Observational studyJournal of psychiatric research2022
Maternal fear of COVID-19 and prevalence of postnatal depression symptoms, risk and protective factors.
Observational study in Journal of psychiatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Prevalence of postpartum depression in the COVID-19 pandemic and associated factors: systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- Postpartum depression during the COVID-19 pandemic: an umbrella review and meta-analyses.Frontiers in psychiatry · 2024Pooled it
- Association between depressive symptoms in the postpartum period and COVID-19: A meta-analysis.Journal of affective disorders · 2023Pooled it
- Prenatal Attachment, Personality, and Depression in High-Risk Pregnancies During Pandemic Emergencies.Healthcare (Basel, Switzerland) · 2024Article
- Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in Japan.BMC pregnancy and childbirth · 2023Article
- Trajectories of distress from pregnancy to 15-months post-partum during the COVID-19 pandemic.Frontiers in psychology · 2023Article
- Postpartum Depression in COVID-19 Days: Longitudinal Study of Risk and Protective Factors.Journal of clinical medicine · 2022Article
- The association between maternal fears about their infant/ toddler during the COVID-19 pandemic and depression and anxiety: a birth cohort study.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This is a multicenter prospective observational study, aimed to evaluate the relations between Fear of COVID-19 and postpartum depression (PPD) symptom, that included a cohort of women who delivered during COVID-19 lockdown between 03 and 05/2020. Participants were approached after delivery and asked to complete an online questionnaire. Data was verified with each center's perinatal database. The validated Fear of COVID-19 Scale was in use. PPD was evaluated using the EPDS questionnaire as a categorical (≥13) and as a continuous scale. Pre-existing maternal disability was defined as any prior physiological/psychological chronic health condition. Continuous medical supervision or stress contributing complications at birth included pregnancy and labor related complications. Regression analysis and ROC statistics were utilized to evaluate associations and control for confounders. Overall, 421 women completed the questionnaires. Of them, 53(12.6%) had a high EPDS score. Fear of COVID-19 was positively correlated with PPD symptoms (r = 0.35,p = 0.000), ROC-AUC 0.73, 95% CI 0.65-0.81, p = 0.000. Following adjustment to confounders (maternal age, nulliparity, ethnicity, marital status, financial difficulties, maternal disability, accessibility to medical services, and continuous medical supervision (, the most important factor that correlated with depression symptoms was maternal disability (aOR 4.61,95% CI 1.96-10.82) followed by Fear of COVID-19 (aOR 1.11,95% CI 1.05-1.17). High accessibility to medical services during pregnancy (aOR 0.62, 95%CI 0.45-0.84) was protective for PPD symptoms. To conclude, during the COVID-19 pandemic, maternal disability and Fear of COVID-19 are positively associated with a high EPDS score. High medical accessibility during pregnancy was found as a protective factor for PPD.
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