Behavioral coping phenotypes and associated psychosocial outcomes of pregnant and postpartum women during the COVID-19 pandemic

被引：34

作者：

Werchan, Denise M. ^{[1
]}

Hendrix, Cassandra L. ^{[1
]}

Ablow, Jennifer C. ^{[3
]}

Amstadter, Ananda B. ^{[4
]}

Austin, Autumn C. ^{[1
]}

Babineau, Vanessa ^{[5
]}

Bogat, G. Anne ^{[6
]}

Cioffredi, Leigh-Anne ^{[7
]}

Conradt, Elisabeth ^{[8
]}

Crowell, Sheila E. ^{[8
]}

Dumitriu, Dani ^{[5
]}

Fifer, William ^{[5
]}

Firestein, Morgan R. ^{[5
]}

Gao, Wei ^{[9
]}

Gotlib, Ian H. ^{[10
]}

Graham, Alice M. ^{[11
]}

Gregory, Kimberly D. ^{[9
]}

Gustafsson, Hanna C. ^{[11
]}

Havens, Kathryn L. ^{[12
]}

Howell, Brittany R. ^{[13
]}

Humphreys, Kathryn L. ^{[14
]}

King, Lucy S. ^{[10
]}

Kinser, Patricia A. ^{[4
]}

Krans, Elizabeth E. ^{[15
]}

Lenniger, Carly ^{[1
]}

Levendosky, Alytia A. ^{[6
]}

Lonstein, Joseph S. ^{[6
]}

Marcus, Rachel ^{[9
]}

Monk, Catherine ^{[5
]}

Moyer, Sara ^{[4
]}

Muzik, Maria ^{[16
]}

Nuttall, Amy K. ^{[6
]}

Potter, Alexandra S. ^{[7
]}

Salisbury, Amy ^{[4
]}

Shuffrey, Lauren C. ^{[5
]}

Smith, Beth A. ^{[12
]}

Smith, Lynne ^{[17
]}

Sullivan, Elinor L. ^{[11
]}

Zhou, Judy ^{[12
]}

Thomason, Moriah E. ^{[1
]}

Brito, Natalie H. ^{[2
]}

机构：

[1] NYU Langone Hlth, New York, NY 10016 USA

[2] NYU, New York, NY 10012 USA

[3] Univ Oregon, Eugene, OR 97403 USA

[4] Virginia Commonwealth Univ, Richmond, VA USA

[5] Columbia Univ, Irving Med Ctr, New York, NY USA

[6] Michigan State Univ, E Lansing, MI 48824 USA

[7] Univ Vermont, Burlington, VT USA

[8] Univ Utah, Salt Lake City, UT USA

[9] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA

[10] Stanford Univ, Stanford, CA 94305 USA

[11] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[12] Univ Southern Calif, Los Angeles, CA 90007 USA

[13] Virginia Tech, Dept Human Dev & Family Sci, Fralin Biomed Res Inst Virginia Tech Carilion, Blacksburg, VA USA

[14] Vanderbilt Univ, 221 Kirkland Hall, Nashville, TN 37235 USA

[15] Univ Pittsburgh, Pittsburgh, PA USA

[16] Univ Michigan, Ann Arbor, MI 48109 USA

[17] Harbor UCLA, Lundquist Inst, West Carson, CA USA

来源：

SCIENTIFIC REPORTS | 2022年 / 12卷 / 01期

关键词：

PSYCHOLOGICAL FLEXIBILITY; PERCEIVED STRESS; DEPRESSION; ANXIETY; RISK; PREVALENCE; STRATEGIES; SYMPTOMS; SCIENCE; HEALTH;

D O I：

10.1038/s41598-022-05299-4

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

The impact of COVID-19-related stress on perinatal women is of heightened public health concern given the established intergenerational impact of maternal stress-exposure on infants and fetuses. There is urgent need to characterize the coping styles associated with adverse psychosocial outcomes in perinatal women during the COVID-19 pandemic to help mitigate the potential for lasting sequelae on both mothers and infants. This study uses a data-driven approach to identify the patterns of behavioral coping strategies that associate with maternal psychosocial distress during the COVID-19 pandemic in a large multicenter sample of pregnant women (N = 2876) and postpartum women (N = 1536). Data was collected from 9 states across the United States from March to October 2020. Women reported behaviors they were engaging in to manage pandemic-related stress, symptoms of depression, anxiety and global psychological distress, as well as changes in energy levels, sleep quality and stress levels. Using latent profile analysis, we identified four behavioral phenotypes of coping strategies. Critically, phenotypes with high levels of passive coping strategies (increased screen time, social media, and intake of comfort foods) were associated with elevated symptoms of depression, anxiety, and global psychological distress, as well as worsening stress and energy levels, relative to other coping phenotypes. In contrast, phenotypes with high levels of active coping strategies (social support, and self-care) were associated with greater resiliency relative to other phenotypes. The identification of these widespread coping phenotypes reveals novel behavioral patterns associated with risk and resiliency to pandemic-related stress in perinatal women. These findings may contribute to early identification of women at risk for poor long-term outcomes and indicate malleable targets for interventions aimed at mitigating lasting sequelae on women and children during the COVID-19 pandemic.

引用

页数：12

共 45 条

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