| Titre : | Postpartum maternal anxiety and depression during COVID-19 pandemic: Rates, risk factors and relations with maternal bonding (2023) |
| Titre original: | Anxiété et dépression du postpartum lors de la pandémie de COVID-19 : prévalences, facteurs de risques et relations avec le lien mère-enfant |
| Auteurs : | Xavier Benarous, Auteur ; C. Brocheton, Auteur ; C. Bonnay, Auteur ; L. Boissel, Auteur ; C. Crovetto, Auteur ; H. Lahaye, Auteur ; J.-M. Guilé, Auteur ; P. Theret, Auteur ; J. Gondry, Auteur ; A. Foulon, Auteur |
| Type de document : | Article |
| Dans : | Neuropsychiatrie de l'enfance et de l'adolescence (Vol. 71, n°1, Janvier 2023) |
| Article en page(s) : | p. 44-51 |
| Note générale : | Doi : 10.1016/j.neurenf.2022.12.001 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Anxiété ; COVID-19 ; Dépression ; Période de péripartum ; Relations mère-enfant |
| Résumé : |
Objectives
This study aims to determine the rates of clinically-significant anxiety and depressive symptoms during the immediate postpartum in a sample of women referred to a university maternity department, as well as the associated risk factors and the relations with the level of maternal bonding. Patients and methods During the third national lockdown for the COVID-19 pandemic (February-April 2021), on days 2–3 after delivery 127 mothers were administrated the Edinburgh postnatal depression scale (EPDS), the state-trait anxiety inventory (STAI-YA), the mother-to-infant bonding scale (MIBS) and questions issued from the coronavirus health impact survey questionnaire (CRISIS). Results The rate of perinatal clinically-significant symptoms were 17% for depression (EPDS cut-off ≥12) and 15% for anxiety (STAI-YA cut-off ≥40). In the multivariate analysis, being a single mother, risk of being infected by the SARS-CoV2, risk that a close relative might be infected by the SARS-CoV2 and the length of stay in maternity were associated with an increased EPDS total score, while breastfeeding was associated with a lower EPDS total score. Six variables remained positively associated with the STAI-YA total score in the multivariate model: the maternal level of academic achievement, a hospitalization during the pregnancy, peripartum medical complications, risk of being infected by the SARS-CoV2, risk of a close relative being infected by the SARS-CoV2 and physical fatigue. Low but statistically significant correlations were found between the MIBS total score and the EPDS total score (rs =0.26) and with the STAI-YA total score (rs =0.26). Discussion The observed rates of anxiety and depressive symptoms were in the same range as those reported in observational studies conducted in high-resource countries during the COVID-19 pandemic. Risk of being infected by the SARS-CoV2 was both an independent risk factor for anxiety and depressive symptoms. The relations between the measure of maternal bonding and the severity of maternal emotional symptoms call for a better consideration of the long-term consequences of the pandemic on children's socio-emotional development. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.em-premium.com/article/1568508 |
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