关键词: dyadic adjustment fear of COVID-19 perinatal affective symptoms pregnant women reflective functioning

Mesh : Humans COVID-19 / psychology epidemiology Female Adult Pregnancy Fear / psychology Mothers / psychology Mediation Analysis SARS-CoV-2 Consensus Surveys and Questionnaires

来  源:   DOI:10.3390/ijerph21070848   PDF(Pubmed)

Abstract:
BACKGROUND: The COVID-19 pandemic has exacerbated fears and anxieties, potentially influencing maternal perinatal mental health. This study addresses a gap in the literature on fear of COVID-19 in pregnant women, aiming to identify contributing factors.
METHODS: Participants were 401 primiparous women with an average age of 34 years (SD = 4.56) who were recruited through the National Health System during birth support courses. They completed a series of self-reported instruments via an online survey, providing information on their levels of reflective functioning, dyadic consensus, perinatal maternal affectivity, and fear of COVID-19. Pearson\'s correlation and mediation analysis via a generalized linear model were implemented to analyze the collected data.
RESULTS: The relationship between dyadic consensus and fear of COVID-19 was significant and negative. Furthermore, a significant parallel mediation involving perinatal maternal affectivity and reflective functioning was found to the extent that, when these factors were inserted into the model, the direct association between dyadic consensus and fear of COVID-19 became non-significant (total mediation).
CONCLUSIONS: The results highlight the importance of dyadic adjustment in alleviating maternal COVID-19 fear, emphasizing interventions promoting couple functioning, mentalization, and addressing affective difficulties. Such approaches are vital for supporting expecting mothers during challenging times like the COVID-19 pandemic.
摘要:
背景:COVID-19大流行加剧了恐惧和焦虑,潜在影响产妇围产期心理健康。这项研究解决了文献中关于孕妇对COVID-19的恐惧的差距,旨在找出促成因素。
方法:参与者是401名平均年龄为34岁的初产妇(SD=4.56),他们是在生育支持课程期间通过国家卫生系统招募的。他们通过在线调查完成了一系列自我报告的工具,提供有关其反射功能水平的信息,二元共识,围产期产妇情感,以及对COVID-19的恐惧。通过广义线性模型进行Pearson的相关性和中介分析,以分析收集到的数据。
结果:二元共识与对COVID-19的恐惧之间存在显着负相关。此外,发现涉及围产期产妇情感和反射功能的显着平行调解,当这些因素被插入到模型中时,二元共识与对COVID-19的恐惧之间的直接关联变得不显著(完全调解).
结论:结果强调了二重调整在减轻孕产妇COVID-19恐惧中的重要性,强调促进夫妇运作的干预措施,心智化,解决情感困难。这种方法对于在COVID-19大流行等充满挑战的时期支持准妈妈至关重要。
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