Evidence map›Paper›PMID 33601691›Full record

ArticleJournal of affective disorders2021

COVID-19 and mental health during pregnancy: The importance of cognitive appraisal and social support.

Jennifer E Khoury, Leslie Atkinson, Teresa Bennett, Susan M Jack, Andrea Gonzalez

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 9 pooled it
35.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 9 syntheses or guidelines pooled it, 197 citations in OpenAlex.

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  20. Exploratory Factor Analysis of the Adversity Appraisal Questionnaire (AAQ).Journal of psychopathology and behavioral assessment · 2025
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jennifer E KhouryDepartment of Psychiatry and Behavioural Neurosciences, McMaster University; Hamilton ON Canada; Offord Centre for Child Studies, McMaster University; Hamilton ON Canada. Electronic address: khourj3@mcmaster.ca.
Leslie AtkinsonRyerson University, Department of Psychology, Toronto ON Canada.
Teresa BennettDepartment of Psychiatry and Behavioural Neurosciences, McMaster University; Hamilton ON Canada; Offord Centre for Child Studies, McMaster University; Hamilton ON Canada.
Susan M JackOfford Centre for Child Studies, McMaster University; Hamilton ON Canada; School of Nursing, McMaster University; Hamilton ON Canada.
Andrea GonzalezDepartment of Psychiatry and Behavioural Neurosciences, McMaster University; Hamilton ON Canada; Offord Centre for Child Studies, McMaster University; Hamilton ON Canada.
McMaster University · CAToronto Metropolitan University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy is a period of elevated risk for mental health difficulties, which are likely exacerbated by the COVID-19 pandemic. This study aims to understand the impact of COVID-19 on mental health and identify risk and protective factors during pregnancy.

methodsParticipants were 303 pregnant individuals from Ontario, Canada. Depression, anxiety and insomnia were measured using validated questionnaires. COVID-related experiences (i.e., financial difficulties, relationship conflict, social isolation) were assessed in relation to mental health. Social support and cognitive appraisal of the pandemic were examined as protective factors.

results57% of the sample reported clinically elevated depression, >30% reported elevated worries, and 19% reported elevated insomnia. Depression (t = 25.14, p < .0001) and anxiety (t = 17.21, p < .0001) levels were higher than non-COVID pregnant samples. Social isolation, financial trouble, relationship difficulties and threat of COVID-19 were associated with mental health. Social support (r

conclusionsFindings underscore the need to address the high rates of mental health during pregnancy and outline potential targets (cognitive appraisal and social support) to protect pregnant people from experiencing mental health problems during the COVID-19 pandemic.

Indexed as

COVID-19PandemicsAnxietyCognitionDepressionFemaleHumansMental HealthOntarioPregnancySARS-CoV-2Social SupportCognitive appraisalCOVID-19Mental healthPregnancy, CoronavirusSocial support

Identifiers

PMID33601691
PMCPMC7837227
OpenAlexW3120171561

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.