Rates of depressive and anxiety symptoms in the perinatal period during the COVID-19 pandemic: Comparisons between countries and with pre-pandemic data

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dc.contributor.authorMateus V.
dc.contributor.authorCruz S.
dc.contributor.authorCosta R.
dc.contributor.authorMesquita A.
dc.contributor.authorChristoforou A.
dc.contributor.authorWilson C.A.
dc.contributor.authorVousoura E.
dc.contributor.authorDikmen-Yildiz P.
dc.contributor.authorBina R.
dc.contributor.authorDominguez-Salas S.
dc.contributor.authorContreras-Garcia Y.
dc.contributor.authorMotrico E.
dc.contributor.authorOsorio A.
dc.date.accessioned2024-03-12T19:13:37Z
dc.date.available2024-03-12T19:13:37Z
dc.date.issued2022
dc.description.abstract© 2022Background: The COVID-19 pandemic was a significant threat to perinatal mental health. This study examined differences in clinically significant depression, anxiety, and co-morbid symptoms among pregnant and postpartum women across several countries and compared prevalence of perinatal depression and anxiety before and during the pandemic in each participating country. Methods: Participants were 3326 pregnant and 3939 postpartum women (up to six months postpartum) living in Brazil, Chile, Cyprus, Greece, Israel, Portugal, Spain, Turkey, and the United Kingdom. An online survey was completed between June 7th and October 31st 2020, and included the Edinburgh Postnatal Depression Scale (EPDS) and the Generalized Anxiety Disorder Screener (GAD-7). The pre-pandemic studies were identified through literature review. Results: Prevalence of clinically significant depression (EPDS≥13), anxiety (GAD-7 ≥ 10), and co-morbid (EPDS≥13 and GAD-7 ≥ 10) symptoms was 26.7 %, 20 % and 15.2 %, in pregnant women, and 32.7 %, 26.6 % and 20.3 %, in postpartum women, respectively. Significant between-country differences were found in all mental health indicators in both perinatal periods. Higher levels of symptoms were observed during (versus before) the pandemic, especially among postpartum women. Limitations: Participants were mostly highly educated and cohabiting with a partner. The online nature of the survey may have limited the participation of women from vulnerable socio-economically backgrounds. Conclusions: Our findings expand previous literature on the negative impact of the COVID-19 pandemic on perinatal mental health, by highlighting that this may be influenced by country of residence. Mental health care policies and interventions should consider the unique needs of perinatal women in different parts of the world.
dc.description.firstpage245
dc.description.lastpage253
dc.description.volume316
dc.identifier.doi10.1016/j.jad.2022.08.017
dc.identifier.issn1573-2517
dc.identifier.urihttps://dspace.mackenzie.br/handle/10899/34291
dc.relation.ispartofJournal of Affective Disorders
dc.rightsAcesso Aberto
dc.subject.otherlanguageAnxiety
dc.subject.otherlanguageCOVID-19 pandemic
dc.subject.otherlanguageDepression
dc.subject.otherlanguageMental health
dc.subject.otherlanguagePostpartum
dc.subject.otherlanguagePregnancy
dc.titleRates of depressive and anxiety symptoms in the perinatal period during the COVID-19 pandemic: Comparisons between countries and with pre-pandemic data
dc.typeArtigo
local.scopus.citations28
local.scopus.eid2-s2.0-85136529949
local.scopus.subjectAnxiety
local.scopus.subjectCOVID-19
local.scopus.subjectDepression
local.scopus.subjectDepression, Postpartum
local.scopus.subjectFemale
local.scopus.subjectHumans
local.scopus.subjectPandemics
local.scopus.subjectParturition
local.scopus.subjectPostpartum Period
local.scopus.subjectPregnancy
local.scopus.subjectPregnant Women
local.scopus.updated2024-12-01
local.scopus.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85136529949&origin=inward
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