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Social Support and Mental Health in the Postpartum Period in Times of SARS-CoV-2 Pandemic: Spanish Multicentre Cohort Study

Author

Listed:
  • Maia Brik

    (Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain
    These authors contributed equally to this work.)

  • Miguel Sandonis

    (Department of Mental Health, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
    Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain
    These authors contributed equally to this work.)

  • Elena Rocio Horrillo Murillo

    (Obstetrics Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain)

  • Rogelio Monfort Ortiz

    (Obstetrics Department, Hospital Universitario La Fe, 46026 Valencia, Spain)

  • Alexandra Arteaga Fernandez

    (Obstetrics Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain)

  • Maria de Arriba

    (Obstetrics Department, Hospital Universitario La Fe, 46026 Valencia, Spain)

  • Sara Fernández

    (Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain)

  • Nuria Iglesias Román

    (Obstetrics Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain)

  • Gemma Parramon-Puig

    (Department of Mental Health, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain)

  • Anna Suy

    (Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain)

  • María Emilia Dip

    (Department of Mental Health, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain)

  • Alfredo Perales Marin

    (Obstetrics Department, Hospital Universitario La Fe, 46026 Valencia, Spain)

  • Nerea Maiz

    (Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain)

  • Josep Antoni Ramos-Quiroga

    (Department of Mental Health, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
    Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain
    Group of Psychiatry, Mental Health and Addictions, Vall d’Hebron Research Institute (VHIR), 08035 Barcelona, Spain
    Biomedical Network Research Centre on Mental Health (CIBERSAM), 08035 Barcelona, Spain)

  • Elena Carreras

    (Maternal-Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain
    These authors contributed equally to this work.)

Abstract

Background: To explore the depression and anxiety symptoms in the postpartum period during the SARS-CoV-2 pandemic and to identify potential risk factors. Methods: A multicentre observational cohort study including 536 women was performed at three hospitals in Spain. The Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI) Scale, the Medical Outcomes Study Social Support Survey (MOS-SSS), and the Postpartum Bonding Questionnaire (PBQ) were assessed after birth. Depression (EPDS) and anxiety (STAI) symptoms were measured, and the cut-off scores were set at 10 and 13 for EPDS, and at 40 for STAI. Results: Regarding EPDS, 32.3% (95% CI, 28% to 36.5%) of women had a score ≥ 10, and 17.3% (95% CI, 13.9% to 20.7%) had a score ≥ 13. Women with an STAI score ≥ 40 accounted for 46.8% (95% CI, 42.3% to 51.2%). A lower level of social support (MOS-SSS), a fetal malformation diagnosis and a history of depression ( p = 0.000, p = 0.019 and p = 0.043) were independent risk factors for postpartum depression. A lower level of social support and a history of mental health disorders ( p = 0.000, p = 0.003) were independent risk factors for postpartum anxiety. Conclusion: During the SARS-CoV-2 pandemic, an increase in symptoms of anxiety and depression were observed during the postpartum period.

Suggested Citation

  • Maia Brik & Miguel Sandonis & Elena Rocio Horrillo Murillo & Rogelio Monfort Ortiz & Alexandra Arteaga Fernandez & Maria de Arriba & Sara Fernández & Nuria Iglesias Román & Gemma Parramon-Puig & Anna , 2022. "Social Support and Mental Health in the Postpartum Period in Times of SARS-CoV-2 Pandemic: Spanish Multicentre Cohort Study," IJERPH, MDPI, vol. 19(23), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15445-:d:980426
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    References listed on IDEAS

    as
    1. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
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