Evidence map›Paper›PMID 36399984›Full record

ArticleSocial science & medicine (1982)2022

Common model of stress, anxiety, and depressive symptoms in pregnant women from seven high-income Western countries at the COVID-19 pandemic onset.

Marci Lobel, Heidi Preis, Brittain Mahaffey, Nora K Schaal, Karen Yirmiya, Shir Atzil, Inbal Reuveni, Matteo Balestrieri, Chiara Penengo, Chiara Colli and 9 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

7 citing papers in PubMed, 25 citations in OpenAlex.

  1. Predictors of COVID-19 Pandemic-Related Pregnancy Stress: Prenatal and Postpartum Experiences in Canada.International journal of environmental research and public health · 2025
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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

19 authors at 8 institutions in 7 countries.

Marci LobelDepartment of Psychology, Stony Brook University, Stony Brook, NY, United States; Department of Obstetrics, Gynecology and Reproductive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, United States. Electronic address: marci.lobel@stonybrook.edu.
Heidi PreisDepartment of Psychology, Stony Brook University, Stony Brook, NY, United States; Department of Obstetrics, Gynecology and Reproductive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, United States.
Brittain MahaffeyDepartment of Psychiatry and Behavioral Health, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, United States.
Nora K SchaalInstitute of Experimental Psychology, Heinrich-Heine-University, Duesseldorf, Germany.
Karen YirmiyaBaruch Ivcher School of Psychology, Interdisciplinary Center, Herzlia, Israel.
Shir AtzilDepartment of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
Inbal ReuveniDepartment of Psychiatry, Hadassah Medical Center, Affiliated with the Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Matteo BalestrieriUnit of Psychiatry, Department of Medicine (DAME), University of Udine, Udine, Italy.
Chiara PenengoUnit of Psychiatry, Department of Medicine (DAME), University of Udine, Udine, Italy.
Chiara ColliUnit of Psychiatry, Department of Medicine (DAME), University of Udine, Udine, Italy.
Marco GarzittoUnit of Psychiatry, Department of Medicine (DAME), University of Udine, Udine, Italy.
Lorenza DriulObstetric-Gynecologic Clinic, Department of Medicine (DAME), University of Udine, Udine, Italy.
Michalina IlskaInstitute of Psychology, University of Silesia in Katowice, Katowice, Poland.
Anna Brandt-SalmeriInstitute of Psychology, University of Silesia in Katowice, Katowice, Poland.
Anna Kołodziej-ZaleskaInstitute of Psychology, University of Silesia in Katowice, Katowice, Poland.
Rafael A Caparros-GonzalezDepartment of Nursing, Faculty of Health Sciences, University of Granada, Spain; Instituto de Investigación Biosanitaria Ibs.GRANADA, Granada, Spain.
Rita Amiel CastroDepartment of Clinical Psychology and Psychotherapy, University of Zurich, Zurich, Switzerland.
Pearl La Marca-GhaemmaghamiPsychology Research and Counselling Institute for Sexuality, Marriage, and Family, International Academy for Human Sciences and Culture, Walenstadt, Switzerland.
Hannah MeyerhoffDepartment of Clinical Psychology and Psychotherapy, University of Zurich, Zurich, Switzerland.
University of Udine · ITStony Brook School · USUniversity of Silesia in Katowice · PLHebrew University of Jerusalem · ILUniversity of Zurich · CHHeinrich Heine University Düsseldorf · DEReichman University · ILUniversidad de Granada · ES

Funding

Evaluation and validation of a novel instrument to assess the psychosocial and drug history backgrounds of pregnant women with or without Opioid Use DisorderR21DA049827 · NIDA · STATE UNIVERSITY NEW YORK STONY BROOK · PI PREIS, HEIDI · 2020 to 2021
$868k
NIDA NIH HHS R21 DA049827
6 · The paper itself

Abstract

objectiveIncreases in stress, anxiety, and depression among women pregnant during the COVID-19 pandemic have been reported internationally. Yet rigorous comparison of the prevalence of maternal mental health problems across countries is lacking. Moreover, whether stress is a common predictor of maternal mental health during the pandemic across countries is unknown.

methods8148 pregnant women from Germany, Israel, Italy, Poland, Spain, Switzerland, and the United States were enrolled in the International COVID-19 Pregnancy Experiences (I-COPE) Study between April 17 and May 31, 2020. Sociodemographic characteristics, pandemic-related stress, pregnancy-specific stress, anxiety, and depression were assessed with well-validated instruments. The magnitude of stress and mood disturbances was compared across countries. A path model predicting clinically significant levels of anxiety and depression from maternal characteristics and stress was tested for all study participants and then examined separately in each country with >200 participants.

resultsCountries differed significantly in magnitude of pandemic-related pregnancy stress and pandemic-unrelated pregnancy-specific stress, and in prevalence of clinically significant anxiety and depression levels. A well-fitting common path model for the entire sample indicated that mood and anxiety disturbances were strongly predicted by pandemic-related and pregnancy-specific stress after accounting for maternal characteristics. The model was replicated in individual countries.

conclusionsAlthough pregnant women in high-income Western countries experienced different levels of stress resulting from the COVID-19 pandemic, stress is a strong, common predictor of anxiety and depressive symptoms in these individuals. The common model can be used to inform research and clinical interventions to protect against adverse consequences of prenatal maternal stress, anxiety, and depression for mothers and infants.

Indexed as

COVID-19Pregnant PeopleAnxietyDepressionFemaleHumansInfantMothersPandemicsPregnancyAnxietyCOVID-19 global pandemicDepressionMaternal stressPregnancyWomen's health

Identifiers

PMID36399984
PMCPMC9622432
OpenAlexW4307794463

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.