A propensity score matching study: The prevalence of mental health problems among pregnant women at first antenatal care increased in Chongqing during the first wave of the COVID-19 pandemic

The 2019 coronavirus disease (COVID-19) pandemic increased the risks of mental health challenges, especially anxiety and depression. However, the impact of COVID-19 on mental health during pregnancy has not been fully established. Therefore, we investigated the impact of the COVID-19 pandemic on mat...

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Bibliographic Details
Published in:Frontiers in public health 2023-04, Vol.11, p.1142461-1142461
Main Authors: Guo, Jiamei, Li, Xiao, He, Jinglan, Ai, Ming, Gan, Yao, Zhang, Qi, Zheng, Anhai, Chen, Wanjun, Chen, Lulu, Liang, Sisi, Yu, Xiaoyu, Kuang, Li
Format: Article
Language:English
Subjects:
COVID-19
COVID-19 - epidemiology
Depression - diagnosis
Depression - epidemiology
Female
Humans
Mental Health
mental health problems
Pandemics
Pregnancy
pregnant women
Pregnant Women - psychology
Prenatal Care
Prevalence
Propensity Score
propensity score matching
Public Health
SARS-CoV-2
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Summary:The 2019 coronavirus disease (COVID-19) pandemic increased the risks of mental health challenges, especially anxiety and depression. However, the impact of COVID-19 on mental health during pregnancy has not been fully established. Therefore, we investigated the impact of the COVID-19 pandemic on maternal mental health. Two cohorts of pregnant women at their first antenatal care in the First Affiliated Hospital of Chongqing Medical University were enrolled in this study. One cohort was enrolled before the COVID-19 outbreak, from 1 June to 31 December 2019 (  = 5,728, pre-COVID-19 group), while the other was enrolled during the COVID-19 pandemic, from 24 January to 23 March 2020 (  = 739, COVID-19 pandemic group). Symptoms of depression, anxiety, and somatization disorders were assessed by the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-15 (PHQ-15), with a cutoff point of 10 for moderate-to-severe depression, anxiety, and somatoform symptoms. The propensity score matching method (1:1) was used to balance differences in demographic characteristics between groups. A chi-square analysis was performed to compare differences in demographic characteristics between the groups. Prevalence of moderate-to-severe depression, anxiety, and somatoform symptoms among pregnant women at their first antenatal care visit during the COVID-19 pandemic (9.5, 2.2, and 20.8%, respectively) was significantly lower than those before the pandemic (16.3, 4.4, and 25.7%, respectively) (  
ISSN:2296-2565
2296-2565
DOI:10.3389/fpubh.2023.1142461