Research Article
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Year 2023, Volume: 14 Issue: 48, 31 - 38, 30.04.2023
https://doi.org/10.17944/interdiscip.1285742

Abstract

References

  • Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel co-ronavirus in Wuhan, China. Lancet. 2020;395(10223):497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
  • 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 [Internet]. 2020;277(August):5–13. Available from: https://doi.org/10.1016/j.jad.2020.07.126
  • Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. Qjm. 2020;113(5):311–2. https://doi.org/10.1093/qjmed/hcaa110
  • Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry. 2020;7(4):300–2. https://doi.org/10.1016/S2215-0366(20)30073-0
  • Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet [Internet]. 2020;395(10224):e37–8. Available from: https://doi.org/10.1016/S0140-6736(20)30309-3
  • Al-rabiaah A, Temsah M, Al-eyadhy AA. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19. The COVID-19 resource centre is hosted on Elsevier Connect, the company’ s public news and information. J Infect Public Health. 2020;13(5):687–91. https://doi.org/10.1016/j.jiph.2020.01.005
  • Hildingsson I, Nilsson J, Merio E, Larsson B. Anxiety and depressive symptoms in women with fear of birth: A longitudinal cohort study. Eur J Midwifery. 2021;5:1–9. https://doi.org/10.18332/ejm/131240
  • Glover V. Maternal depression, anxiety and stress during pregnancy and child outcome; What needs to be done. Best Pract Res Clin Obstet Gynaecol [Internet]. 2014;28(1):25–35. Available from: https://doi.org/10.1016/j.bpobgyn.2013.08.017
  • MacKinnon N, Kingsbury M, Mahedy L, Evans J, Colman I. The Association Between Prenatal Stress and Externalizing Symptoms in Childhood: Evidence From the Avon Longitudinal Study of Parents and Child-ren. Biol Psychiatry [Internet]. 2018;83(2):100–8. Available from: https://doi.org/10.1016/j.biopsych.2017.07.010
  • Van den Bergh BRH, van den Heuvel MI, Lahti M, Braeken M, de Rooij SR, Entringer S, et al. Prenatal de-velopmental origins of behavior and mental health: The influence of maternal stress in pregnancy. Neu-rosci Biobehav Rev. 2020;117(November 2016):26–64. https://doi.org/10.1016/j.neubiorev.2017.07.003
  • Gibson-Smith D, Bot M, Milaneschi Y, Twisk JW, Visser M, Brouwer I a., et al. Maternal Anxiety During Pregnancy and the Association With Adverse Perinatal Outcomes: Systematic Review and Meta-Analysis. J Clin Psychiatry. 2015;77(September):22–7.https://doi.org/10.4088/JCP.14m09658
  • Qu F, Wu Y, Zhu YH, Barry J, Ding T, Baio G, et al. The association between psychological stress and mis-carriage: A systematic review and meta-analysis. Sci Rep [Internet]. 2017;7(1):1–8. Available from: https://doi.org/10.1038/s41598-017-01792-3
  • Rondó PHC, Ferreira RF, Nogueira F, Ribeiro MCN, Lobert H, Artes R. Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr. 2003;57(2):266–72. https://doi.org/10.1038/sj.ejcn.1601526
  • Brandon AR, Pitts S, Denton WH, Stringer CA, Evans HM. a History of the Theory of Prenatal Attachment. J Prenat Perinat Psychol Heal [Internet]. 2009;23(4):201–22. Available from:http://www.ncbi.nlm.nih.gov/pubmed/21533008%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC3083029
  • Kurnaz F, Türkmen Çevik F. Prenatal Attachment Scale: Reliability and Validity Study. Hacettepe Üniversi-tesi Sağlık Bilim Fakültesi Derg. 2019;112–38. https://doi.org/10.21020/husbfd.453796
  • Malm MC, Hildingsson I, Rubertsson C, Rådestad I, Lindgren H. Prenatal attachment and its association with foetal movement during pregnancy – A population based survey. Women and Birth. 2016;29(6):482–6. https://doi.org/10.1016/j.wombi.2016.04.005
  • Pisoni C, Garofoli F, Tzialla C, Orcesi S, Spinillo A, Politi P, et al. Risk and protective factors in maternal-fetal attachment development. Early Hum Dev [Internet]. 2014;90:S45–6. Available from: https://doi.org/10.1016/S0378-3782(14)50012-6
  • Çınar N, Yalnızoğlu Çaka S, Topal S, Uslu Yuvacı H. Relationship between prenatal and maternal attach-ment: a longitudinal study from Turkey. J Obstet Gynaecol (Lahore) [Internet]. 2021;0(0):1–15. Availab-le from: https://doi.org/10.1080/01443615.2021.1904223
  • Røhder K, Væver MS, Aarestrup AK, Jacobsen RK, Smith-Nielsen J, Schiøtz ML. Maternal-fetal bonding among pregnant women at psychosocial risk: The roles of adult attachment style, prenatal parental reflective functioning, and depressive symptoms. PLoS One. 2020;15(9 September 2020):1–19. https://doi.org/10.1371/journal.pone.0239208
  • Dayton CJ, Brown S, Goletz J, Hicks L, Barron C, Sperlich M, et al. Pathways to Parenting: Predictors of Prenatal Bonding in a Sample of Expectant Mothers and Fathers Exposed to Contextual Risk. J Child Fam Stud [Internet]. 2019;28(4):1134–44. Available from: https://doi.org/10.1007/s10826-019-01343-6
  • Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N. Measuring anxiety related to COVID-19: A Turkish vali-dation study of the Coronavirus Anxiety Scale. Death Stud [Internet]. 2020;0(0):1–7. Available from: https://doi.org/10.1080/07481187.2020.1774969
  • Yüksel F, Akin S, Durna Z. Prenatal Distres Ölçeği’ nin Türkçe’ye Uyarlanması ve Faktör Analizi. Hemşirelik-te Eğitim ve Araştırma Derg. 2011;8(3):43–51.
  • Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud [Internet]. 2020;44(7):393–401. Available from: https://doi.org/10.1080/07481187.2020.1748481
  • Yali AM, Lobel M. Coping and distress in pregnancy: An investigation of medically high risk women. J Psychosom Obstet Gynaecol. 1999;20(1):39–52. https://doi.org/10.3109/01674829909075575
  • Muller ME, Mercer RT. Development of the Prenatal Attachment Inventory. West J Nurs Res [Internet]. 1993 Apr 1;15(2):199–215. Available from: http://journals.sagepub.com/doi/10.1177/019394599301500205
  • Vally Z, Alowais A. Measuring anxiety related to COVID-19: Factor analysis and psychometric properties of the Arabic Coronavirus Anxiety Scale. PLoS One [Internet]. 2021;16(11 November):1–13. Available from: https://doi.org/10.1371/journal.pone.0260355
  • Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr Clin Res Rev [Internet]. 2020;14(5):779–88. Available from: https://doi.org/10.1016/j.dsx.2020.05.035
  • Poon LC, Yang H, Kapur A, Melamed N, Dao B, Divakar H, et al. Global interim guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium from FIGO and allied partners: Information for healthcare professionals. Int J Gynecol Obstet. 2020;149(3):273–86. https://doi.org/10.1002/ijgo.13156
  • Penengo C, Colli C, Garzitto M, Driul L, Sala A, Degano M, et al. Psychometric properties of the Italian ver-sion of the Pandemic-Related Pregnancy Stress Scale (PREPS) and its correlation with anxiety and dep-ression. J Affect Disord. 2021;294(February):48–53. https://doi.org/10.1016/j.jad.2021.06.076
  • Zhu H, Wang L, Fang C, Peng S, Zhang L, Chang G, et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Transl Pediatr. 2020;9(1):51–60. https://doi.org/10.21037/tp.2020.02.06
  • 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 [Internet]. 2020;395(10226):809–15. Available from: https://doi.org/10.1016/S0140-6736(20)30360-3
  • Nwafor JI, Okedo-Alex IN, Ikeotuonye AC. Prevalence and predictors of depression, anxiety, and stress symptoms among pregnant women during COVID-19-related lockdown in Abakali-ki,Nigeria.MalawiMedJ.2021;33(1):54–8. https://doi.org/10.1101/2020.08.30.20184697
  • Craig F, Gioia MC, Muggeo V, Cajiao J, Aloi A, Martino I, et al. Effects of maternal psychological distress and perception of COVID-19 on prenatal attachment in a large sample of Italian pregnant women. J Affect Disord [Internet]. 2021;295(July):665–72. Available from: https://doi.org/10.1016/j.jad.2021.08.102
  • Alhusen JL, Hayat MJ, Borg L. A pilot study of a group-based perinatal depression intervention on redu-cing depressive symptoms and improving maternal-fetal attachment and maternal sensitivity. Arch Womens Ment Health. 2021;24(1):145–54. https://doi.org/10.1007/s00737-020-01032-0
  • Hart R, McMahon CA. Mood state and psychological adjustment to pregnancy. Arch Womens Ment He-alth. 2006;9(6):329–37. https://doi.org/10.1007/s00737-006-0141-0
  • Damato EG. Prenatal attachment and other correlates of postnatal maternal attachment to twins. Adv Neonatal Care. 2004;4(5):274–91. https://doi.org/10.1016/j.adnc.2004.07.005

The effect of Covid-19 anxiety on prenatal distress and prenatal attachment in pregnant women

Year 2023, Volume: 14 Issue: 48, 31 - 38, 30.04.2023
https://doi.org/10.17944/interdiscip.1285742

Abstract

Objective: In this study, we aimed to investigate the effect of Coronavirus Disease 2019 (COVID-19) anxiety on pregnant women, whether it causes prenatal distress and may be changes on mother-infant attachment.

Method: The research population consists of pregnant women in all trimesters. Exclusion criteria from the study; anomaly risk in the fetus, abnormal examination findings, systemic chronic disease and drug use, presence of diagnosed psychiatric disease, consanguineous marriage between the pregnant woman and her spouse. 323 pregnant women who did not meet these exclusion criteria and agreed to participate in the study were included in this study. In the study data form: Income status, education level, age, gravidity, parity, presence and number of miscarriages, gestational week, smoking status, history of COVID-19 infection, if yes, in which week of pregnancy she had, history of COVID-19 infection in her close family, planned pregnancy, in vitro fertilization-intrauterine insemination (IVF-IUI) or a spontaneous pregnancy status were questionnaired. The patients included in the study were administered the Coronavirus Anxiety Scale (CAS), Revised Prenatal Distress Questionnaire (NuPDQ), Prenatal Attachment Scale (PAS).

Results: COVID-19 anxiety increases more if close relatives have coronavirus rather than participants themselves. We detected that high coronavirus anxiety also caused an increase in the sub-dimensions of prenatal distress. We also found that high COVID-19 anxiety negatively affects prenatal attachment.

Conclusion: Pregnant women should be given information and education about the possible effects of coronavirus on their pregnancy during their routine follow-up during the pandemic period. Otherwise, both psychologically and physically unhealthy generations await the whole world.

References

  • Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel co-ronavirus in Wuhan, China. Lancet. 2020;395(10223):497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
  • 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 [Internet]. 2020;277(August):5–13. Available from: https://doi.org/10.1016/j.jad.2020.07.126
  • Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. Qjm. 2020;113(5):311–2. https://doi.org/10.1093/qjmed/hcaa110
  • Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry. 2020;7(4):300–2. https://doi.org/10.1016/S2215-0366(20)30073-0
  • Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet [Internet]. 2020;395(10224):e37–8. Available from: https://doi.org/10.1016/S0140-6736(20)30309-3
  • Al-rabiaah A, Temsah M, Al-eyadhy AA. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19. The COVID-19 resource centre is hosted on Elsevier Connect, the company’ s public news and information. J Infect Public Health. 2020;13(5):687–91. https://doi.org/10.1016/j.jiph.2020.01.005
  • Hildingsson I, Nilsson J, Merio E, Larsson B. Anxiety and depressive symptoms in women with fear of birth: A longitudinal cohort study. Eur J Midwifery. 2021;5:1–9. https://doi.org/10.18332/ejm/131240
  • Glover V. Maternal depression, anxiety and stress during pregnancy and child outcome; What needs to be done. Best Pract Res Clin Obstet Gynaecol [Internet]. 2014;28(1):25–35. Available from: https://doi.org/10.1016/j.bpobgyn.2013.08.017
  • MacKinnon N, Kingsbury M, Mahedy L, Evans J, Colman I. The Association Between Prenatal Stress and Externalizing Symptoms in Childhood: Evidence From the Avon Longitudinal Study of Parents and Child-ren. Biol Psychiatry [Internet]. 2018;83(2):100–8. Available from: https://doi.org/10.1016/j.biopsych.2017.07.010
  • Van den Bergh BRH, van den Heuvel MI, Lahti M, Braeken M, de Rooij SR, Entringer S, et al. Prenatal de-velopmental origins of behavior and mental health: The influence of maternal stress in pregnancy. Neu-rosci Biobehav Rev. 2020;117(November 2016):26–64. https://doi.org/10.1016/j.neubiorev.2017.07.003
  • Gibson-Smith D, Bot M, Milaneschi Y, Twisk JW, Visser M, Brouwer I a., et al. Maternal Anxiety During Pregnancy and the Association With Adverse Perinatal Outcomes: Systematic Review and Meta-Analysis. J Clin Psychiatry. 2015;77(September):22–7.https://doi.org/10.4088/JCP.14m09658
  • Qu F, Wu Y, Zhu YH, Barry J, Ding T, Baio G, et al. The association between psychological stress and mis-carriage: A systematic review and meta-analysis. Sci Rep [Internet]. 2017;7(1):1–8. Available from: https://doi.org/10.1038/s41598-017-01792-3
  • Rondó PHC, Ferreira RF, Nogueira F, Ribeiro MCN, Lobert H, Artes R. Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr. 2003;57(2):266–72. https://doi.org/10.1038/sj.ejcn.1601526
  • Brandon AR, Pitts S, Denton WH, Stringer CA, Evans HM. a History of the Theory of Prenatal Attachment. J Prenat Perinat Psychol Heal [Internet]. 2009;23(4):201–22. Available from:http://www.ncbi.nlm.nih.gov/pubmed/21533008%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC3083029
  • Kurnaz F, Türkmen Çevik F. Prenatal Attachment Scale: Reliability and Validity Study. Hacettepe Üniversi-tesi Sağlık Bilim Fakültesi Derg. 2019;112–38. https://doi.org/10.21020/husbfd.453796
  • Malm MC, Hildingsson I, Rubertsson C, Rådestad I, Lindgren H. Prenatal attachment and its association with foetal movement during pregnancy – A population based survey. Women and Birth. 2016;29(6):482–6. https://doi.org/10.1016/j.wombi.2016.04.005
  • Pisoni C, Garofoli F, Tzialla C, Orcesi S, Spinillo A, Politi P, et al. Risk and protective factors in maternal-fetal attachment development. Early Hum Dev [Internet]. 2014;90:S45–6. Available from: https://doi.org/10.1016/S0378-3782(14)50012-6
  • Çınar N, Yalnızoğlu Çaka S, Topal S, Uslu Yuvacı H. Relationship between prenatal and maternal attach-ment: a longitudinal study from Turkey. J Obstet Gynaecol (Lahore) [Internet]. 2021;0(0):1–15. Availab-le from: https://doi.org/10.1080/01443615.2021.1904223
  • Røhder K, Væver MS, Aarestrup AK, Jacobsen RK, Smith-Nielsen J, Schiøtz ML. Maternal-fetal bonding among pregnant women at psychosocial risk: The roles of adult attachment style, prenatal parental reflective functioning, and depressive symptoms. PLoS One. 2020;15(9 September 2020):1–19. https://doi.org/10.1371/journal.pone.0239208
  • Dayton CJ, Brown S, Goletz J, Hicks L, Barron C, Sperlich M, et al. Pathways to Parenting: Predictors of Prenatal Bonding in a Sample of Expectant Mothers and Fathers Exposed to Contextual Risk. J Child Fam Stud [Internet]. 2019;28(4):1134–44. Available from: https://doi.org/10.1007/s10826-019-01343-6
  • Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N. Measuring anxiety related to COVID-19: A Turkish vali-dation study of the Coronavirus Anxiety Scale. Death Stud [Internet]. 2020;0(0):1–7. Available from: https://doi.org/10.1080/07481187.2020.1774969
  • Yüksel F, Akin S, Durna Z. Prenatal Distres Ölçeği’ nin Türkçe’ye Uyarlanması ve Faktör Analizi. Hemşirelik-te Eğitim ve Araştırma Derg. 2011;8(3):43–51.
  • Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud [Internet]. 2020;44(7):393–401. Available from: https://doi.org/10.1080/07481187.2020.1748481
  • Yali AM, Lobel M. Coping and distress in pregnancy: An investigation of medically high risk women. J Psychosom Obstet Gynaecol. 1999;20(1):39–52. https://doi.org/10.3109/01674829909075575
  • Muller ME, Mercer RT. Development of the Prenatal Attachment Inventory. West J Nurs Res [Internet]. 1993 Apr 1;15(2):199–215. Available from: http://journals.sagepub.com/doi/10.1177/019394599301500205
  • Vally Z, Alowais A. Measuring anxiety related to COVID-19: Factor analysis and psychometric properties of the Arabic Coronavirus Anxiety Scale. PLoS One [Internet]. 2021;16(11 November):1–13. Available from: https://doi.org/10.1371/journal.pone.0260355
  • Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr Clin Res Rev [Internet]. 2020;14(5):779–88. Available from: https://doi.org/10.1016/j.dsx.2020.05.035
  • Poon LC, Yang H, Kapur A, Melamed N, Dao B, Divakar H, et al. Global interim guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium from FIGO and allied partners: Information for healthcare professionals. Int J Gynecol Obstet. 2020;149(3):273–86. https://doi.org/10.1002/ijgo.13156
  • Penengo C, Colli C, Garzitto M, Driul L, Sala A, Degano M, et al. Psychometric properties of the Italian ver-sion of the Pandemic-Related Pregnancy Stress Scale (PREPS) and its correlation with anxiety and dep-ression. J Affect Disord. 2021;294(February):48–53. https://doi.org/10.1016/j.jad.2021.06.076
  • Zhu H, Wang L, Fang C, Peng S, Zhang L, Chang G, et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Transl Pediatr. 2020;9(1):51–60. https://doi.org/10.21037/tp.2020.02.06
  • 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 [Internet]. 2020;395(10226):809–15. Available from: https://doi.org/10.1016/S0140-6736(20)30360-3
  • Nwafor JI, Okedo-Alex IN, Ikeotuonye AC. Prevalence and predictors of depression, anxiety, and stress symptoms among pregnant women during COVID-19-related lockdown in Abakali-ki,Nigeria.MalawiMedJ.2021;33(1):54–8. https://doi.org/10.1101/2020.08.30.20184697
  • Craig F, Gioia MC, Muggeo V, Cajiao J, Aloi A, Martino I, et al. Effects of maternal psychological distress and perception of COVID-19 on prenatal attachment in a large sample of Italian pregnant women. J Affect Disord [Internet]. 2021;295(July):665–72. Available from: https://doi.org/10.1016/j.jad.2021.08.102
  • Alhusen JL, Hayat MJ, Borg L. A pilot study of a group-based perinatal depression intervention on redu-cing depressive symptoms and improving maternal-fetal attachment and maternal sensitivity. Arch Womens Ment Health. 2021;24(1):145–54. https://doi.org/10.1007/s00737-020-01032-0
  • Hart R, McMahon CA. Mood state and psychological adjustment to pregnancy. Arch Womens Ment He-alth. 2006;9(6):329–37. https://doi.org/10.1007/s00737-006-0141-0
  • Damato EG. Prenatal attachment and other correlates of postnatal maternal attachment to twins. Adv Neonatal Care. 2004;4(5):274–91. https://doi.org/10.1016/j.adnc.2004.07.005
There are 36 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Dilay Karademir 0000-0002-9813-4255

Ezgi Ağadayı This is me 0000-0001-9546-2483

Seher Karahan 0000-0002-4066-2928

Early Pub Date April 30, 2023
Publication Date April 30, 2023
Submission Date April 11, 2022
Published in Issue Year 2023 Volume: 14 Issue: 48

Cite

Vancouver Karademir D, Ağadayı E, Karahan S. The effect of Covid-19 anxiety on prenatal distress and prenatal attachment in pregnant women. Interdiscip Med J. 2023;14(48):31-8.