Effects of COVID-19 infection risk perception on depressive symptoms among pregnant women in different periods of the COVID-19 pandemic in China: A mediation model.

Publication date: Mar 05, 2024

The study investigated the mediation mechanisms between coronavirus disease 2019 (COVID-19) infection risk perception and depressive symptoms among pregnant women during the different periods of the COVID-19 pandemic. Study data were derived from a sample of 463 pregnant women in Hubei Province, the province with the most severe COVID-19 outbreak in China. Data were collected in two phases (during and after the acute phase of the COVID-19 pandemic) using the COVID-19 infection risk perception scales, the Edinburg Postnatal Depression Scale (EPDS), the Perceived Stress Scale (PSS), and the Peritrauma Distress Inventory (PDI). Mediation model analysis was used for data analysis, overall and by groups. The level of depressive symptoms among pregnant women after the acute phase of the COVID-19 pandemic was moderate (median, 9. 00 [25th percentile, 75th percentile = 5. 00, 12. 00]), higher than the acute group (median, 7. 00 [25th percentile, 75th percentile = 4. 50, 10. 00]). Perceived stress and traumatic stress fully mediated the relationship between infection worry (total indirect effect, 0. 39 [95% confidence interval, 0. 24-0. 54])/infection possibility (total indirect effect, 0. 41 [95% confidence interval, 0. 22-0. 61]) and depressive symptoms among pregnant women during the acute phase of the COVID-19 pandemic, whereas the relationship was only fully mediated by perceived stress after the acute pandemic. Effects of risk perception on depressive symptoms varied by periods of COVID-19. These findings have important implications for developing effective prevention and early psychoeducational intervention strategies for pregnant women with a high risk of depressive symptoms during different periods of emerging infectious diseases.

Concepts Keywords
China COVID-19
Coronavirus depressive symptoms
Postnatal perceived stress
Pregnant pregnant women
Psychoeducational risk perception
traumatic stress

Semantics

Type Source Name
disease MESH COVID-19
disease MESH infection
disease VO pregnant women
disease MESH Postnatal Depression
disease VO effective
disease IDO intervention
disease MESH emerging infectious diseases

Original Article

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