Impact of the Covid-19 pandemic on perinatal mental health (Riseup-PPD-COVID-19): protocol for an international prospective cohort study
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Published on: June 13, 2021
Emma Motrico1, Rena Bina2, Sara Domínguez-Salas3
1Psychology Department, Universidad Loyola Andalucia, Avenida de las Universidades s/n, Dos Hermanas (Sevilla), Spain. emotrico@uloyola.es.
Insights
The COVID-19 pandemic negatively impacted perinatal mental health in pregnant and postpartum women. This international study identified risk and protective factors, informing future mental health interventions.
Area of Science:
- Perinatal Mental Health
- Epidemiology
- Public Health
Background:
- The COVID-19 pandemic poses risks to pregnant and postpartum women's mental health.
- Existing studies have limitations, lacking data on governmental measures and healthcare practices.
- The Riseup-PPD COST Action is conducting a study to address these gaps.
Purpose of the Study:
- To evaluate changes in perinatal mental health outcomes during the COVID-19 pandemic.
- To identify risk and protective factors influencing perinatal mental health.
- To compare findings across participating countries.
Main Methods:
- International prospective cohort study across 14 countries.
- Involves pregnant and postpartum women with infants up to 6 months.
- Utilizes data on COVID-19 measures, perinatal experiences, and mental health assessments (distress, depression, anxiety, PTSD).
Main Results:
- This study is ongoing and results are not yet available.
Conclusions:
- Findings will inform policymakers on guidelines and prevention strategies for perinatal mental health.
- The study aims to contribute to designing tailored mental health interventions.
- Machine learning will be used to identify predictive risk and protective factors.
Background:
Corona Virus Disease 19 (COVID-19) is a new pandemic, declared a public health emergency by the World Health Organization, which could have negative consequences for pregnant and postpartum women. The scarce evidence published to date suggests that perinatal mental health has deteriorated since the COVID-19 outbreak. However, the few studies published so far have some limitations, such as a cross-sectional design and the omission of important factors for the understanding of perinatal mental health, including governmental restriction measures and healthcare practices implemented at the maternity hospitals. Within the Riseup-PPD COST Action, a study is underway to assess the impact of COVID-19 in perinatal mental health. The primary objectives are to (1) evaluate changes in perinatal mental health outcomes; and (2) determine the risk and protective factors for perinatal mental health during the COVID-19 pandemic. Additionally, we will compare the results between the countries participating in the study.
Methods:
This is an international prospective cohort study, with a baseline and three follow-up assessments over a six-month period. It is being carried out in 11 European countries (Albania, Bulgaria, Cyprus, France, Greece, Israel, Malta, Portugal, Spain, Turkey, and the United Kingdom), Argentina, Brazil and Chile. The sample consists of adult pregnant and postpartum women (with infants up to 6 months of age). The assessment includes measures on COVID-19 epidemiology and public health measures (Oxford COVID-19 Government Response Tracker dataset), Coronavirus Perinatal Experiences (COPE questionnaires), psychological distress (BSI-18), depression (EPDS), anxiety (GAD-7) and post-traumatic stress symptoms (PTSD checklist for DSM-V).
Discussion:
This study will provide important information for understanding the impact of the COVID-19 pandemic on perinatal mental health and well-being, including the identification of potential risk and protective factors by implementing predictive models using machine learning techniques. The findings will help policymakers develop suitable guidelines and prevention strategies for perinatal mental health and contribute to designing tailored mental health interventions.
Trial Registration:
ClinicalTrials.gov Identifier: NCT04595123 .
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