ArticleMalawi medical journal : the journal of Medical Association of Malawi2021
Prevalence and predictors of depression, anxiety, and stress symptoms among pregnant women during COVID-19-related lockdown in Abakaliki, Nigeria.
Article in Malawi medical journal : the journal of Medical Association of Malawi, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 6 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Screening tools for maternal mental health in Africa: a systematic review.Frontiers in global women's health · 2026Pooled it
- Gender differences in the prevalence of anxiety and post-traumatic stress disorder and associated factors among adults in sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in psychiatry · 2026Pooled it
- The epidemiology of maternal mental health in Africa: a systematic review.Archives of women's mental health · 2025Pooled it
- The effects of aromatherapy on anxiety and sleep quality in maternal women: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- The effect of COVID-19 lockdowns on women's perinatal mental health: a systematic review.Women and birth : journal of the Australian College of Midwives · 2023Pooled it
- Association between climate change awareness and psychological distress among Turkish pregnant women: A cross-sectional study.Medicine · 2026Article
- The relationship between pregnancy stress and antepartum depression in Chinese pregnant women: the mediating effect of social support and maternal health literacy.Frontiers in psychiatry · 2025Article
- Anxiety among pregnant women in Addis Ababa, Ethiopia.PloS one · 2025Article
- Predominant approaches to measuring pregnancy-related anxiety in Sub-saharan Africa: a scoping review.BMC public health · 2024Article
- One Welfare: Assessing the Effects of Drought and the COVID-19 Pandemic on Farmers' Well-Being and Their Perception of Goats' Welfare.Animals : an open access journal from MDPI · 2023Article
- Sleep, light exposure at night, and psychological wellbeing during pregnancy.BMC public health · 2023Article
- Prevalence and associated factors of depression, anxiety, and stress among pregnant women in Herat, Afghanistan: A cross-sectional study.Health science reports · 2023Article
- An integrative literature review on the impact of COVID-19 on maternal and child health in Africa.BMC pregnancy and childbirth · 2023Review
- Self-Care Performance of Pregnant Women in Preventing COVID-19 Infection and Its Relationship with Perceived Stress.Iranian journal of psychiatry · 2023Article
- The direct and indirect impact of COVID-19 pandemic on maternal and child health services in Africa: a scoping review.Global health research and policy · 2022Article
- Anxiety among Pregnant Women Attending Obstetrics Unit of a Tertiary Care Centre during the COVID-19 Pandemic: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2022Article
- A mixed methods study to assess the impact of COVID-19 on maternal, newborn, child health and nutrition in fragile and conflict-affected settings.Conflict and health · 2022Article
- The world is coming to an end! COVID-19, depression, and anxiety among adolescents in Malawi.Frontiers in psychiatry · 2022Article
- Generalized Anxiety Disorder and Its Associated Factors Among Pregnant Women During COVID-19 at Public Health Facilities of East Gojjam Zone, 2020: A Multi-Center Cross-Sectional Study.Frontiers in global women's health · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Several studies have been published on the topic of COVID-19 and pregnancy over recent months. However, few studies have evaluated the impact of this pandemic on maternal mental health, particularly in low-resource settings. Aim: To determine the prevalence and predictors of COVID-19-related depression, anxiety and stress symptoms among pregnant women. Methods: This was a cross-sectional study that involved 456 pregnant women attending prenatal care at Abakaliki, Nigeria, during the COVID-19 lockdown. These patients were screened for psychological morbidities using the Depression Anxiety and Stress Scale-21 (DASS-21). Results: Severe and extremely severe depression were reported in 7.2% (n=33) and 6.4% (n=29) of participants, respectively. Analysis also revealed that 3.3% (n=15) and 7.7% (n=35) of women had severe and extremely severe anxiety, respectively. In total, 23% (n=105) of the participating women had severe stress while 16.7% (n=76) reported extremely severe stress. Multiparity (2-4) and occupation, such as trading and farming, were predictors of depression whereas grand-multiparity, urban residence, and trading, were identified as predictors of anxiety and stress. Conclusion: Symptoms of depression, anxiety and stress were relatively common among pregnant women during the COVID-19 lockdown in Abakaliki, Nigeria. There is a clear need to integrate screening for depression, anxiety and stress, in existing antenatal care programs so as to identify and prevent long-term adverse psychological outcomes related to the COVID-19 pandemic.
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