanghai.…”

Section: Introductionmentioning

confidence: 99%

The impact of the coronavirus disease 2019 pandemic on abortion access and pre‐abortion mental health in Shanghai

Zhang

Wang

et al. 2022

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To understand the barriers to abortion in Shanghai during the COVID‐19 pandemic, and to compare pre‐abortion mental health status before and during the crisis. Methods In this case–control study, two groups of women seeking abortion (age ≥18 years, pregnancy duration <98 days) were recruited from March to September, 2021 ( n = 1070) and from February to April 2022 ( n = 625). The evaluation included COVID‐19‐related abortion stress questions, the Symptom Checklist‐90 Revised questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Family Environment Scale Chinese version. The researchers conducted interviews and collected questionnaires. Results The median pregnancy duration at abortion among women during the pandemic was 65 days, compared with 51 days in the pre‐pandemic group ( P < 0.001). Anxiety and depression symptoms increased during the crisis ( P < 0.001). Sleep disturbances were more common. Higher PSQI scores were related to increased anxiety and depression symptoms. A more negative family climate was described during the pandemic. Conclusion During the COVID‐19 pandemic, abortion access was delayed and pre‐abortion mental disorders increased. More attention should be paid to the mental health of women seeking abortions, and innovations should be promoted to ensure abortion services without delay.

show abstract

“…From a psychosocial perspective, the strongest predicting factors are severe life stress, certain forms of chronic tension, the quality of spousal relationship and the support of her partner (Yim et al 2015 ). A broad variety of studies carried out on pregnant women have observed a negative relationship between perceived stress and mental health (Staneva et al 2015 ; Zhang et al 2022 ). As a common phenomenon, pregnancy stress refers to “the imbalance felt by a pregnant woman in the case of being unable to cope with demands, which is expressed in both a behavioral and physiological way”.…”

Section: Introductionmentioning

confidence: 99%

Association between pregnant specific stress and depressive symptoms in the late pregnancy of Chinese women: the moderate role of family relationship and leisure hobbies

Zhao

Shi

Chen

et al. 2022

J Public Health (Berl.)

View full text Add to dashboard Cite

Background Little research has been conducted on the association between pregnant specific stress and depressive symptoms, and whether family relationship and leisure hobbies moderate the association. Methods A cross-sectional survey of 647 pregnant women was conducted in Shenyang City, Liaoning Province of China. Pregnancy Pressure Scale (PPS), Edinburgh Postnatal Depression Scale (EPDS) and two single items were used to assess stress, perinatal depressive symptoms, family relationship and leisure hobbies, respectively. The analysis included χ 2 -test, Fisher’s exact test, and binary logistic regression. Results The prevalence of perinatal depressive symptoms was 22.9% among the participants. After adjustment, four dimensions of pregnancy stress were found to increase the risk of depressive symptoms, and odds ratios (ORs) were 4.175 (95% confidence interval (CI) = 2.240, 7.779), 5.947 (95% CI = 2.624, 13.478), 3.907 (95% CI = 2.375, 6.425), and 8.534 (95% CI = 4.588, 15.873) for factors 1, 2, 3, and 4 (recognition of the role of parents, worrying about maternal and child health and safety, the changes in body shape and physical activity level, as well as child care and marriage), respectively. In addition, significant interactions were found between factor 2, factor 4 and family relationship, leisure hobbies with depressive symptoms, respectively (interaction P < 0.10). Conclusion Tailored stress-overcoming programs, as well as health services, are needed to relieve women’s pregnancy stress and prevent them from depressive symptoms. Clinical practice should conduct family relationship-oriented interventions and women themselves can cultivate extensive leisure hobbies in the period of pregnancy preparation.

show abstract

Prevalence of stress and depression and associated factors among women seeking a first-trimester induced abortion in China: a cross-sectional study

Cited by 9 publications

References 50 publications

Pregnancy loss: Consequences for mental health

Pregnancy loss: Consequences for mental health

The impact of the coronavirus disease 2019 pandemic on abortion access and pre‐abortion mental health in Shanghai

Association between pregnant specific stress and depressive symptoms in the late pregnancy of Chinese women: the moderate role of family relationship and leisure hobbies

Contact Info

Product

Resources

About