The Relationship between Healthcare Experience and Perinatal Depression during COVID-19 Pandemic

Kovacheva, Katina; Rodríguez-Muñoz, María de la Fe; Gómez-Baya, Diego; Domínguez-Salas, Sara; Martínez, Emma Motrico

doi:10.5093/clysa2022a13

Cited by 3 publications

(4 citation statements)

References 36 publications

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“…This may suggest that increased resilience among infertile women could decrease the effect from stress, thereby reducing the impact on anxiety symptoms. A previous study reported additional reduction of maternal stress through support from health care providers (Kovacheva et al, 2022). Resilience accounted for more than double of the variance in anxiety symptoms compared to optimism which shows that resilience seems to be more important in explaining anxiety symptoms than optimism.…”

Section: Discussionmentioning

confidence: 73%

Optimism, Resilience, and Infertility-Specific Stress during Assisted Reproductive Technology

2023

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Background: Infertility generates high levels of stress to women. The aim was to explore optimism and resilience among women undergoing assisted reproductive technology (ART). Method: Participants were recruited in a private fertility clinic. The sample consisted of 229 women under medical treatment for fertility who completed the following self-report instruments: a sociodemographic and clinical questionnaire, Resilience Scale (RS), Life Orientation Test (LOT-R), Perceived Stress Scale (PSS), and STAI State and STAI Trait. Results: Our data revealed that high resilience levels were associated with a reduced psychological stress (β = .02, p < .001, 95% CI [.34, .13]). A significant negative correlation between perceived stress and resilience (r = -.320, p = .001) was found. Conclusion: The findings highlight the protective mediating role of resilience when women are confronted with the negative effects of infertility diagnosis and assisted reproductive technology (ART), and therefore the potential utility of resilience to reduce infertility-specific stress. El optimismo, la resiliencia y el estrés especifico por infertilidad en la aplicación de las técnicas de reproducción asistida R E S U M E NAntecedentes: La infertilidad genera un nivel de estrés elevado en la mujer. El objetivo era explorar el optimismo y la resiliencia en las mujeres que se someten a técnicas de reproducción asistida (TRA). Método: Los participantes fueron reclutados en una clínica de fertilidad privada. La muestra estuvo conformada por 229 mujeres en tratamiento médico para de fertilidad que cumplimentaron los siguientes instrumentos de autoinforme: cuestionario sociodemográfico y clínico, Escala de Resiliencia (RS), Test de Orientación a la Vida (LOT-R), Escala de Estrés Percibido (PSS) y STAI Estado y Rasgo. Resultados: Los datos revelaron que un nivel elevado de resiliencia se asociaba con menos estrés psicológico (β = .02, p < .001, IC del 95 % [.34, .13]). Se obtuvo una correlación negativa significativa entre estrés percibido y resiliencia (r = -.320, p = .001). Conclusión: Los hallazgos resaltan el papel mediador protector de la resiliencia cuando las mujeres se enfrentan a los efectos negativos del diagnóstico de infertilidad y las técnicas de reproducción asistida (TRA) y, por lo tanto, la utilidad potencial de la resiliencia para reducir el estrés específico de la infertilidad. Palabras clave:Técnicas de reproducción asistida (TRA) Infertilidad Optimismo Resiliencia Estrés Perinatal Estrés específico de la infertilidad Clínica y Salud (2023) 34(2) 79-84

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Section: Discussionmentioning

confidence: 73%

Optimism, Resilience, and Infertility-Specific Stress during Assisted Reproductive Technology

2023

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“…In addition, it should be noticed that all the participants were pregnant women over 18 years of age, who spoke Spanish, and were users of the regional health system of Andalusia and could not have had a history of psychopathological problems and may have developed them during the pandemic, since mental health problems that affect pregnancy, childbirth, and the postpartum period could arise spontaneously (Stranges et al, 2014). The results showed the importance of giving healthcare professionals strategies or protocols based on prevention (Kovacheva et al, 2022) to care for those women affected. An appropriate technique claimed by other researchers appears to be the cognitive behavioural therapy, even if this technique is used online (Puertas-Gonzalez, Mariño-Narvaez, Puertas-Gonzalez et al, 2022).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…This risk has been increased during the pandemic (Kovacheva et al, 2022;Motrico et al, 2020;Preis et al, 2020) as a result of the control measures imposed during its critical phases to control its spread (isolation, solitude, social distancing) or the fear of infection. The psychological effects of these measures were already present in the early pandemic phases (Pfefferbaum & North, 2020;Wang et al, 2020).…”

Section: Pandemic Played a Rolementioning

confidence: 99%

Differences in Psychological Symptoms in Pregnancy and Postpartum before and during COVID-19: A Cross-sectional Study

et al. 2023

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Pregnant women are especially vulnerable to mental health problems, including stress, anxiety, and depression. This risk has been increased during the COVID-19 pandemic and differences in psychological symptoms in pregnancy and postpartum before and during COVID-19 exists. Mental health problems can have adverse effects on both the woman, and the neonate, including miscarriages, premature births, low birth weight, and higher rates of cesarean sections and instrument-assisted deliveries. Aim: To evaluate the prevalence of psychological symptoms of pregnant women before and during the COVID-19 pandemic. Method: A cross-sectional study was carried out to assess the psychological profile in a sample of pregnant women selected before the pandemic and a sample of women studied during the first wave of the pandemic. A total of 122 women were selected prior to the pandemic and 181 women during the COVID-19 outbreak. The Symptom Checklist-90 Revised (SCL-90-R) was used to assess depression and anxiety during pregnancy and in the postpartum period. Results: The prevalence of symptoms of depression and anxiety during pregnancy were higher in the sample of women studied during the pandemic (SCL-90-R: M = 54.6 vs. 42.6 and M = 62.6 vs. 51.7 respectively). In the postpartum the difference between both samples of women was even higher for depression and anxiety (SCL-90-R: M = 50.4 vs. 35.0 and M = 51.3 vs. 36.0 respectively). Being a pregnant woman at the COVID-19 outbreak was directly associated with a higher score of depression symptoms (aOR = 8.67, 95% CI [3.26, 23.02], p < .001). Anxiety during childbirth was more frequently reported by women before the pandemic (aOR = 5.13, 95% CI [2.53, 10.44], p < .001). The variable stage (before /during pandemic) was also associated with having a clinical SCL-90-R score above 70 (aOR = 7.61, 95% CI [2.7, 21.47], p < .001). Conclusion: During the pandemic, pregnancy and postpartum were associated with the presence of anxiety and depression. The main factor associated with postpartum depression was maternal age. These finding highlights the vulnerability of pregnant in front of the pandemic, in which psychological health and mental well-being are affected, not only during pregnancy, but also in the postpartum.

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“…Depression is the most common psychological disorder during the perinatal period ( 1 ), making it a major public health problem, with a global prevalence around 11.9% ( 2 ). This prevalence has increased in recent years due to COVID-19, reaching a prevalence ranging from 22 to 31% ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

The healthy moms and babies app to prevent postpartum depression: analysis of user-profiles and dropout cases

Rodriguez-Muñoz,

Kovacheva,

García-López

et al. 2023

Front. Public Health

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IntroductionPerinatal depression affects mothers, babies and society. Preventive interventions are needed, but face barriers to access. E-health interventions could be an effective and accessible option. To date, few studies have attempted to understand the use of mobile health (m-health) applications and why they are not more widely used. This study aims to understand the demographic characteristics of enrolled participants and examine dropout patterns through the Healthy Moms and Babies app.MethodsA longitudinal study was conducted with a sample of 511 women recruited between 2020 and 2022. Data were collected from the app, including sociodemographic information, the participant’s progress through the modules of the app, and the permissions granted to use the app.ResultsOut of the 511 women who completed the initial form to initiate participation, 279 downloaded the app and completed the evaluation. Results indicated that granting permission to be notified about the module’s availability is related to an increase in the use of the first modules.ConclusionThis study shows the importance of establishing follow-ups in the use of mobile apps during the perinatal period.

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The Relationship between Healthcare Experience and Perinatal Depression during COVID-19 Pandemic

Cited by 3 publications

References 36 publications

Optimism, Resilience, and Infertility-Specific Stress during Assisted Reproductive Technology

Optimism, Resilience, and Infertility-Specific Stress during Assisted Reproductive Technology

Differences in Psychological Symptoms in Pregnancy and Postpartum before and during COVID-19: A Cross-sectional Study

The healthy moms and babies app to prevent postpartum depression: analysis of user-profiles and dropout cases

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