Anxiety and depression in the COVID-19 pandemic context and the relationship with the defense mechanisms of pregnant women

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.18489

Keywords:

Anxiety; Depression; Pregnant Women; COVID-19.

Abstract

Introduction: The pregnancy period is evidenced by changes, which include physical, psychological and social changes in pregnant women. Objective: To verify anxiety and depression in the COVID-19 pandemic context and the relationship with the defense mechanisms of pregnant women so that coping strategies with professional assistance are developed. Method: Cross-sectional study with descriptive design, quantitative analytical approach, with correlation between variables, developed in a specialized maternal and child center and in the emergency obstetric sector of a hospital, both in the São Paulo countryside. Sixty-one pregnant women participated in the study, 30 from specialized maternal and child center and 31 from the obstetric emergency, aged 18 years or over. Data were collected through two questionnaires, one with sociodemographic data and the other with open and closed questions about positive and negative defense mechanisms. To assess symptoms of anxiety and depression, the Hospital Anxiety and Depression Scale was used, data that were analyzed descriptively and inferentially. Results: It was found that 29.51% of pregnant women had symptoms of anxiety and 24.59% symptoms of depression. Of the pregnant women who presented depression, 66.67% were in the obstetric emergency. It was found that 14.75% said they consumed alcohol or illicit drugs during the COVID-19 pandemic context, 45.90% of the pregnant women did not perform physical activity during the pandemic period and 49.18% had difficulty sleeping. Conclusion: The results of the study show that part of the pregnant women have a situation of vulnerability related to impaired mental health and marked changes in routine in the current pandemic period.

References

Almeida, M. O., Portugal, T. M. & Assis, T. J. (2020, abril/junho). Gestantes e COVID-19: isolamento como fator de impacto físico e psíquico. Revista Brasileira de Saúde Materno Infantil, 20(2), 599-602. Recuperado em 20 de maio de 2021, http://dx.doi.org/10.1590/1806-93042020000200015

Arrais, A., Araujo, T. & Schiavo, R. (2019, maio/agosto) Depressão e ansiedade gestacionais relacionadas à depressão pós-parto e o papel preventivo do pré-natal psicológico. Revista Psicologia e Saúde, 11(2), 23-34. Recuperado em 29 de junho de 2021, https://doi.org/10.20435/pssa.v0i0.706

Barros, M., Lima, M., Malta, D., Szwarcwald, C., Azevedo, R., Romero, D. et al. (2020). Relato de tristeza/depressão, nervosismo/ansiedade e problemas de sono na população adulta brasileira durante a pandemia de COVID-19. Epidemiologia e Serviços de Saúde, 29(4), e2020427.

Bergh, B. V., Dahnke, R. & Mennes, M. (2018, agosto). Prenatal stress and the developing brain: risks for neurodevelopmental disorders. Development and Psychopathology, 30(3), 743–762.

Biratu, A. & Demewoz, H. (2015, outubro). Prevalence of antenatal depression and associated factors among pregnant women in Addis Ababa, Etiópia: a cross-sectional study. Reproductive Health, 12(99). Recuperado em 16 de Agosto de 2020, https://doi.org/10.1186/s12978-015-0092-x

Biviá-Roig, G., La Rosa, VL, Gómez-Tébar, M., Serrano-Raya, L., Amer-Cuenca, J., Caruso, S., et al. (2020). Analysis of te impact of the confinement resulting from COVID-19 on the lifestyle and psychological wellbeing of Spanish pregnant women: na internet-basead cross-sectional survey. International Journal of Environmental Research and Public Health, 17(5933), 1-14. Recuperado em 29 de junho de 2021, https://doi.org/10.3390/ijerph17165933

Budak, M., Kahramanoglu, I., Vitale, S., Akgol, S., Dilek, M., Kartal, S. et al. (2019, agosto). Maternal abdominal subcutaneous fat thickness as a simple predictor for gestational diabetes mellitus. Journal of Perinatal Medicine, 47(6):605-610.

Ceulemans, M., Hompes, T. & Foulon, V. (2020, julho). Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic: a call for action. International Journal of Gynecology & Obstetrics, 151, 146-147. Recuperado em 13 de junho de 2021, https://doi.org/10.1002/ijgo.13295

Christian, L., Carroll, J. E., Teti, D. & Hall, M. (2019). Maternal sleep in pregnancy and postpartum part I: mental, physical, and interpersonal consequences. Current Psychiatry Reports, 21(20), 1-8. Recuperado em 8 de maio 2021, https://doi.org/10.1007/s11920-019-0999-y

Dennis, C. L., Falah-Hassani, K. & Shiri, R. (2017, maio). Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. British Journal of Psychiatry, 210(5), 315-323. Recuperado 8 de maio 2021, 10.1192/bjp.bp.116.187179.

Dong, H., Hu, R., Lu, C., Huang, D., Cui, D., Huang, G. et al. (2020, outubro). Investigation on the mental health status of pregnant women in China during the pandemic of COVID-19. Archives of Gynecology and Obstettrics, 303, 463-469. Recuperado em 10 de maio 2021, 10.1007 / s00404-020-05805-x

Estrela, F. M., Silva, K. K., Cruz, M. A. & Gomes, N. P. (2020). Gestantes no contexto da pandemia da Covid-19: reflexões e desafios. Physis: Revista de Saúde Coletiva, 30(2):1-5

Fan, S., Guan, J., Cao, L., Wang, M., Zhao, H., Chen, L. et al. (2021, fevereiro). Psychological effects caused by COVID-19 pandemic on pregnant women: a systematic review with meta-analysis. Asian Journal of Psychiatry, 56, 102533. Recuperado em 11 de junho 2021, https://doi.org/10.1016/j.ajp.2020.102533

Figueiroa, M., Menezes, M., Monteiro, E., Aquino, J., Mendes, N. & Silva, P. (2017). Acolhimento do usuário e classificação de risco em emergência obstétrica: avaliação da operacionalização em maternidade-escola. Escola Anna Nery, 21(4), e20170087. Recuperado em 11 de junho 2021, https://doi.org/10.1590/2177-9465-EAN-2017-0087

Führer, A., Frese, T., Karch, A., Mau, W., Meyer, G., Richter, M. et al. (2020, agosto). COVID-19: knowledge, risk perception and strategies for handling the pandemic. Journal of Evidence in Health Care, 153-154, 32-38. Recuperado em 13 de junho 2021, https://doi.org/10.1016/j.zefq.2020.06.002

Gonçalves, L. A., Monteiro, C. F., Silva Júnior, F., Veloso, L. U., Oliveira, A. D. & Nunes, B. M. (2020). Rastreio do consumo de bebidas alcoólicas em gestantes. Reme: Revista Mineira de Enfermagem, 24(e1322), 1-6. Recuperado em 13 de junho 2021, https://dx.doi.org/10.5935/1415-2762.20200059

Grigoriadis S., Graves, L., Peer, M., Mamisashvili, L., Tomlinson, G., Vigod, S., et al. (2018, setembro). Maternal anxiety during pregnancy and the association with adverse perinatal outcomes: systematic review and meta-analysis. Journal of Clinical Psychiatry, 79(5), 17r12011, 10.4088/JCP.17r12011

Lebel, C., MacKinnon, A., Bagshawe, M., Tomfohr-Madsen, L. & Giesbrecht, G. (2020, abril). Elevated depression and anxiety among pregnant individuals during the COVID-19 pandemic. PsyArxiv Preprints, 277, 5-13. Recuperado em 17 de junho 2021, 10.31234/osf.io/gdhkt

Lee R. W., Loy, S. L., Yang, L., Chan, J. K. & Tan, L. K. (2020). Attitudes and precaution practices towards COVID-19 among pregnant women in Singapore: a cross-sectional survey. BMC Pregnancy and Childbirth, 20(675), 1-10. Recuperado em 17 de junho 2021, https://doi.org/10.1186/s12884-020-03378-w

Lucci, T. K., Otta, E., David, V. F., & Chelini, M. O. M. (2016). Depressão materna e concentração de cortisol de recém-nascidos em uma amostra brasileira. Revista Psico, 47(2), 140-147. Recuperado em 17 de junho 2021, http://dx.doi.org/10.15448/1980-8623.2016.2.23655

Matvienko-Sikar, K., Pope, J., Cremin, A., Carr, H., Leitao, S., Olander, E. K. et al. (2020, outubro). Differences in levels of stress, social support, health behaviours, and stress-reduction strategies for women pregnant before and during the covid-19 pandemic, and based on phases of pandemic restrictions, in Ireland. Women and Birth, 1207, 1-8. Recuperado em 20 de junho 2021, 10.1016 / j.wombi.2020.10.010

Pancani, L., Marinucci, M., Aureli, N. & Riva, P. (2020, setembro). Forced social isolation and mental health: a study on 1006 italians under COVID-19 lockdown. Arquivo de Psicologia, 1-22. Recuperado em 20 de junho 2021, 10.31234/osf.io/uacfj

Parra-Saavedra, M., Villa-Villa, I., Pérez-Olivo, J., Guzman-Polania, L., Galvis-Centurion, P., Cumplido-Romero, Á. et al. (2020, novembro). Attitudes and collateral psychological effects of COVID-19 in pregnant women in Colombia. International Journal of Gynecology & Obstetrics, 151(2):203-208. Recuperado em 20 de junho 2021, https://doi.org/10.1002/ijgo.13348

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM. Recuperado em: 30 de julho de 2021.

Rodríguez-Bernal, C. L., Ramón, R., Quiles, J., Murcia, M., Navarrete-Muñoz, E., Vioque, J. et al. (2013). Dietary intake in pregnant women in a Spanish mediterranean área: as good as it is supposed to be?. Public Health Nutrition, 16(8), 1379-1389.

Salman, H., Shah, M., Ali, A., Aziz, A., & Vitale, S. (2018, julho). Assessment of relationship of sérum neurokinin- B level in the pathophysiology of pre-eclampsia: a case control study. Advances in Therapy, 35(7), 1114-1121.

Silva, M., Nogueira, D., Clapis, M. & Leite, E. (2017). Ansiedade na gravidez: prevalência e fatores associados. Revista da Escola de Enfermagem da USP, 51, e03253. Recuperado em 11 de junho de 2021, https://doi.org/10.1590/S1980-220X2016048003253

Stepowicz, A., Wencka, B., Bieńkiewicz, J., Horzelski, W. & Grzesiak, M. (2020, dezembro). Stress and anxiety levels in pregnant and post-partum women during the COVID-19 pandemic. Internacional Jornal of Environmental Research and Public Health, 17(24), 9450. Recuperado em 24 de junho 2021, https://doi.org/10.3390/ijerph17249450

Thapa, S. B., Mainali, A., Schwank, S. E. & Acharya, G. (2020, maio). Maternal mental health in the time of the COVID-19 pandemic. Acta Obstetricia et Gynecologica Scandinavica, 99(7), 817–818. Recuperado em 24 de junho 2021, https://doi.org/10.1111/aogs.13894

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. et al. (2020, março). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of environmental Research and Public Health, 17(5), 1729.

Yan, H., Ding, Y., & Guo, W. (2020, novembro). Mental health of pregnant and postpartum women during the coronavirus disease 2019 pandemic: a systemactic review and meta- analysis. Frontiers in Psychology, 11(617001), 1-12. Recuperado em 26 de junho de 2021, https://doi.org/10.3389/fpsyg.2020.617001

Yılmaz, C. & Gökmen, V. N. (2020, fevereiro). Neuroactive compounds in foods: ocorrence, mechanism and potential health effects. Food Research International, 128, 108744.

Published

06/08/2021

How to Cite

PECHINIM, I.; BARBOSA, G. A. S. .; WERNECK, A. L. Anxiety and depression in the COVID-19 pandemic context and the relationship with the defense mechanisms of pregnant women . Research, Society and Development, [S. l.], v. 10, n. 10, p. e93101018489, 2021. DOI: 10.33448/rsd-v10i10.18489. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18489. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences