Cited by 413Maternal Mental Health During Pregnancy and PostpartumCOVID-19 and Mental HealthMental Health Treatment and Access

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Maternal psychological distress & mental health service use during the COVID-19 pandemic

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Cameron, Emily E., Joyce, Kayla M., Delaquis, Chantal P., Reynolds, Kristin, Protudjer, Jennifer L.P., Roos, Leslie E.·2020·Journal of Affective Disorders

DOI 10.1016/j.jad.2020.07.081PMC PMC7370903

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Abstract

Background Mental health problems are increasingly recognized as a significant and concerning secondary effect of the COVID-19 pandemic. Research on previous epidemics/pandemics suggest that families, particularly mothers, may be at increased risk, but this population has yet to be examined. The current study (1) described prevalence rates of maternal depressive and anxiety symptoms from an online convenience sample during the COVID-19 pandemic, (2) identified risk and protective factors for elevated symptoms, and (3) described current mental health service use and barriers.Methods Participants (N = 641) were mothers of children age 0-8 years, including expectant mothers. Mothers completed an online survey assessing mental health, sociodemographic information, and COVID-19-related variables.Results Clinically-relevant depression was indicated in 33.16%, 42.55%, and 43.37% of mothers of children age 0-18 months, 18 months to 4 years, and 5 to 8 years, respectively. Prevalence of anxiety was 36.27%, 32.62%, and 29.59% for mothers across age groups, respectively. Binary logistic regressions indicated significant associations between risk factors and depression/anxiety across child age groups.Limitations Cross-sectional data was used to describe maternal mental health problems during COVID-19 limiting the ability to make inferences about the long-term impact of maternal depression and anxiety on family well-being.Conclusions Maternal depression and anxiety appear to be elevated in the context of COVID-19 compared to previously reported population norms. Identified risk factors for depression and anxiety across different child age ranges can inform targeted early intervention strategies to prevent long-term impacts of the COVID-19 pandemic on family well-being and child development.

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Authors: Cameron, E. E., Joyce, K. M., Delaquis, C. P., Reynolds, K., Protudjer, J. L. P., & Roos, L. E.
Affiliations: University of Calgary (CA)
University of Manitoba (CA)
Karolinska Institutet (SE)
Children's Hospital Research Institute of Manitoba (CA)
Corresponding author: Cameron, Emily E.
ORCID: Cameron, Emily E.
Joyce, Kayla M.
Delaquis, Chantal P.
Reynolds, Kristin
Protudjer, Jennifer L.P.
Roos, Leslie E.
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2020-11
Volume: 276
Pages: 765-774
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2020.07.081
PMC: PMC7370903
OpenAlex: W3044252136
Cited by: 413
References: 57
Citations by year: 2026: 14 · 2025: 26 · 2024: 40 · 2023: 81 · 2022: 125 · 2021: 109 · 2020: 18
FWCI: 62.26
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Children's Hospital Research Institute of Manitoba
University of Manitoba
Social Sciences and Humanities Research Council of Canada
Research Manitoba
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: maternal depression, maternal anxiety, COVID-19 pandemic, maternal mental health, mental health service utilization, barriers to mental health care, risk and protective factors, mothers of young children, pregnant women, prevalence of depressive symptoms
MeSH terms: Betacoronavirus, Psychological Distress, COVID-19, SARS-CoV-2, Adult, Anxiety, Child, Child, Preschool, Cross-Sectional Studies, Depression, Female, Humans, Infant, Infant, Newborn, Mental Health Services, Middle Aged, Mothers, Pneumonia, Viral, Prevalence, Coronavirus Infections, Young Adult, Pandemics

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Maternal psychological distress & mental health service use during the COVID-19 pandemic

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