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Impact of the COVID-19 pandemic on maternal mental health during pregnancy: The CONCEPTION study – Phase I

Published online by Cambridge University Press:  01 September 2022

A. Berard ,
A. Lacasse ,
Y.-H. Gomez ,
J. Gorgui ,
S. Côté ,
S. King ,
V. Tchuente ,
F. Muanda ,
Y. Lumu  and
I. Boucoiran
...Show all authors
A. Berard*
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
A. Lacasse
Affiliation:
Université du Québec en Abitibi-Témiscamingue, Health Sciences Department, Rouyn-Noranda, Canada
Y.-H. Gomez
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
J. Gorgui
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
S. Côté
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
S. King
Affiliation:
McGill University, Faculty Of Medicine, Montreal, Canada
V. Tchuente
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
F. Muanda
Affiliation:
Western University, Department Of Epidemiology & Biostatistics, London, Canada
Y. Lumu
Affiliation:
Protestant University in Congo, Family Medicine, Kinshasa, Congo, Republic of
I. Boucoiran
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
A.-M. Nuyt
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
C. Quach
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
E. Ferreira
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
P. Kaul
Affiliation:
University of Alberta, Department Of Medicine, Edmonton, Canada
B. Winquist
Affiliation:
University of Saskatchewan, College Of Medicine, Saskatoon, Canada
K. O’Donnell
Affiliation:
McGill University, Douglas Research Center, Montreal, Canada
S. Eltonsy
Affiliation:
University of Manitoba, College Of Pharmacy, winnipeg, Canada
D. Château
Affiliation:
University of Manitoba, Manitoba Center For Health Policy, Winnipeg, Canada
J.-P. Zhao
Affiliation:
CHU Sainte-Justine, Research Center, Montreal, Canada
G. Hanley
Affiliation:
University of British Columbia, Department Of Obstetrics & Gynaecology, Vancouver, Canada
T. Oberlander
Affiliation:
University of British Columbia, Department Of Pediatrics, Vancouver, Canada
B. Kassai
Affiliation:
Claude Bernard University Lyon 1, Department Of Clinical Epidemiology, Lyon, France
S. Mainbourg
Affiliation:
Université Claude Bernard Lyon 1, Faculty Of Medicine, Lyon, France
S. Bernatsky
Affiliation:
McGill University, Faculty Of Medicine, Montreal, Canada
É. Vinet
Affiliation:
McGill University, Faculty Of Medicine, Montreal, Canada
A. Brodeur-Doucet
Affiliation:
Montreal Diet Dispensary, Dispensaire Diététique De Montréal, Montreal, Canada
J. Demers
Affiliation:
Montreal Diet Dispensary, Dispensaire Diététique De Montréal, Montreal, Canada
P. Richebé
Affiliation:
Maisonneuve-Rosemont Hospital, Department Of Anesthesiology And Pain Medicine,, Montreal, Canada
V. Zaphiratos
Affiliation:
Maisonneuve-Rosemont Hospital, Research Center, Montreal, Canada
C. Wang
Affiliation:
Zhengzhou University, College Of Public Health, Zhengzhou, China
X. Wang
Affiliation:
Zhengzhou University, College Of Public Health, Zhengzhou, China
*
*Corresponding author.

Abstract

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Introduction

Mental health regional differences during pregnancy through the COVID-19 pandemic is understudied.

Objectives

We aimed to quantify the impact of the COVID-19 pandemic on maternal mental health during pregnancy.

Methods

A cohort study with a web-based recruitment strategy and electronic data collection was initiated in 06/2020. Although Canadian women, >18 years were primarily targeted, pregnant women worldwide were eligible. The current analysis includes data on women enrolled 06/2020-11/2020. Self-reported data included mental health measures (Edinburgh Perinatal Depression Scale (EPDS), Generalized Anxiety Disorders (GAD-7)), stress. We compared maternal mental health stratifying on country/continents of residence, and identified determinants of mental health using multivariable regression models.

Results

Of 2,109 pregnant women recruited, 1,932 were from Canada, 48 the United States (US), 73 Europe, 35 Africa, and 21 Asia/Oceania. Mean depressive symptom scores were lower in Canada (EPDS 8.2, SD 5.2) compared to the US (EPDS 10.5, SD 4.8) and Europe (EPDS 10.4, SD 6.5) (p<0.05), regardless of being infected or not. Maternal anxiety, stress, decreased income and access to health care due to the pandemic were increasing maternal depression. The prevalence of severe anxiety was similar across country/continents. Maternal depression, stress, and earlier recruitment during the pandemic (June/July) were associated with increased maternal anxiety.

Conclusions

In this first international study on the impact of the COVID-19 pandemic, CONCEPTION has shown significant country/continent-specific variations in depressive symptoms during pregnancy, whereas severe anxiety was similar regardless of place of residence. Strategies are needed to reduce COVID-19’s mental health burden in pregnancy.

Disclosure

No significant relationships.

Keywords

COVID-19 pandemicmaternal mental health during pregnancycountry/continent variationsEdinburgh Perinatal Depression Scale (EPDS)
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S209 - S210
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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