Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemic

Objective/Background Unmet needs in perinatal mental healthcare are an important public health issue particularly in the context of a stressful life event such as the COVID-19 pandemic but data on the extent of this problem are needed. Aim The aim of this study is to determine the (1) proportion of...

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Autores: Costa, Raquel, Mesquita, Ana, Motrico Martínez, Emma, Domínguez Salas, Sara, Dikmen Yildiz, Pelin, Saldivia, Sandra, Vousoura, Eleni, Osorio, Ana, Wilson, Claire A., Bina, Rena, Levy, Drorit, Christoforou, Andri, González, María Fernanda, Hancheva, Camelia, Felice, Ethel, Pinto, Tiago Miguel
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/165468
Acesso em linha:https://hdl.handle.net/11441/165468
https://doi.org/10.1111/acps.13664
Access Level:acceso abierto
Palavra-chave:Anxiety
Depression
EPDS
Postpartum
Pregnancy
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spelling Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemicCosta, RaquelMesquita, AnaMotrico Martínez, EmmaDomínguez Salas, SaraDikmen Yildiz, PelinSaldivia, SandraVousoura, EleniOsorio, AnaWilson, Claire A.Bina, RenaLevy, DroritChristoforou, AndriGonzález, María FernandaHancheva, CameliaFelice, EthelPinto, Tiago MiguelAnxietyDepressionEPDSPostpartumPregnancyObjective/Background Unmet needs in perinatal mental healthcare are an important public health issue particularly in the context of a stressful life event such as the COVID-19 pandemic but data on the extent of this problem are needed. Aim The aim of this study is to determine the (1) proportion of women with clinically significant symptoms of perinatal depression, anxiety or comorbid symptoms of depression and anxiety, receiving mental healthcare overall and by country and (2) factors associated with receiving mental healthcare. Method Women in the perinatal period (pregnancy or up to 6 months postpartum) participating in the Riseup-PPD-COVID-19 cross-sectional study, reported on sociodemographic, social support health-related factors, and COVID-19 related factors, and on symptoms of depression (Edinburgh Postnatal Depression Scale [EPDS]) and anxiety (Generalised Anxiety Disorder [GAD-7]) using self-report questionnaires. Clinically significant symptoms were defined as EPDS ≥ 13 for depression and GAD-7 ≥ 10 for anxiety. Mental healthcare was defined as self-reported current mental health treatment. Results Of the 11 809 participants from 12 countries included in the analysis, 4 379 (37.1%) reported clinically significant symptoms of depression (n = 1 228; 10.4%; EPDS ≥ 13 and GAD-7 ⟨ 10), anxiety (n = 848; 7.2%; GAD-7 ≥ 10 and EPDS ⟨ 13) or comorbid symptoms of depression and anxiety (n = 2 303; 19.5%; EPDS ≥ 13 and GAD-7 ≥ 10). Most women with clinically significant symptoms of depression, anxiety, or comorbid symptoms of depression and anxiety were not receiving mental healthcare (89.0%). Variation in the proportion of women with clinically significant symptoms of depression and/or anxiety reporting mental healthcare was high (4.7% in Turkey to 21.6% in Brazil). Women in the postpartum (vs. pregnancy) were less likely (OR 0.72; 95% CI 0.59-0.88), whereas women with previous mental health problems (vs. no previous mental health problems) (OR 5.56; 95% CI 4.41-7.01), were more likely to receive mental healthcare. Conclusion There are high unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety across countries during the COVID-19 pandemic. Studies beyond the COVID-19 pandemic and covering the whole range of mental health problems in the perinatal period are warranted to understand the gaps in perinatal mental healthcare.WileyPsicología ExperimentalNational Institute for Health and Care ResearchFundação para a Ciência e a Tecnologia. PortugalCAPES/ProexEuropean Commission. Fondo Social Europeo (FSO)European Cooperation in Science and Technology (COST)ProChild CoLABRegional Operational Programme of the North 2020Mission Interface Program from the Resilience and Recuperation PlanCentro de Investigação em Psicologia (CIPsi)Foundation for Science and Technology (FCT)2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/165468https://doi.org/10.1111/acps.13664reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésActa Psychiatrica Scandinavica, 150 (5), 474-491.UIDB/04750/2020LA/P/0064/2020UIDB/05380/2020SFRH/BPD/117597/ 201688887.310343/2018-00NORTE59-2018-41NORTE-06-3559-FSE00004401/C05-i02 /2022PSI/01662UIDB/PSI/ 01662/2020https://doi.org/10.1111/acps.13664info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1654682026-06-17T12:51:07Z
dc.title.none.fl_str_mv Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemic
title Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemic
spellingShingle Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemic
Costa, Raquel
Anxiety
Depression
EPDS
Postpartum
Pregnancy
title_short Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemic
title_full Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemic
title_fullStr Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemic
title_full_unstemmed Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemic
title_sort Unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety during the COVID-19 pandemic
dc.creator.none.fl_str_mv Costa, Raquel
Mesquita, Ana
Motrico Martínez, Emma
Domínguez Salas, Sara
Dikmen Yildiz, Pelin
Saldivia, Sandra
Vousoura, Eleni
Osorio, Ana
Wilson, Claire A.
Bina, Rena
Levy, Drorit
Christoforou, Andri
González, María Fernanda
Hancheva, Camelia
Felice, Ethel
Pinto, Tiago Miguel
author Costa, Raquel
author_facet Costa, Raquel
Mesquita, Ana
Motrico Martínez, Emma
Domínguez Salas, Sara
Dikmen Yildiz, Pelin
Saldivia, Sandra
Vousoura, Eleni
Osorio, Ana
Wilson, Claire A.
Bina, Rena
Levy, Drorit
Christoforou, Andri
González, María Fernanda
Hancheva, Camelia
Felice, Ethel
Pinto, Tiago Miguel
author_role author
author2 Mesquita, Ana
Motrico Martínez, Emma
Domínguez Salas, Sara
Dikmen Yildiz, Pelin
Saldivia, Sandra
Vousoura, Eleni
Osorio, Ana
Wilson, Claire A.
Bina, Rena
Levy, Drorit
Christoforou, Andri
González, María Fernanda
Hancheva, Camelia
Felice, Ethel
Pinto, Tiago Miguel
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Psicología Experimental
National Institute for Health and Care Research
Fundação para a Ciência e a Tecnologia. Portugal
CAPES/Proex
European Commission. Fondo Social Europeo (FSO)
European Cooperation in Science and Technology (COST)
ProChild CoLAB
Regional Operational Programme of the North 2020
Mission Interface Program from the Resilience and Recuperation Plan
Centro de Investigação em Psicologia (CIPsi)
Foundation for Science and Technology (FCT)
dc.subject.none.fl_str_mv Anxiety
Depression
EPDS
Postpartum
Pregnancy
topic Anxiety
Depression
EPDS
Postpartum
Pregnancy
description Objective/Background Unmet needs in perinatal mental healthcare are an important public health issue particularly in the context of a stressful life event such as the COVID-19 pandemic but data on the extent of this problem are needed. Aim The aim of this study is to determine the (1) proportion of women with clinically significant symptoms of perinatal depression, anxiety or comorbid symptoms of depression and anxiety, receiving mental healthcare overall and by country and (2) factors associated with receiving mental healthcare. Method Women in the perinatal period (pregnancy or up to 6 months postpartum) participating in the Riseup-PPD-COVID-19 cross-sectional study, reported on sociodemographic, social support health-related factors, and COVID-19 related factors, and on symptoms of depression (Edinburgh Postnatal Depression Scale [EPDS]) and anxiety (Generalised Anxiety Disorder [GAD-7]) using self-report questionnaires. Clinically significant symptoms were defined as EPDS ≥ 13 for depression and GAD-7 ≥ 10 for anxiety. Mental healthcare was defined as self-reported current mental health treatment. Results Of the 11 809 participants from 12 countries included in the analysis, 4 379 (37.1%) reported clinically significant symptoms of depression (n = 1 228; 10.4%; EPDS ≥ 13 and GAD-7 ⟨ 10), anxiety (n = 848; 7.2%; GAD-7 ≥ 10 and EPDS ⟨ 13) or comorbid symptoms of depression and anxiety (n = 2 303; 19.5%; EPDS ≥ 13 and GAD-7 ≥ 10). Most women with clinically significant symptoms of depression, anxiety, or comorbid symptoms of depression and anxiety were not receiving mental healthcare (89.0%). Variation in the proportion of women with clinically significant symptoms of depression and/or anxiety reporting mental healthcare was high (4.7% in Turkey to 21.6% in Brazil). Women in the postpartum (vs. pregnancy) were less likely (OR 0.72; 95% CI 0.59-0.88), whereas women with previous mental health problems (vs. no previous mental health problems) (OR 5.56; 95% CI 4.41-7.01), were more likely to receive mental healthcare. Conclusion There are high unmet needs in mental healthcare for women with clinically significant symptoms of perinatal depression and/or anxiety across countries during the COVID-19 pandemic. Studies beyond the COVID-19 pandemic and covering the whole range of mental health problems in the perinatal period are warranted to understand the gaps in perinatal mental healthcare.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/165468
https://doi.org/10.1111/acps.13664
url https://hdl.handle.net/11441/165468
https://doi.org/10.1111/acps.13664
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Acta Psychiatrica Scandinavica, 150 (5), 474-491.
UIDB/04750/2020
LA/P/0064/2020
UIDB/05380/2020
SFRH/BPD/117597/ 2016
88887.310343/2018-00
NORTE59-2018-41
NORTE-06-3559-FSE000044
01/C05-i02 /2022
PSI/01662
UIDB/PSI/ 01662/2020
https://doi.org/10.1111/acps.13664
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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