Relationship between Social Support and Anxiety caused by COVID-19 in Pregnant Women

Document Type : Original Article

Authors

1 Assistant Professor, Department of Community Health Nursing, Behavioral Sciences Research Center, Lifestyle Institute, School of Nursing, Baqiyatallah Medical Sciences University, Tehran, Iran.

2 PhD of Reproductive Health, School of Nursing and Midwifery, Islamic Azad University, Ahvaz branch, Ahvaz, Iran.

3 PhD of Reproductive Health, School of Nursing and Midwifery, Islamic Azad University, Bojnourd branch, Bojnourd, Iran.

4 Assistant Professor, Department of Internal Surgery, Behavioral Sciences Research Center, Lifestyle Institute, School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Abstract

Introduction: Pregnancy itself is a stressful event that can be affected by the current outbreak of COVID-19. It is important to pay attention to the factors that reduce the anxiety caused by COVID-19 epidemics in pregnant women. Therefore, this study was performed with aim to determine the relationship between social support and anxiety caused by the epidemic of COVID-19 in pregnant women.
Methods: This cross-sectional, correlational study was performed on 200 pregnant women in 2020. Sampling tools included a demographic and midwifery information questionnaire, Perceived Social Support-Family questionnaire (pss-fa), and a questionnaire for anxiety in Pregnant Women caused by COVID-19 epidemic. Data were analyzed by SPSS software (version 16) and Pearson correlation coefficient, ANOVA and independent t-test, and single-variable linear regression. P<0.05 was considered statistically significant.
Results: The prevalence of anxiety caused by COVID-19 epidemics was significantly different in the weak, moderate, and strong social support subgroups (P<0.001). The results of correlation test showed significant inverse relationship between anxiety caused by COVID-19 and the level of social support received by pregnant women (Pearson correlation coefficient=-0.211, p=0.003); this means that increasing the level of social support from the family reduces the level of anxiety caused by COVID-19 epidemics in pregnant women.
Conclusion: Considering the inverse relationship between the rate of anxiety caused by COVID-19 epidemic and the level of social support received by pregnant women, it seems that supportive measures by the family and those around them are essential.

Keywords

References

  1. Khalili R. Prevalence of various psychological disorders during the COVID-19 pandemic: Systematic review. Journal Mil Med 2020; 22(6):648-62.
  2. Karimi FZ, Nosrati Hadiabad SF, Abdollahi M, Karimi L. Frequency of Sleep Disorders and Individual Related Factors in Pregnant Women Referred to Mashhad Health Centers in 2019. Iran J Obstet Gynecol Infertil 2020; 23(1):25-32.
  3. Elsenbruch S, Benson S, Rücke M, Rose M, Dudenhausen J, Pincus-Knackstedt MK, et al. Social support during pregnancy: effects on maternal depressive symptoms, smoking and pregnancy outcome. Hum Reprod 2007; 22(3):869-77.
  4. Halbreich U. Prevalence of mood symptoms and depressions during pregnancy: implications for clinical practice and research. CNS Spectr 2004; 9(3):177-84.
  5. Makvandi S, Mahdavian M, Karimi L. COVID-19 and pregnant women: a letter to editor. Nurse Care Open Acces J 2020; 7(3):58.
  6. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health 2020; 17(5):1729.
  7. Corbett GA, Milne SJ, Hehir MP, Lindow SW, O'connell MP. Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. Eur J Obstet Gynecol Reprod Biol 2020; 249:96-97.
  8. Wu YT, Zhang C, Liu H, Duan CC, Li C, Fan JX, et al. Perinatal Depression of Women Along with 2019 Novel Coronavirus Breakout in China; 2020.
  9. Fakari FR, Simbar M. Coronavirus pandemic and worries during pregnancy; a letter to editor. Archives of academic emergency medicine 2020; 8(1).
  10. Harley K, Eskenazi B. Time in the United States, social support and health behaviors during pregnancy among women of Mexican descent. Soc Sci Med 2006; 62(12):3048-61.
  11. Abdollahzade Rafi M, Hassanzadeh M, Hosseini MA. Relationship between social support with depression and anxiety during third trimester pregnancy. Iranian journal of Nursing research 2012; 7(26):1-0.
  12. Moshki M, Armanmehr V, Cheravi K. The relationship between depression during pregnancy with social support and some demographic variables in pregnant women. Iran J Obstet Gynecol Infertil 2015; 18(142):12-20.
  13. Ditzen B, Schmidt S, Strauss B, Nater UM, Ehlert U, Heinrichs M. Adult attachment and social support interact to reduce psychological but not cortisol responses to stress. J Psychosom Res 2008; 64(5):479-86.
  14. Shishehgar S, Dolatian M, Majd HA. A survey of relationship between social support with quality of life as well as stress among pregnant women referred to Shahryar hospital affiliated to social security organization in 1391. Advances in Nursing & Midwifery 2014; 23(81):27-32.
  15. Tull MT, Edmonds KA, Scamaldo K, Richmond JR, Rose JP, Gratz KL. Psychological Outcomes Associated with Stay-at-Home Orders and the Perceived Impact of COVID-19 on Daily Life. Psychiatry research 2020: 113098.
  16. Hulley S, Cummings S, Browner W, Grady D, Newman T. Designing clinical research : an epidemiologic approach. 4nd ed. Philadelphia: Lippincott Williams & Wilkins, Wolters Kluwer Health; 2013.
  17. Windle M, Miller-Tutzauer C. Confirmatory factor analysis and concurrent validity of the perceived social support-family measure among adolescents. Journal of Marriage and the Family 1992: 777-87.
  18. Bodaghi E, Alipour F, Bodaghi M, Nori R, Peiman N, Saeidpour S. The role of spirituality and social support in pregnant women's anxiety, depression and stress symptoms. Community Health Journal 2017; 10(2):72-82.
  19. Saadati N, Afshari P, Boostani H, Beheshtinasab M, Abedi P, Maraghi E. Health Anxiety of Pregnant Women and Its Related Factors During the Pandemic of Corona Virus; 2020.
  20. Hossain N, Samuel M, Sandeep R, Imtiaz S, Zaheer S. Perceptions, Generalized Anxiety and Fears of Pregnant women about Corona Virus infection in the heart of Pandemic; 2020.
  21. McLeish J, Redshaw M. Mothers’ accounts of the impact on emotional wellbeing of organised peer support in pregnancy and early parenthood: a qualitative study. BMC pregnancy and childbirth 2017; 17(1):28.
  22. Asselmann E, Wittchen HU, Erler L, Martini J. Peripartum changes in social support among women with and without anxiety and depressive disorders prior to pregnancy: a prospective-longitudinal study. Arch Womens Ment Health 2016; 19(6):943-952.
  23. Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord 2020; 277:5-13.
  24. Volz M, Möbus J, Letsch C, Werheid K. The influence of early depressive symptoms, social support and decreasing self-efficacy on depression 6 months post-stroke. J Affect Disord 2016; 206:252-255.
  25. Castro P, Narciso C, Matos AP, Werner H, Araujo Júnior E. Pregnant, uninfected, stressed, and confined in the COVID-19 period: what can we expect in the near future?. Revista da Associação Médica Brasileira 2020; 66(4):386-7.
  26. Dashraath P, Wong JLJ, Lim MXK, Lim LM, Li S, Biswas A, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol 2020; 222(6):521-531.
  27. Gausman J, Langer A. Sex and Gender Disparities in the COVID-19 Pandemic. J Womens Health (Larchmt) 2020; 29(4):465-466.

The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 23, Issue 10
December 2021
Pages 9-17

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