Role of perceived family support in psychological distress for pregnant women during the COVID-19 pandemic

The coronavirus disease 2019 (COVID-19) pandemic has caused major public panic in China. Pregnant women may be more vulnerable to stress, which may cause them to have psychological problems.BACKGROUNDThe coronavirus disease 2019 (COVID-19) pandemic has caused major public panic in China. Pregnant wo...

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Published inWorld journal of psychiatry Vol. 11; no. 7; pp. 365 - 374
Main Authors Wang, Yan-Ni, Yuan, Zhao-Jing, Leng, Wan-Chun, Xia, Lu-Yao, Wang, Ruo-Xi, Li, Ze-Zhi, Zhou, Yong-Jie, Zhang, Xiang-Yang
Format Journal Article
LanguageEnglish
Published Baishideng Publishing Group Inc 19.07.2021
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ISSN2220-3206
2220-3206
DOI10.5498/wjp.v11.i7.365

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Summary:The coronavirus disease 2019 (COVID-19) pandemic has caused major public panic in China. Pregnant women may be more vulnerable to stress, which may cause them to have psychological problems.BACKGROUNDThe coronavirus disease 2019 (COVID-19) pandemic has caused major public panic in China. Pregnant women may be more vulnerable to stress, which may cause them to have psychological problems.To explore the effects of perceived family support on psychological distress in pregnant women during the COVID-19 pandemic.AIMTo explore the effects of perceived family support on psychological distress in pregnant women during the COVID-19 pandemic.A total of 2232 subjects were recruited from three cities in China. Through the online surveys, information on demographic data and health status during pregnancy were collected. Insomnia severity index, generalized anxiety disorder 7-item scale, patient health questionnaire-9, somatization subscale of the symptom check list 90 scale, and posttraumatic stress disorder checklist were used to assess the psychological distress.METHODSA total of 2232 subjects were recruited from three cities in China. Through the online surveys, information on demographic data and health status during pregnancy were collected. Insomnia severity index, generalized anxiety disorder 7-item scale, patient health questionnaire-9, somatization subscale of the symptom check list 90 scale, and posttraumatic stress disorder checklist were used to assess the psychological distress.A total of 1015 (45.4%) women reported having at least one psychological distress. The women who reported having inadequate family support were more likely to suffer from multiple psychological distress (≥ 2 psychological distress) than women who received adequate family support. Among the women who reported less family support, 41.8% reported depression, 31.1% reported anxiety, 8.2% reported insomnia, 13.3% reported somatization and 8.9% reported posttraumatic stress disorder (PTSD), which were significantly higher than those who received strong family support. Perceived family support level was negatively correlated with depressive symptoms (r = -0.118, P < 0.001), anxiety symptoms (r = -0.111, P < 0.001), and PTSD symptoms (r = -0.155, P < 0.001).RESULTSA total of 1015 (45.4%) women reported having at least one psychological distress. The women who reported having inadequate family support were more likely to suffer from multiple psychological distress (≥ 2 psychological distress) than women who received adequate family support. Among the women who reported less family support, 41.8% reported depression, 31.1% reported anxiety, 8.2% reported insomnia, 13.3% reported somatization and 8.9% reported posttraumatic stress disorder (PTSD), which were significantly higher than those who received strong family support. Perceived family support level was negatively correlated with depressive symptoms (r = -0.118, P < 0.001), anxiety symptoms (r = -0.111, P < 0.001), and PTSD symptoms (r = -0.155, P < 0.001).Family support plays an important part on pregnant women's mental health during the COVID-19 pandemic. Better family support can help improve the mental health of pregnant women.CONCLUSIONFamily support plays an important part on pregnant women's mental health during the COVID-19 pandemic. Better family support can help improve the mental health of pregnant women.
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Supported by Lanzhou Science and Technology Project, No. 2020-XG-71.
Author contributions: Zhang XY and Zhou YJ designed the study, and jointly directed this work; Yuan ZJ, Leng WC, Xia LY and Wang RX were responsible for collecting the data; Zhou YJ and Wang YN collected literatures, cleaned data and did statistical analysis; Wang YN wrote the manuscript; Zhang XY and Li ZZ reviewed and revised the manuscript.
Corresponding author: Xiang-Yang Zhang, MD, Professor, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, No. 16 Lincui Road, Chaoyang District, Beijing 100101, China. zhangxy@psych.ac.cn
ISSN:2220-3206
2220-3206
DOI:10.5498/wjp.v11.i7.365