Korean J Women Health Nurs.  2023 Mar;29(1):44-54. 10.4069/kjwhn.2023.02.21.2.

Impact of the COVID-19 pandemic on depression during pregnancy: a cross-sectional study

Affiliations
  • 1College of Nursing, Dong-A University, Busan, Korea

Abstract

Purpose
Uncertainty and restrictions on daily life have increased fear, stress, and depression during the coronavirus disease 2019 (COVID-19) pandemic. Depression is the most common mental health problem in pregnant women. The purpose of this study was to evaluate the levels of fear and stress related to COVID-19 experienced by pregnant women, as well as their levels of depression, and to examine the factors associated with depression during pregnancy. Methods: This was a cross-sectional, correlational study conducted among 153 pregnant women who visited a maternity hospital in Busan, South Korea. A self-reported questionnaire was used for data collection from December 18, 2021 to March 8, 2022. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression. Results: Pregnant women experienced a moderate level of fear related to COVID-19, with an average score of 21.55±4.90. The average score for depression during pregnancy was 14.86±11.10, with 50.3% of the participants experiencing depression (≥13). The factors associated with depression during pregnancy were fear of COVID-19, contact with a confirmed case of COVID-19, being in the third trimester of pregnancy, high stress levels due to difficulties experienced from social distancing measures, and unintended pregnancy. These five statistically significant factors explained 35.0% of variance in depression during pregnancy. Conclusion: Considering the prevalence of depression in pregnant women during the COVID-19 pandemic, it is necessary to develop interventions to reduce anxiety by providing correct information and alleviating the stress of social distancing

Keyword

COVID-19; Depression; Mental health; Physical distancing; Pregnant women; 코로나바이러스병-19; 우울; 정신건강; 사회적 거리두기; 임부

Cited by  1 articles

Prevalence and associated factors of prenatal depression in pregnant Korean women during the COVID-19 pandemic: a cross-sectional study
Mi-Eun Kim, Ha-Neul Jung
Korean J Women Health Nurs. 2023;29(4):274-290.    doi: 10.4069/kjwhn.2023.11.22.


Reference

References

1. Hwang I, Hur M. A descriptive survey study of stress, depression, fatigue & sleep quality in gestational diabetes mellitus and normal pregnancy. J Korea Converg Soc. 2021; 12(8):369–379. https://doi.org/10.15207/JKCS.2021.12.8.369.
Article
2. Effati-Daryani F, Zarei S, Mohammadi A, Hemmati E, Ghasemi Yngyknd S, Mirghafourvand M. Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19. BMC Psychol. 2020; 8(1):99. https://doi.org/10.1186/s40359-020-00464-8.
Article
3. Nasreen HE, Rahman JA, Rus RM, Kartiwi M, Sutan R, Edhborg M. Prevalence and determinants of antepartum depressive and anxiety symptoms in expectant mothers and fathers: results from a perinatal psychiatric morbidity cohort study in the east and west coasts of Malaysia. BMC Psychiatry. 2018; 18(1):195. https://doi.org/10.1186/s12888-018-1781-0.
Article
4. Lee E, Park JS. Status of antepartum depression and its influencing factors in pregnant women. J Korea Acad-Ind Coop Soc. 2013; 14(8):3897–3906. https://doi.org/10.5762/KAIS.2013.14.8.3897.
Article
5. Coussons-Read ME. Effects of prenatal stress on pregnancy and human development: mechanisms and pathways. Obstet Med. 2013; 6(2):52–57. https://doi.org/10.1177/1753495X12473751.
Article
6. Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord. 2020; 277:5–13. https://doi.org/10.1016/j.jad.2020.07.126.
Article
7. World Health Organization (WHO). Novel coronavirus (2019-nCoV) situation report 1, 21 January 2020 [Internet]. Geneva: WHO; 2020 [cited 2022 Apr 13]. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200121-sitrep-1-2019-ncov.pdf?sfvrsn=20a99c10_4.
8. World Health Organization (WHO). Coronavirus disease 2019 (COVID-19): situation report 51 [Internet]. Geneva: WHO; 2020 [cited 2022 Apr 13]. Available from: https://apps.who.int/iris/handle/10665/331475.
9. Hessami K, Romanelli C, Chiurazzi M, Cozzolino M. COVID-19 pandemic and maternal mental health: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2022; 35(20):4014–4021. https://doi.org/10.1080/14767058.2020.1843155.
Article
10. Fan HS, Choi EP, Ko RW, Kwok JY, Fong DY, et al. COVID-19 related fear and depression of pregnant women and new mothers. Public Health Nurs. 2022; 39(3):562–571. https://doi.org/10.1111/phn.13035.
Article
11. Korea Disease Control and Prevention Agency (KDCA). COVID-19, Omicron variant virus. [Internet]. Seoul: KDCA; 2022 [cited 2022 Oct 23]. Available from: https://ncv.kdca.go.kr/hcp/page.do?mid=01.
12. Lin W, Wu B, Chen B, Zhong C, Huang W, Yuan S, et al. Associations of COVID-19 related experiences with maternal anxiety and depression: implications for mental health management of pregnant women in the post-pandemic era. Psychiatry Res. 2021; 304:114115. https://doi.org/10.1016/j.psychres.2021.114115.
Article
13. Yan H, Ding Y, Guo W. Mental health of pregnant and postpartum women during the coronavirus disease 2019 pandemic: a systematic review and meta-analysis. Front Psychol. 2020; 11:617001. https://doi.org/10.3389/fpsyg.2020.617001.
Article
14. Cha HH, Seong WJ. Coronavirus disease 2019 and pregnancy. J Korean Soc Matern Child Health. 2021; 25(1):10–20. https://doi.org/10.21896/jksmch.2021.25.1.10.
Article
15. Di Mascio D, Khalil A, Saccone G, Rizzo G, Buca D, Liberati M, et al. Outcome of coronavirus spectrum infections (SARS, MERS, COVID-19) during pregnancy: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2020; 2(2):100107. https://doi.org/10.1016/j.ajogmf.2020.100107.
Article
16. Vivanti AJ, Vauloup-Fellous C, Prevot S, Zupan V, Suffee C, Do Cao J, et al. Transplacental transmission of SARS-CoV-2 infection. Nat Commun. 2020; 11(1):3572. https://doi.org/10.1038/s41467-020-17436-6.
Article
17. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict. 2022; 20(3):1537–1545. https://doi.org/10.1007/s11469-020-00270-8.
Article
18. Durmuş M, Öztürk Z, Şener N, Eren SY. The relationship between the fear of COVID-19, depression, and spiritual well-being in pregnant women. J Relig Health. 2022; 61(1):798–810. https://doi.org/10.1007/s10943-021-01448-7.
Article
19. Kim E, Park S, Lee Y, Park H. Development and initial validation of the COVID stress scale for Korean people. Korea J Couns. 2021; 22(1):141–163. https://doi.org/10.15703/kjc.22.1.202102.141.
Article
20. Baek KY, Kim JH, Kim JS. Overcoming methods of social distancing due to COVID-19: Analyzing based on demographic variables and personality factors. J Learn-Cent Curric Instr. 2022; 22(1):155–177. https://doi.org/10.22251/jlcci.2022.22.1.155.
Article
21. Preis H, Mahaffey B, Lobel M. Psychometric properties of the Pandemic-Related Pregnancy Stress Scale (PREPS). J Psychosom Obstet Gynaecol. 2020; 41(3):191–197. https://doi.org/10.1080/0167482X.2020.1801625.
Article
22. Ilska M, Kołodziej-Zaleska A, Brandt-Salmeri A, Preis H, Lobel M. Pandemic stress and its correlates among pregnant women during the second wave of COVID-19 in Poland. Int J Environ Res Public Health. 2021; 18(21):11140. https://doi.org/10.3390/ijerph182111140.
Article
23. Koh M, Ahn S, Kim J, Park S, Oh J. Pregnant women's antenatal depression and influencing factors. Korean J Women Health Nurs. 2019; 25(1):112–123. https://doi.org/10.4069/kjwhn.2019.25.1.112.
Article
24. Lee EJ, Lee JY, Lee SJ, Yu SE. Influence of self-esteem and spouse support on prenatal depression in pregnant women. J Korean Soc Matern Child Health. 2020; 24(4):212–220. https://doi.org/10.21896/jksmch.2020.24.4.212.
Article
25. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1(3):385–401. https://doi.org/10.1177/014662167700100306.
Article
26. Eaton WW, Smith C, Ybarra M, Muntaner C, Tien A. Center for Epidemiologic Studies Depression Scale: review and revision (CESD and CESD-R) In: Maruish ME, editor. The use of psychological testing for treatment planning and outcomes assessment: instruments for adults. Mahwah, NJ: Lawrence Erlbaum Associates Publishers;2004. p. 363–377.
27. Lee S, Oh S, Ryu SY, Jun JY, Lee K, Lee E et al. Validation of the Korean version of center for epidemiologic studies depression scale-revised(K-CESD-R). Korean J Psychosom Med. 2016; 24(1):83–93. https://doi.org/10.22722/KJPM.2016.24.1.083.
Article
28. Seong M, Kim IS, Kang MR, Lee MS. Validity and reliability evaluation of the Korean version of the fear of COVID-19 scales. J Wellness. 2020; 15(4):391–399. https://doi.org./10.21097/ksw.2020.11.15.4.391.
Article
29. Lee DH, Kim YJ, Lee DH, Hwang HH, Nam SK, Kim JY. The influence of public fear, and psycho-social experiences during the coronavirus disease 2019(COVID-19) pandemic on depression and anxiety in South Korea. Korean J Couns Psychother. 2020; 32(4):2119–2156. https://doi.org/10.23844/kjcp.2020.11.32.4.2119.
Article
30. Bahk YC, Park Kiho, Kim Naeun, Lee JH, Cho Surin, Jang JH, et al. Psychological impact of COVID-19 in South Korea: a preliminary study. Korean J Clin Psychol. 2020; 39(4):355–367. https://doi.org/10.15842/kjcp.2020.39.4.008.
Article
31. The Center for Innovative Public Health Research (CiPHR). CESD-R: The Center For Epidemiologic Studies Depression Scale Revised [Internet]. San Clemente, CA: CiPHR; 2022 [cited 2022 Apr 13]. Available from: https://cesd-r.com/cesdr/.
32. Khoury JE, Atkinson L, Bennett T, Jack SM, Gonzalez A. Prenatal distress, access to services, and birth outcomes during the COVID-19 pandemic: findings from a longitudinal study. Early Hum Dev. 2022; 170:105606. https://doi.org/10.1016/j.earlhumdev.2022.105606.
Article
33. Salehi L, Rahimzadeh M, Molaei E, Zaheri H, Esmaelzadeh-Saeieh S. The relationship among fear and anxiety of COVID-19, pregnancy experience, and mental health disorder in pregnant women: a structural equation model. Brain Behav. 2020; 10(11):e01835. https://doi.org/10.1002/brb3.1835.
Article
34. Reizer A, Koslowsky M, Geffen L. Living in fear: the relationship between fear of COVID-19, distress, health, and marital satisfaction among Israeli women. Health Care Women Int. 2020; 41(11-12):1273–1293. https://doi.org/10.1080/07399332.2020.1829626.
Article
35. Giesbrecht GF, Rojas L, Patel S, Kuret V, MacKinnon AL, Tomfohr-Madsen L, et al. Fear of COVID-19, mental health, and pregnancy outcomes in the pregnancy during the COVID-19 pandemic study: fear of COVID-19 and pregnancy outcomes. J Affect Disord. 2022; 299:483–491. https://doi.org/10.1016/j.jad.2021.12.057.
Article
36. Esteban-Gonzalo S, Caballero-Galilea M, González-Pascual JL, Álvaro-Navidad M, Esteban-Gonzalo L. Anxiety and worries among pregnant women during the COVID-19 pandemic: a multilevel analysis. Int J Environ Res Public Health. 2021; 18(13):6875. https://doi.org/10.3390/ijerph18136875.
Article
37. Kim M, Kim Y. The mediating effect of fatigue on the relationship between pregnancy stress and depression during the third trimester of pregnancy. J East-West Nurs Res. 2018; 24(1):81–89. https://doi.org/10.14370/jewnr.2018.24.1.81.
Article
38. Yanikkerem E, Ay S, Piro N. Planned and unplanned pregnancy: effects on health practice and depression during pregnancy. J Obstet Gynaecol Res. 2013; 39(1):180–187. https://doi.org/10.1111/j.1447-0756.2012.01958.x.
Article
39. Aba YA, Dulger O, Sık BA, Ozolcay O. Levels and predictors of anxiety and depression in turkish pregnant woman during the Covid-19 pandemic. Rev Bras Ginecol Obstet. 2022; 44(2):100–108. https://doi.org/10.1055/s-0041-1741033.
Article
40. Song SY, Kim SY, Kim UB, Do YR, Park MS, Park SB et al. The effects of positive psychological capital and stress coping response on COVID-19 stress of nursing students in young adults. J Korea Acad-Ind Coop Soc. 2021; 22(12):582–591. https://doi.org/10.5762/KAIS.2021.22.12.582.
Article
41. Noh D, Park S. Mediating effects of social support and resilience on the association between COVID-19-related stress and mental health in Korean young adults. Int J Environ Res Public Health. 2022; 19(11):6935. https://doi.org/10.3390/ijerph19116935.
Article
42. Seo HJ, Song JE, Lee Y, Ahn JA. Effects of stress, depression, and spousal and familial support on maternal identity in pregnant women. Korean J Women Health Nurs. 2020; 26(1):84–92. https://doi.org/10.4069/kjwhn.2020.03.17.
Article
43. Bunevicius R, Kusminskas L, Bunevicius A, Nadisauskiene RJ, Jureniene K, Pop VJ. Psychosocial risk factors for depression during pregnancy. Acta Obstet Gynecol Scand. 2009; 88(5):599–605. https://doi.org/10.1080/00016340902846049.
Article
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