RT Journal Article
T1 Common model of stress, anxiety, and depressive symptoms in pregnant women from seven high-income Western countries at the COVID-19 pandemic onset.
A1 Lobel, Marci
A1 Preis, Heidi
A1 Mahaffey, Brittain
A1 Schaal, Nora K
A1 Yirmiya, Karen
A1 Atzil, Shir
A1 Reuveni, Inbal
A1 Balestrieri, Matteo
A1 Penengo, Chiara
A1 Colli, Chiara
A1 Garzitto, Marco
A1 Driul, Lorenza
A1 Ilska, Michalina
A1 Brandt-Salmeri, Anna
A1 Kołodziej-Zaleska, Anna
A1 Caparros-Gonzalez, Rafael A
A1 Castro, Rita Amiel
A1 La Marca-Ghaemmaghami, Pearl
A1 Meyerhoff, Hannah
K1 Anxiety
K1 COVID-19 global pandemic
K1 Depression
K1 Maternal stress
K1 Pregnancy
K1 Women's health
AB Increases in stress, anxiety, and depression among women pregnant during the COVID-19 pandemic have been reported internationally. Yet rigorous comparison of the prevalence of maternal mental health problems across countries is lacking. Moreover, whether stress is a common predictor of maternal mental health during the pandemic across countries is unknown. 8148 pregnant women from Germany, Israel, Italy, Poland, Spain, Switzerland, and the United States were enrolled in the International COVID-19 Pregnancy Experiences (I-COPE) Study between April 17 and May 31, 2020. Sociodemographic characteristics, pandemic-related stress, pregnancy-specific stress, anxiety, and depression were assessed with well-validated instruments. The magnitude of stress and mood disturbances was compared across countries. A path model predicting clinically significant levels of anxiety and depression from maternal characteristics and stress was tested for all study participants and then examined separately in each country with >200 participants. Countries differed significantly in magnitude of pandemic-related pregnancy stress and pandemic-unrelated pregnancy-specific stress, and in prevalence of clinically significant anxiety and depression levels. A well-fitting common path model for the entire sample indicated that mood and anxiety disturbances were strongly predicted by pandemic-related and pregnancy-specific stress after accounting for maternal characteristics. The model was replicated in individual countries. Although pregnant women in high-income Western countries experienced different levels of stress resulting from the COVID-19 pandemic, stress is a strong, common predictor of anxiety and depressive symptoms in these individuals. The common model can be used to inform research and clinical interventions to protect against adverse consequences of prenatal maternal stress, anxiety, and depression for mothers and infants.
PB Elsevier Ltd
YR 2022
FD 2022-10-28
LK http://hdl.handle.net/10668/22524
UL http://hdl.handle.net/10668/22524
LA en
NO Lobel M, Preis H, Mahaffey B, Schaal NK, Yirmiya K, Atzil S, et al. Common model of stress, anxiety, and depressive symptoms in pregnant women from seven high-income Western countries at the COVID-19 pandemic onset. Soc Sci Med. 2022 Dec;315:115499.
DS RISalud
RD Apr 17, 2025