Skip to main content
Erschienen in:

18.03.2021 | Original Article

2019-nCOV distress and depressive, anxiety and OCD-type, and eating disorder symptoms among postpartum and control women

verfasst von: Katherine A. Thompson, Anna M. Bardone-Cone

Erschienen in: Archives of Women's Mental Health | Ausgabe 4/2021

Einloggen, um Zugang zu erhalten

Abstract

This study compared postpartum and control women on depressive, anxiety, and OCD-type symptoms, and eating disorder symptoms during the 2019-nCOV pandemic and evaluated if associations between 2019-nCOV distress and these mental health symptoms differed for postpartum compared to control women. A community sample of women, ages 18–39, who had either given birth in the past 12 months (n = 232) or had no pregnancy history (n = 137; controls), was recruited to complete an online survey about their depressive, anxiety, OCD, and eating disorder symptoms. Postpartum women reported greater OCD-type symptoms related to concerns about both contamination and responsibility for harm (ps < .05) compared to controls. After controlling for general stress and mental health history, the association between 2019-nCOV distress and OCD-type symptoms related to concerns about contamination was stronger among postpartum compared to control women (ps < .002). For all women, 2019-nCOV distress was positively related to general anxiety symptoms, total OCD-type symptoms, and OCD-type symptoms related to concerns about responsibility for harm after controlling for general stress and mental health history (ps < .03). Data are first to suggest postpartum women may be at elevated risk for OCD-type symptoms during 2019-nCOV pandemic, and pandemic distress is associated with anxiety and OCD-type symptoms among postpartum women more so than control women.
Literatur
Zurück zum Zitat Abramowitz JS, Deacon BJ, Olatunji BO, Wheaton MG, Berman NC, Losardo D, Timpano KR, McGrath PB, Riemann BC, Adams T, Björgvinsson T, Storch EA, Hale LR (2010) Assessment of obsessive-compulsive symptom dimensions: development and evaluation of the Dimensional Obsessive-Compulsive Scale. Psychol Assess 22(1):180–198. https://doi.org/10.1037/a0018260CrossRefPubMed Abramowitz JS, Deacon BJ, Olatunji BO, Wheaton MG, Berman NC, Losardo D, Timpano KR, McGrath PB, Riemann BC, Adams T, Björgvinsson T, Storch EA, Hale LR (2010) Assessment of obsessive-compulsive symptom dimensions: development and evaluation of the Dimensional Obsessive-Compulsive Scale. Psychol Assess 22(1):180–198. https://​doi.​org/​10.​1037/​a0018260CrossRefPubMed
Zurück zum Zitat American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub
Zurück zum Zitat Banti S, Mauri M, Oppo A, Borri C, Rambelli C, Ramacciotti D, Montagnani MS, Camilleri V, Cortopassi S, Rucci P, Cassano GB (2011) From the third month of pregnancy to 1 year postpartum: prevalence, incidence, recurrence, and new onset of depression, results from the Perinatal Depression-Research & Screening Unit study. Compr Psychiatry 52(4):343–351. https://doi.org/10.1016/j.comppsych.2010.08.003CrossRefPubMed Banti S, Mauri M, Oppo A, Borri C, Rambelli C, Ramacciotti D, Montagnani MS, Camilleri V, Cortopassi S, Rucci P, Cassano GB (2011) From the third month of pregnancy to 1 year postpartum: prevalence, incidence, recurrence, and new onset of depression, results from the Perinatal Depression-Research & Screening Unit study. Compr Psychiatry 52(4):343–351. https://​doi.​org/​10.​1016/​j.​comppsych.​2010.​08.​003CrossRefPubMed
Zurück zum Zitat Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J Royal Stat Soc Series B (Methodological) 57:289–300CrossRef Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J Royal Stat Soc Series B (Methodological) 57:289–300CrossRef
Zurück zum Zitat Cohen S (1988) Perceived stress in a probability sample of the United States. In The social psychology of health (pp. 31–67). Sage Publications, Inc Cohen S (1988) Perceived stress in a probability sample of the United States. In The social psychology of health (pp. 31–67). Sage Publications, Inc
Zurück zum Zitat Huang Y, Wang Y, Wang H, Liu Z, Yu X, Yan J, Yu Y, Kou C, Xu X, Lu J, Wang Z, He S, Xu Y, He Y, Li T, Guo W, Tian H, Xu G, Xu X, …, Wu Y (2019) Prevalence of mental disorders in China: a cross-sectional epidemiological study. Lancet Psychiatry 6(3) 211-224. https://doi.org/10.1016/S2215-0366(18)30511-X Huang Y, Wang Y, Wang H, Liu Z, Yu X, Yan J, Yu Y, Kou C, Xu X, Lu J, Wang Z, He S, Xu Y, He Y, Li T, Guo W, Tian H, Xu G, Xu X, …, Wu Y (2019) Prevalence of mental disorders in China: a cross-sectional epidemiological study. Lancet Psychiatry 6(3) 211-224. https://​doi.​org/​10.​1016/​S2215-0366(18)30511-X
Zurück zum Zitat Karam F, Bérard A, Sheehy O, Huneau M-C, Briggs G, Chambers C, Einarson A, Johnson D, Kao K, Koren G, Martin B, Polifka JE, Riordan SH, Roth M, Lavigne SV, Wolfe L (2012) Reliability and validity of the 4-item perceived stress scale among pregnant women: results from the OTIS antidepressants study. Res Nurs Health 35(4):363–375. https://doi.org/10.1002/nur.21482CrossRefPubMed Karam F, Bérard A, Sheehy O, Huneau M-C, Briggs G, Chambers C, Einarson A, Johnson D, Kao K, Koren G, Martin B, Polifka JE, Riordan SH, Roth M, Lavigne SV, Wolfe L (2012) Reliability and validity of the 4-item perceived stress scale among pregnant women: results from the OTIS antidepressants study. Res Nurs Health 35(4):363–375. https://​doi.​org/​10.​1002/​nur.​21482CrossRefPubMed
Zurück zum Zitat Ohoka H, Koide T, Goto S, Murase S, Kanai A, Masuda T, Aleksic B, Ishikawa N, Furumura K, Ozaki N (2014) Effects of maternal depressive symptomatology during pregnancy and the postpartum period on infant–mother attachment. Psychiatry Clin Neurosci 68(8):631–639. https://doi.org/10.1111/pcn.12171CrossRefPubMed Ohoka H, Koide T, Goto S, Murase S, Kanai A, Masuda T, Aleksic B, Ishikawa N, Furumura K, Ozaki N (2014) Effects of maternal depressive symptomatology during pregnancy and the postpartum period on infant–mother attachment. Psychiatry Clin Neurosci 68(8):631–639. https://​doi.​org/​10.​1111/​pcn.​12171CrossRefPubMed
Zurück zum Zitat Peterson CB, Crosby RD, Wonderlich SA, Joiner T, Crow SJ, Mitchell JE, Bardone-Cone AM, Klein M, le Grange D (2007) Psychometric properties of the eating disorder examination-questionnaire: factor structure and internal consistency. Int J Eat Disord 40(4):386–389. https://doi.org/10.1002/eat.20373CrossRefPubMed Peterson CB, Crosby RD, Wonderlich SA, Joiner T, Crow SJ, Mitchell JE, Bardone-Cone AM, Klein M, le Grange D (2007) Psychometric properties of the eating disorder examination-questionnaire: factor structure and internal consistency. Int J Eat Disord 40(4):386–389. https://​doi.​org/​10.​1002/​eat.​20373CrossRefPubMed
Metadaten
Titel
2019-nCOV distress and depressive, anxiety and OCD-type, and eating disorder symptoms among postpartum and control women
verfasst von
Katherine A. Thompson
Anna M. Bardone-Cone
Publikationsdatum
18.03.2021
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 4/2021
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-021-01120-9

Neu in den Fachgebieten Neurologie und Psychiatrie

Okzipitale Nervenstimulation: Op.-Erfahrungen aus Dänemark

Derzeit gibt es kein breit akzeptiertes Standardprotokoll, was das chirurgische Vorgehen bei okzipitaler Nervenstimulation betrifft. Ein Ärzteteam aus Dänemark hat nun seinen Ansatz vorgestellt, der bestimmte Vorteile bieten soll.

Stumme Schlaganfälle − ein häufiger Nebenbefund im Kopf-CT?

In 4% der in der Notfallambulanz initiierten zerebralen Bildgebung sind „alte“ Schlaganfälle zu erkennen. Gar nicht so selten handelt es sich laut einer aktuellen Studie dabei um unbemerkte Insulte. Bietet sich hier womöglich die Chance auf ein effektives opportunistisches Screening?

Migräne verstehen und psychotherapeutisch behandeln

Das Wissen über die Mechanismen, die im Gehirn bei einer Migräneattacke ablaufen, und mögliche Auslöser wird immer breiter. Der psychologische Psychotherapeut Dr. Dipl.-Psych. Timo Klan fasst den aktuellen Erkenntnisstand zusammen. Und er gibt Tipps für eine differenzierte, individuelle Diagnostik auch von Begleiterkrankungen und beschreibt erfolgreiche psychotherapeutische Interventionen.

Gefahr von Hirnblutungen: DOAK riskanter als ASS?

Aus Angst vor Blutungen wird Patienten mit Vorhofflimmern nicht selten ASS anstelle einer Antikoagulation verordnet. Zumindest im Hinblick auf intrakranielle Blutungen bietet ASS jedoch nicht mehr Sicherheit als direkte orale Antikoagulanzien, zeigt eine Metaanalyse.