Depression in the time of COVID-19: Examination of prenatal and postpartum depression, rurality, and the impact of COVID-19

被引:0
作者
Blocklinger, Kelsey L. [1 ]
Gumusoglu, Serena B. [2 ]
Kenney, Ashlyn S. [2 ]
Faudel, Alexis J. [2 ]
Faro, Elissa [2 ]
Brandt, Debra S. [2 ]
Knosp, Boyd [1 ]
Davis, Heather A. [1 ]
Hunter, Stephen K. [2 ]
Santillan, Mark K. [2 ]
Santillan, Donna A. [2 ]
机构
[1] Univ Iowa, Carver Coll Med, Iowa City, CA USA
[2] Univ Iowa Hlth Care, Iowa City, CA USA
基金
美国国家卫生研究院;
关键词
COVID-19; Pandemic; Depression; Prenatal; Postpartum; PERINATAL DEPRESSION; PREVALENCE; ANXIETY; HEALTH; PREGNANCY; SYMPTOMS; WOMEN; RESILIENCE; VALIDATION; DISORDERS;
D O I
10.1016/j.jad.2024.10.081
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: To determine the impact of the COVID-19 pandemic on prenatal and postpartum depressive symptoms in rural versus urban populations. Methods: A retrospective cohort study was conducted among 24,227 cisgender women who gave birth from 2010 to 2021 at an academic medical center located in a rural midwestern state. Exclusion criteria were <18 years old, incarcerated, or without a documented zip code. The Patient Health Questionnaire-9 (PHQ-9) was administered during pregnancy and the Edinburgh Postnatal Depression Scale (EPDS) during postpartum. A sub-cohort also completed a COVID-related questionnaire. Rurality was defined as living in a county with <50,000 people. The COVID-19 era was defined as 1/1/2020 to 9/25/2021. Chi-square and Fisher exact tests were used as appropriate. Significance was set at alpha < 0.05. Results: Rural participants were more likely (p <= 0.001) to exhibit clinical depression symptoms before the pandemic in both the prenatal (8.63 % of rural participants vs. 6.49 % of urban participants) and postpartum periods (11.19 % rural vs. 9.28 % urban). During the pandemic, urban participants had increased postpartum depression. Rural participants endorsed more financial and labor concerns, whereas urban participants expressed support system concerns. Limitations: Study data were gathered from participants who gave birth at a single, midwestern hospital. Results may not be widely generalizable given the homogeneity of participants. Conclusions: Rural women experienced higher rates of prenatal and postpartum depressive symptoms compared to their urban counterparts. The COVID-19 pandemic was a significant stressor, revealing specific mental health vulnerabilities among birthing people.
引用
收藏
页码:337 / 347
页数:11
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