ОСОБЕННОСТИ ПСИХОЭМОЦИОНАЛЬНЫХ НАРУШЕНИЙ У ПЕРИНАТАЛЬНЫХ ЖЕНЩИН С ПНЕВМОНИЕЙ COVID-19
Ключевые слова:
беременность, пневмония COVID-19, тревога, депрессия, посттравматическое стрессовое расстройствоАннотация
В данной статье исследуется проведение структурного анализа нарушений психоэмоционального статуса перинатальных женщин с пневмонией COVID-19. Проспективное исследование включало 3080 беременных женщин, инфицированных SARSCoV-2, из них 889 находились на 1-м триместре, 1056 – на 2-м и 1135 – на 3-м триместре беременности. В подавляющем большинстве (64,3%; 1980 из 3080) случаев диагностировано среднетяжелое течение пневмонии COVID-19. Выявление и оценка степени тяжести психоэмоциональных нарушений проводились по шкалам оценки тревожных расстройств ГТР-7, посттравматических стрессовых расстройств (ПТСР) IES-6, и депрессивного синдрома PHQ-9. Высокая частота встречаемости смешанных психоэмоциональных расстройств была характерна для беременных женщин с пневмонией COVID-19 тяжелой и крайне тяжелой степени – 46,7% и 52,7% соответственно, что свидетельствует об усугублении клинической картины психоэмоциональных нарушений на фоне прогрессирования пневмонии COVID-19. Психоэмоциональные нарушения на фоне инфицирования COVID-19 характерны для значительной части беременных женщин. При этом их раннее выявление с использованием специализированных шкал-опросников может способствовать своевременному подключению психологической составляющей терапевтической тактики и предупредить неблагоприятные перинатальные и социальные последствия.
Библиографические ссылки
WHO. Coronavirus COVID-19. Technical guidelines. Geneva: World Health Organization; 2020. WHO. Practical aspects of COVID-19 case management in health facilities and homes. Geneva: World Health Organization; 2020.
Ayaz R et al.. Anxiety and depression symptoms in the same pregnant women before and during the COVID-19 pandemic. J Perinat Med. 2020 November 26;48(9):965-970. doi: 10.1515/jpm-2020-0380.
Poon, LC, Yang H, Lee JC, et al. ISUOG Interim Guidance on 2019 novel coronavirus infection during pregnancy and puerperium: information for healthcare professionals. Ultrasound Obstet Gynecol. 2020.
Di Mascio D, Khalil A, Saccone G, Rizzo G, Buca D, Liberati M, Vecchiet J, Nappi L, Scambia G, Berghella V, D'Antonio F. Outcome of coronavirus spectrum infections (SARS, MERS, COVID-19) during pregnancy: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2020 May;2(2):100107. doi: 10.1016/j.ajogmf.2020.100107
Juan J, Gil MM, Rong Z, Zhang Y, Yang H, Poon LC. The effect of coronavirus disease 2019 (COVID-19) on maternal, perinatal and neonatal outcomes is a systematic review. Ultrasound Obstet Gynecol. 2020 Jul;56(1):15-27. doi: 10.1002/uog.22088
Diriba K, Awulachew E, Getu E. The effect of coronavirus infection (SARS-CoV-2, MERSCoV, and SARS-CoV) during pregnancy and the possibility of vertical maternal-fetal transmission: a systematic review and meta-analysis. Eur J Med Res. 2020;25(1):39.
López-Morales H, Del Valle MV, Canet-Juric L, Andrés ML, Galli JI, Poó F, Urquijo S. Mental health of pregnant women during the COVID-19 pandemic: A longitudinal study. Psychiatry Res. 2021;295:113567.
Tomfohr-Madsen LM, Racine N, Giesbrecht GF, Lebel C, Madigan S. Depression and anxiety in pregnancy during COVID-19: A rapid review and meta-analysis. Psychiatry Res. 2021;300:113912.
Esteban-Gonzalo S, Caballero-Galilea M, González-Pascual JL, Álvaro-Navidad M, Esteban-Gonzalo L. Anxiety and Worries among Pregnant Women during the COVID-19 Pandemic: A Multilevel Analysis. Int J Environ Res Public Health. 2021;18(13):6875.
Ahmad M, Vismara L. The Psychological Impact of COVID-19 Pandemic on Women's Mental Health during Pregnancy: A Rapid Evidence Review. Int J Environ Res Public Health. 2021 July 02;18(13):7112.
Green SM. et al. Characterizing worry content and impact in pregnant and postpartum women with anxiety disorders during COVID-19. Clin Psychol Psychother. 2021 December 21. doi: 10.1002/cpp.2703. Romero-Gonzalez B et al. Confinement variables by COVID-19 predictors of anxious and depressive symptoms in pregnant women. Med Clin (Barc). 2021 Feb 26;156(4):172-176. English, Spanish. doi: 10.1016/j.medcli.2020.10.002.
Ostacoli L, Cosma S, Bevilacqua F, Berchialla P, Bovetti M, Carosso AR, Malandrone F, Carletto S, Benedetto C. Psychosocial factors associated with postpartum psychological distress during the Covid-19 pandemic: a cross-sectional study. BMC Pregnancy Childbirth. 2020 Nov 18;20(1):703. doi: 10.1186/s12884-020-03399-5.
Romero-Gonzalez B, Puertas-Gonzalez JA, Mariño-Narvaez C, Peralta-Ramirez MI. Confinement variables by COVID-19 predictors of anxious and depressive symptoms in pregnant women. Med Clin (Barc). 2021 Feb 26;156(4):172-176. doi: 10.1016/j.medcli.2020.10.002.
Green SM, Inness B, Furtado M, McCabe RE, Frey BN. Evaluation of an Augmented Cognitive Behavioural Group Therapy for Perinatal Generalized Anxiety Disorder (GAD) during the COVID-19 Pandemic. J Clin Med. 2021 December 31;11(1):209. doi: 10.3390/jcm11010209.
Basu A, Kim HH, Basaldua R, Choi KW, Charron L, Kelsall N, Hernandez-Diaz S, Wyszynski DF, Koenen KC. A cross-national study of factors associated with women's perinatal mental health and wellbeing during the COVID-19 pandemic. PLoS One. 2021;16(4):e0249780.
Wyszynski DF, Hernandez-Diaz S, Gordon-Dseagu V, Ramiro N, Basu A, Kim HH, Koenen KC. Frequency and source of worries in an International sample of pregnant and postpartum women during the Covid-19 pandemic. BMC Pregnancy Childbirth. 2021 Nov 12;21(1):768. doi: 10.1186/s12884-021-04241-2.
Farrell T, Reagu S, Mohan S, Elmidany R, Qaddoura F, Ahmed EE, Corbett G, Lindow S, Abuyaqoub SM, Alabdulla MA. The impact of the COVID-19 pandemic on the perinatal mental health of women. J Perinat Med. 2020;48(9):971-976. doi: 10.1515/jpm-2020-0415.
Alfayumi-Zeadna S, Bina R, Levy D, Merzbach R, Zeadna A. Elevated Perinatal Depression during the COVID-19 Pandemic: A National Study among Jewish and Arab Women in Israel. J Clin Med. 2022;11(2):349. doi: 10.3390/jcm11020349.
Ceulemans M, Foulon V, Ngo E, Panchaud A, Winterfeld U, Pomar L, Lambelet V, Cleary B, O'Shaughnessy F, Passier A, Richardson JL, Hompes T, Nordeng H. Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic-A multinational crosssectional study. Acta Obstet Gynecol Scand. 2021 Jul;100(7):1219-1229. doi: 10.1111/aogs.14092;
Chen Q, Li W, Xiong J, Zheng X. Prevalence and Risk Factors Associated with Postpartum Depression during the COVID-19 Pandemic: A Literature Review and Meta-Analysis. Int J Environ Res Public Health. 2022 Feb 16;19(4):2219. doi: 10.3390/ijerph19042219. PMID: 35206407; PMCID: PMC8872263.Chen Y, Peng H, Wang L, et al. Infants Born to Mothers With a New Coronavirus (COVID 19). Frontiers in Pediatrics 2020;8(104). doi: 10.3389/fped.2020.00104.
