Levels and predictors of postpartum depression and anxiety during the first year of the COVID-19 pandemic in a confined cross-border city.

Journal: Current psychology (New Brunswick, N.J.)

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Affiliated Institutions:  Department of Nursing, Faculty of Health Sciences, University of Granada, Granada, Spain. Department of Nursing, Faculty of Health Sciences, University of Jaén, Jaén, Spain. Department of Nursing, Faculty of Health Sciences, University of Granada, St. Cortadura del Valle S/N, Ceuta, Spain.

Abstract summary 

Pregnancy and/or the puerperium involve social, physiological and psychological changes that make women more vulnerable to mental disorders such as anxiety and depression, even more so if these develop in stressful contexts such as the pandemic. The aim of this study is to identify factors associated with the risk of postpartum anxiety and depression during the COVID-19 pandemic. A cross-sectional study was conducted among postpartum women ( = 69) who gave birth between March 2020 and March 2021 in Melilla, a Spanish cross-border city with Morocco whose borders were closed, making it a confined city. The scales used were the State-Trait Anxiety Inventory and the Edinburgh Postnatal Depression Scale. Results reported an elevated risk of depression (85.5%) and anxiety (63.8%), with severe anxiety reaching 40.6% of cases. Predictors of postpartum depression comprised a personal history of mood disorders ( = 8.421; CI95% = 4.863/11.978) and having been diagnosed with COVID-19 during pregnancy or postpartum ( = 4.488; CI95% = 1.331/7.646). As regards anxiety, it is predicted on the basis of mood antecedents ( = 14.175; CI95% = 7.870/20.479), the fact of having been diagnosed with COVID-19 during pregnancy or postpartum ( = 8.781; CI95% = 2.970/14.592) and the fact of being a multipara ( = 5.513; CI95% = 0.706/10.321). In conclusion, special attention should be paid to women with a history of mood disorders and a positive diagnosis of COVID-19 during pregnancy or postpartum, even more so in the case of multiparous women, because of its impact on mental health during the postpartum period.The online version contains supplementary material available at 10.1007/s12144-023-04719-6.

Authors & Co-authors:  Remartínez-Hamed Alicia A Pérez-Morente María Ángeles MÁ Álvarez-Serrano María Adelaida MA Martínez-García Encarnación E González-García Alberto A García-García Inmaculada I Martín-Salvador Adelina A

Study Outcome 

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Statistics
Citations :  American Psychiatric Association . Manual diagnóstico y estadístico de los trastornos mentales (DSM-5), 5ª Ed. Editorial Médica Panamericana; 2014.
Authors :  7
Identifiers
Doi : 10.1007/s12144-023-04719-6
SSN : 1046-1310
Study Population
Female,Women
Mesh Terms
Other Terms
Anxiety;Depression;Mood disorders;Postpartum
Study Design
Cross Sectional Study,Case Study
Study Approach
Country of Study
Morocco
Publication Country
United States