Anxiety and depression symptoms in pregnant women at the end of the COVID-19 pandemic

Authors

  • Tiffany Sum QEH
  • Kwok Yin Leung

DOI:

https://doi.org/10.12809/hkjgom.24.1.352

Keywords:

Anxiety, COVID-19, Depression, Mental health, Pregnancy

Abstract

Objective: To evaluate the prevalence of depression and anxiety among women giving birth at a public hospital at the end of the COVID-19 pandemic and to determine factors associated with depression and anxiety.
Methods: Women giving birth at the Queen Elizabeth Hospital in January 2023 were invited to complete a questionnaire. Data collected included age, marital status, economic status, education level, employment status, health personnel status, presence of comorbidities, history and severity of COVID, and whether their antenatal or intrapartum care was affected by COVID. The Patient Health Questionnaire-9 (PHQ-9) and the Generalised Anxiety Disorder-7 scale (GAD-7) were used to evaluate depression and anxiety, respectively. Multinomial logistic regression analysis was performed to determine factors associated with depression and anxiety.
Results: Among 100 participants, 26% had mild depression or above (PHQ-9 score ≥5), 36% had mild anxiety or above (GAD-7 score ≥5), and 1% had severe depression and anxiety. Women with birth companion delayed or prohibited during labour were associated with higher GAD-7 scores (p=0.015).
Conclusion: At the end of the COVID-19 pandemic, women with birth companion delayed or prohibited during labour are associated with higher anxiety levels.

References

Choi EPH, Hui BPH, Wan EYF. Depression and anxiety in Hong Kong during COVID-19. Int J Environ Res Public Health 2020;17:3740.

Zhao SZ, Wong JYH, Luk TT, Wai AKC, Lam TH, Wang MP. Mental health crisis under COVID-19 pandemic in Hong Kong, China. Int J Infect Dis 2020;100:431-3.

Li TW, Lee TMC, Goodwin R, et al. Social capital, income loss, and psychobehavioral responses amid COVID-19: a population-based analysis. Int J Environ Res Public Health 2020;17:8888.

Leung CMC, Ho MK, Bharwani AA, et al. Mental disorders following COVID-19 and other epidemics: a systematic review and meta-analysis. Transl Psychiatry 2022;12:205.

Levis B, Benedetti A, Thombs BD; DEPRESsion Screening Data (DEPRESSD) Collaboration. Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data meta-analysis. BMJ 2019;365:l1476.

Wang W, Bian Q, Zhao Y, et al. Reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-9) in the general population. Gen Hosp Psychiatry 2014;36:539-44.

Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092-7.

Gong Y, Zhou H, Zhang Y, et al. Validation of the 7-item Generalized Anxiety Disorder scale (GAD-7) as a screening tool for anxiety among pregnant Chinese women. J Affect Disord 2021;282:98-103.

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 2020;277:5-13.

Ghazanfarpour M, Bahrami F, Rashidi Fakari F, et al. Prevalence of anxiety and depression among pregnant women during the COVID-19 pandemic: a meta-analysis. J Psychosom Obstet Gynaecol 2022;43:315-26.

World Health Organization. Every woman’s right to a companion of choice during childbirth. Accessed 1 May 2023. Available from: https://www.who.int/news/item/09-09-2020-every-woman-s-right-to-a-companion-of-choice-during-

childbirth.

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Published

2024-01-17

How to Cite

1.
Sum T, Leung KY. Anxiety and depression symptoms in pregnant women at the end of the COVID-19 pandemic. Hong Kong J Gynaecol Obstet Midwifery [Internet]. 2024 Jan. 17 [cited 2024 Apr. 29];24(1). Available from: https://hkjgom.org/home/article/view/352

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Original Article