Research Article
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Year 2022, Volume: 6 Issue: 3, 842 - 850, 29.09.2022
https://doi.org/10.30621/jbachs.1040196

Abstract

References

  • WHO. Coronavirus disease (Covid‐19) pandemic (2020). Available from: https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov
  • WHO. Coronavirus Disease (COVID-19) Dashboard. Accessed Date: 18.10.2021. Available from: https://covid19.who.int/ Republic of Turkey Ministry. COVID-19 Information Page. Accessed Date: 18.10.2021. Available from: https://covid19.saglik.gov.tr
  • ACOG. Novel coronavirus 2019 (COVID-19). Practice advisory 2020. Available from: https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019
  • Allotey J, Stallings E, Bonet M, Yap M, Chatterjee S, Kew T, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ 2020;370:m3320.
  • Zambrano LD, Ellington S, Strid P, Galang RR, Oduyebo T, Tong V, et al. Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status-United States, January 22–October 3, 2020. MMWR Morb Mortal Wkly Rep 2020;69(44):1641-1647.
  • Schwatz D, Grahan A. Potential maternal and infant outcomes from coronavirus 2019-nCoV (SARS-CoV-2) infecting pregnant women: lessons from SARS, MERS, and other human coronavirus infections. Viruses 2020;12(2):194.
  • Bayrampour H, Salmon C, Vinturache A, Tough S. Effect of depressive and anxiety symptoms during pregnancy on risk of obstetric interventions. J Obstet Gynaecol Res 2015;41(7):1040–1048.
  • Qiao Y, Wang J, Li J, Wang J. Effects of depressive and anxiety symptoms during pregnancy on pregnant, obstetric and neonatal outcomes: a follow-up study. J Obstet Gynaecol 2012;32:237–240.
  • Ravaldi C, Wilson A, Ricca V, Homer C, Vannacci A. Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy. Women Birth. 2021;34:335-343.
  • Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. J Matern Fetal Neonatal Med 2020;1-7. doi: 10.1080/14767058.2020.1763946
  • Sut HK. Kucukkaya B. Anxiety, depression, and related factors in pregnant women during the COVID‐19 pandemic in Turkey: A web‐based cross‐sectional study. Perspectives in Psychiatric Care 2021;57:860-868.
  • Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord 2021;277:5-13.
  • Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict 2020; 1-9. https://doi.org/10.1007/s11469-020-00270-8
  • Satici B, Gocet-Tekin E, Deniz ME, Satici SA. Adaptation of the fear of COVID-19 Scale: Its association with psychological distress and life satisfaction in Turkey. Int J Ment Health Addict 2020;1-9. https://doi.org/10.1007/s11469-020-00294-0
  • Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol 1988;56:893-897. Ulusoy M, Şahin N, Erkman H. Turkish version of The Beck anxiety inventory: Psychometric properties. J Cogn Psychother 1998;12:28-35.
  • Cox JL, Holden JM, Sagovsky R. Detection of postpartum depression. Development of the 10-item edinburg postpartum depression scale. Brit J Psychiatry 1987;150:782–786.
  • Murray D, Cox JL. Screening for depression during pregnancy with the edinburgh depression scale (EPDS). J Repro Infant Psychol 1990;8:99-107.
  • Engindeniz AN, Küey L, Kültür S. Edinburgh Depression Scale postpartum validity and reliability of Turkish form. Psychiatric Assoc Pub 1997;1:51–52.
  • Akalin A, Ayhan F, Goynumer FG. COVID-19 fear and depression in postpartum women during the COVID‐19 pandemic. J Basic Clin Health Sci 2021;(special issue)5:813-826.
  • Tokgoz VY, Kaya Y, Basar Tekin A. The level of anxiety in infertile women whose ART cycles are postponed due to the COVID-19 outbreak. J Psychosom Obstet Gynaecol 2020. DOI: 10.1080/0167482X.2020.1806819
  • Anikwe CC, Ogah CO, Anikwe IH, Okorochukwu BC, Ikeoha CC. Coronavirus disease 2019: Knowledge, attitude, and practice of pregnant women in a tertiary hospital in Abakaliki, southeast Nigeria. Int J Gynecol Obstet 2020;151:197–202.
  • Taubman O, Ari B, Chasson M, Sharkia AS, Weiss E. Distress and anxiety associated with COVID-19 among Jewish and Arab pregnant women in Israel. J Reprod Infant Psychol 2020;38:340-348.
  • RCOG. Guidance for antenatal and postnatal services in the evolving coronavirus (COVID-19) pandemic 2020. Available from: https://www.rcog.org.uk/coronavirus-pregnancy
  • Wong SF, Chow KM, Leung TN, Ng WF, Ng TK, Shek CC, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol 2004;191:292-297.
  • Jamieson DJ, Honein MA, Rasmussen SA, Williams JL, Swerdlow DL, Biggerstaff MS, et al. H1N1 2009 influenza virus infection during pregnancy in the USA. Lancet. 2009;374:451–458.
  • Gottfredsson M. The Spanish flu in Iceland 1918. Lessons in medicine and history. Laeknabladid 2008;94:737–745 (in Icelandic).
  • Sahoo S, Pattnaik JI, Mehra A, Nehra R, Padhy SK, Grover S. Beliefs related to sexual intimacy, pregnancy and breastfeeding in the public during COVID-19 era: a web-based survey from India. J Psychosom Obstet Gynaecol 2021;42:100-107.
  • Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet 2020;395:809-815.
  • Zaigham M, Andersson O. Maternal and perinatal outcomes with COVID-19: A systematic review of 108 pregnancies. Acta Obstet Gynecol Scand 2020;99:823–829.
  • Wu Y, Zhang C, Liu H, Duan C, Li C, Fan J, et al. Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China. Am J Obstet Gynecol 2020;223: 240.e1-240.e9.
  • Davenport MH, Meyer S, Meah VL, Strynadka MC, Khurana R. Moms are not ok: COVID-19 and maternal mental health. Front women's health 2020;1(1):1-6. doi.org/10.3389/fgwh.2020.00001
  • Liu X, Chen M, Wang Y, Sun L, Zhang J, Shi Y, et al. Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID-19 outbreak: a cross-sectional study. BJOG 2020;127:1229–1240.
  • ACOG. ACOG Committee Opinion. Screening for Perinatal Depression. Obstet Gynecol. 2018;132(5):e208-e212.
  • Saccone G, Florio A, Aiello F, Venturella R, De Angelis MC, Locci M, et al. Psychological Impact of COVID-19 in pregnant women. Am J Obstet Gynecol 2020;223(2):293-295. doi: 10.1016/j.ajog.2020.05.003.
  • Fakari FR, Simbar M. Coronavirus pandemic and worries during pregnancy; a letter to editor. Arch Acad Emerg Med 2020;8(1).e21.

The Relationship between Fear of Covid-19, Anxiety and Depression in Pregnant Women

Year 2022, Volume: 6 Issue: 3, 842 - 850, 29.09.2022
https://doi.org/10.30621/jbachs.1040196

Abstract

Purpose: The aim of the study was to investigate the relationship between coronavirus disease-19 (COVID-19) fear, anxiety and depression on pregnant women.
Methods: The cross-sectional, correlational research was conducted with 335 pregnant women from June to October 2020 at the antenatal outpatient clinics of a university hospital. Data were collected using Description Form, Fear of COVID-19 Scale (FCV-19S), Beck Anxiety Inventory (BAI) and the Edinburgh Postnatal Depression Scale (EPDS).
Results: The FCV-19S, BAI and EPDS average scores were 21.12±6.56, 6.39±5.48 and 8.13±9.13, respectively, indicating pregnant women' levels of COVID-19 fear were moderately high and their anxiety and depression levels were moderate. Overall, 14.0% of pregnant women had depression risk and 42.4% had symptoms of anxiety (26.3% low level, 10.4% moderate level and 5.7% high level). A positive, significant relationship was found between the COVID-19 fear level and depression (r=0.207, p<0.001), and anxiety level (r=0.135, p<0.013). COVID-19 fear and anxiety significantly predicted the risk of depression (β=0.17, p<0.001; β=0.43, p<0.001) and they explain 24% of the variance in depression.
Conclusion: The level of COVID-19 fear increased anxiety and depression risk in pregnant women. In this context, it seems that using effective interventions to decrease of COVID-19 fear may help in reducing anxiety and risk of depression among pregnant women.

References

  • WHO. Coronavirus disease (Covid‐19) pandemic (2020). Available from: https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov
  • WHO. Coronavirus Disease (COVID-19) Dashboard. Accessed Date: 18.10.2021. Available from: https://covid19.who.int/ Republic of Turkey Ministry. COVID-19 Information Page. Accessed Date: 18.10.2021. Available from: https://covid19.saglik.gov.tr
  • ACOG. Novel coronavirus 2019 (COVID-19). Practice advisory 2020. Available from: https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019
  • Allotey J, Stallings E, Bonet M, Yap M, Chatterjee S, Kew T, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ 2020;370:m3320.
  • Zambrano LD, Ellington S, Strid P, Galang RR, Oduyebo T, Tong V, et al. Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status-United States, January 22–October 3, 2020. MMWR Morb Mortal Wkly Rep 2020;69(44):1641-1647.
  • Schwatz D, Grahan A. Potential maternal and infant outcomes from coronavirus 2019-nCoV (SARS-CoV-2) infecting pregnant women: lessons from SARS, MERS, and other human coronavirus infections. Viruses 2020;12(2):194.
  • Bayrampour H, Salmon C, Vinturache A, Tough S. Effect of depressive and anxiety symptoms during pregnancy on risk of obstetric interventions. J Obstet Gynaecol Res 2015;41(7):1040–1048.
  • Qiao Y, Wang J, Li J, Wang J. Effects of depressive and anxiety symptoms during pregnancy on pregnant, obstetric and neonatal outcomes: a follow-up study. J Obstet Gynaecol 2012;32:237–240.
  • Ravaldi C, Wilson A, Ricca V, Homer C, Vannacci A. Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy. Women Birth. 2021;34:335-343.
  • Durankuş F, Aksu E. Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. J Matern Fetal Neonatal Med 2020;1-7. doi: 10.1080/14767058.2020.1763946
  • Sut HK. Kucukkaya B. Anxiety, depression, and related factors in pregnant women during the COVID‐19 pandemic in Turkey: A web‐based cross‐sectional study. Perspectives in Psychiatric Care 2021;57:860-868.
  • Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord 2021;277:5-13.
  • Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict 2020; 1-9. https://doi.org/10.1007/s11469-020-00270-8
  • Satici B, Gocet-Tekin E, Deniz ME, Satici SA. Adaptation of the fear of COVID-19 Scale: Its association with psychological distress and life satisfaction in Turkey. Int J Ment Health Addict 2020;1-9. https://doi.org/10.1007/s11469-020-00294-0
  • Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol 1988;56:893-897. Ulusoy M, Şahin N, Erkman H. Turkish version of The Beck anxiety inventory: Psychometric properties. J Cogn Psychother 1998;12:28-35.
  • Cox JL, Holden JM, Sagovsky R. Detection of postpartum depression. Development of the 10-item edinburg postpartum depression scale. Brit J Psychiatry 1987;150:782–786.
  • Murray D, Cox JL. Screening for depression during pregnancy with the edinburgh depression scale (EPDS). J Repro Infant Psychol 1990;8:99-107.
  • Engindeniz AN, Küey L, Kültür S. Edinburgh Depression Scale postpartum validity and reliability of Turkish form. Psychiatric Assoc Pub 1997;1:51–52.
  • Akalin A, Ayhan F, Goynumer FG. COVID-19 fear and depression in postpartum women during the COVID‐19 pandemic. J Basic Clin Health Sci 2021;(special issue)5:813-826.
  • Tokgoz VY, Kaya Y, Basar Tekin A. The level of anxiety in infertile women whose ART cycles are postponed due to the COVID-19 outbreak. J Psychosom Obstet Gynaecol 2020. DOI: 10.1080/0167482X.2020.1806819
  • Anikwe CC, Ogah CO, Anikwe IH, Okorochukwu BC, Ikeoha CC. Coronavirus disease 2019: Knowledge, attitude, and practice of pregnant women in a tertiary hospital in Abakaliki, southeast Nigeria. Int J Gynecol Obstet 2020;151:197–202.
  • Taubman O, Ari B, Chasson M, Sharkia AS, Weiss E. Distress and anxiety associated with COVID-19 among Jewish and Arab pregnant women in Israel. J Reprod Infant Psychol 2020;38:340-348.
  • RCOG. Guidance for antenatal and postnatal services in the evolving coronavirus (COVID-19) pandemic 2020. Available from: https://www.rcog.org.uk/coronavirus-pregnancy
  • Wong SF, Chow KM, Leung TN, Ng WF, Ng TK, Shek CC, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol 2004;191:292-297.
  • Jamieson DJ, Honein MA, Rasmussen SA, Williams JL, Swerdlow DL, Biggerstaff MS, et al. H1N1 2009 influenza virus infection during pregnancy in the USA. Lancet. 2009;374:451–458.
  • Gottfredsson M. The Spanish flu in Iceland 1918. Lessons in medicine and history. Laeknabladid 2008;94:737–745 (in Icelandic).
  • Sahoo S, Pattnaik JI, Mehra A, Nehra R, Padhy SK, Grover S. Beliefs related to sexual intimacy, pregnancy and breastfeeding in the public during COVID-19 era: a web-based survey from India. J Psychosom Obstet Gynaecol 2021;42:100-107.
  • Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet 2020;395:809-815.
  • Zaigham M, Andersson O. Maternal and perinatal outcomes with COVID-19: A systematic review of 108 pregnancies. Acta Obstet Gynecol Scand 2020;99:823–829.
  • Wu Y, Zhang C, Liu H, Duan C, Li C, Fan J, et al. Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China. Am J Obstet Gynecol 2020;223: 240.e1-240.e9.
  • Davenport MH, Meyer S, Meah VL, Strynadka MC, Khurana R. Moms are not ok: COVID-19 and maternal mental health. Front women's health 2020;1(1):1-6. doi.org/10.3389/fgwh.2020.00001
  • Liu X, Chen M, Wang Y, Sun L, Zhang J, Shi Y, et al. Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID-19 outbreak: a cross-sectional study. BJOG 2020;127:1229–1240.
  • ACOG. ACOG Committee Opinion. Screening for Perinatal Depression. Obstet Gynecol. 2018;132(5):e208-e212.
  • Saccone G, Florio A, Aiello F, Venturella R, De Angelis MC, Locci M, et al. Psychological Impact of COVID-19 in pregnant women. Am J Obstet Gynecol 2020;223(2):293-295. doi: 10.1016/j.ajog.2020.05.003.
  • Fakari FR, Simbar M. Coronavirus pandemic and worries during pregnancy; a letter to editor. Arch Acad Emerg Med 2020;8(1).e21.
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Ayşe Akalın 0000-0002-9575-7537

Fatma Ayhan 0000-0001-9717-1727

Gökhan Göynümer 0000-0002-3739-6008

Publication Date September 29, 2022
Submission Date December 22, 2021
Published in Issue Year 2022 Volume: 6 Issue: 3

Cite

APA Akalın, A., Ayhan, F., & Göynümer, G. (2022). The Relationship between Fear of Covid-19, Anxiety and Depression in Pregnant Women. Journal of Basic and Clinical Health Sciences, 6(3), 842-850. https://doi.org/10.30621/jbachs.1040196
AMA Akalın A, Ayhan F, Göynümer G. The Relationship between Fear of Covid-19, Anxiety and Depression in Pregnant Women. JBACHS. September 2022;6(3):842-850. doi:10.30621/jbachs.1040196
Chicago Akalın, Ayşe, Fatma Ayhan, and Gökhan Göynümer. “The Relationship Between Fear of Covid-19, Anxiety and Depression in Pregnant Women”. Journal of Basic and Clinical Health Sciences 6, no. 3 (September 2022): 842-50. https://doi.org/10.30621/jbachs.1040196.
EndNote Akalın A, Ayhan F, Göynümer G (September 1, 2022) The Relationship between Fear of Covid-19, Anxiety and Depression in Pregnant Women. Journal of Basic and Clinical Health Sciences 6 3 842–850.
IEEE A. Akalın, F. Ayhan, and G. Göynümer, “The Relationship between Fear of Covid-19, Anxiety and Depression in Pregnant Women”, JBACHS, vol. 6, no. 3, pp. 842–850, 2022, doi: 10.30621/jbachs.1040196.
ISNAD Akalın, Ayşe et al. “The Relationship Between Fear of Covid-19, Anxiety and Depression in Pregnant Women”. Journal of Basic and Clinical Health Sciences 6/3 (September 2022), 842-850. https://doi.org/10.30621/jbachs.1040196.
JAMA Akalın A, Ayhan F, Göynümer G. The Relationship between Fear of Covid-19, Anxiety and Depression in Pregnant Women. JBACHS. 2022;6:842–850.
MLA Akalın, Ayşe et al. “The Relationship Between Fear of Covid-19, Anxiety and Depression in Pregnant Women”. Journal of Basic and Clinical Health Sciences, vol. 6, no. 3, 2022, pp. 842-50, doi:10.30621/jbachs.1040196.
Vancouver Akalın A, Ayhan F, Göynümer G. The Relationship between Fear of Covid-19, Anxiety and Depression in Pregnant Women. JBACHS. 2022;6(3):842-50.