COVID-19 anxiety and quality of life among adolescent pregnant women: a cross-sectional study

Mohammad Saeed Jadgal; Hadi Alizadeh-Siuki; Nayyereh Kasiri; MoradAli Zareipour

doi:10.1515/ijamh-2022-0080

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Article

COVID-19 anxiety and quality of life among adolescent pregnant women: a cross-sectional study

Mohammad Saeed Jadgal , Hadi Alizadeh-Siuki , Nayyereh Kasiri and MoradAli Zareipour

Published/Copyright: December 21, 2022

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From the journal International Journal of Adolescent Medicine and Health Volume 35 Issue 2

Abstract

Objectives

To determine the relationship between the COVID-19 anxiety and the quality of life among adolescent pregnant women in Dashtiari city, Iran.

Methods

In this cross-sectional study, 216 adolescent pregnant women in Dashtiari city, Iran in 2021 who met the inclusion criteria participated in a multi-stage sampling. Data collection tools included: demographic information, COVID-19 Anxiety Scale and a questionnaire of quality of life. Finally, the obtained data were analyzed in SPSS software version 21 using descriptive, Chi-square, Tukey and logistic regression tests.

Results

The results showed that 74 (34.3%) adolescent pregnant women had weak COVID-19 anxiety, 23 (10.6%) had moderate COVID-19 anxiety and 119 (55.1%) had severe COVID-19 anxiety. The results also showed that gestational age (OR=2.2, p=0.03), history of COVID-19 infection among adolescent pregnant women (OR=1.6, p=0.02), history of family and friends (OR=1.7) (p=0.04), quality of life (OR=4.3, p=0.001), increases the probability of COVID-19 anxiety.

Conclusions

Considering the psychological consequences of the post-COVID-19 era and the psychological events that occur in this period, by identifying and predicting these issues, strategies should be considered for optimal intervention and reduction of injuries in the post-crisis era.

Keywords: adolescent pregnant women; anxiety; COVID-19; quality of life

Corresponding author: MoradAli Zareipour, PhD, Department of Public Health, Khoy University of Medical Sciences, Khoy, Iran, Phone: +98933-4277094, E-mail: zareipoor_m@khoyums.ac.ir

Acknowledgments

This study approved by the Iranshahr University of Medical Sciences. Our warm thanks go to the Research and Technology Dept. of Iranshahr University of Medical Sciences, as well as women of Iranshahr city for their participation in the study.

Research funding: This research is financially supported by Iranshahr University of Medical Sciences.
Author contributions: Mohammad Saeed Jadgal developed the original idea and gathered data, MoradAli Zareipour contributed to the development of the prepared manuscript. Hadi Alizadeh-siuki wrote the manuscript, and Nayyereh Kasiri analyzed the data.
Competing interests: Authors state no conflict of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: Ethical approval was obtained from the Human Research Ethics Committee at the Iranshahr university of medical sciences. All study participants provided written informed consent. Confidentiality and anonymity were ensured. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration. Also, this study was approved by the Research Ethics committee of Iranshahr university of medical sciences (code: IR.IRSHUMS.REC.1400.005).

References

1. Tavakoli, A, Vahdat, K, Keshavarz, M. Novel coronavirus disease 2019 (COVID-19): an emerging infectious disease in the 21st century. Iran Sout Med J 2020;22:432–50. https://doi.org/10.29252/ismj.22.6.432.Search in Google Scholar

2. Rodríguez-Rey, R, Garrido-Hernansaiz, H, Collado, S. Psychological impact and associated factors during the initial stage of the coronavirus (COVID-19) pandemic among the general population in Spain. Front Psychol 2020;11:1540.10.3389/fpsyg.2020.01540Search in Google Scholar PubMed PubMed Central

3. World Health Organization. Maternal mental health and child health and development in low and middle income countries: report of the meeting, Geneva, Switzerland, 30 January - 1 February, 2008. Geneva: World Health Organization; 2008.Search in Google Scholar

4. Bödecs, T, Horváth, B, Szilágyi, E, Gonda, X, Rihmer, Z, Sándor, J. Effects of depression, anxiety, self-esteem, and health behaviour on neonatal outcomes in a population-based Hungarian sample. Eur J Obstet Gynecol Reprod Biol 2011;154:45–50.10.1016/j.ejogrb.2010.08.021Search in Google Scholar PubMed

5. Hernández-Martínez, C, Arija, V, Balaguer, A, Cavallé, P, Canals, J. Do the emotional states of pregnant women affect neonatal behaviour? Early Hum Dev 2008;84:745–50.10.1016/j.earlhumdev.2008.05.002Search in Google Scholar PubMed

6. Shayeghian, Z, Rasolzadeh Tabatabaey, S, Seddighi looye, E. Effect of maternal anxiety during third trimester on pregnancy outcomes and infants’ mental health. Hayat 2009;14:57–64.Search in Google Scholar

7. De Bruijn, AT, van Bakel, HJ, van Baar, AL. Sex differences in the relation between prenatal maternal emotional complaints and child outcome. Early Hum Dev 2009;85:319–24. https://doi.org/10.1016/j.earlhumdev.2008.12.009.Search in Google Scholar PubMed

8. (a)Coussons-Read ME. Effects of prenatal stress on pregnancy and human development: mechanisms and pathways. Obstet Med 2013;6:52–7. https://doi.org/10.1177/1753495x12473751.(b)Stein, A, Pearson, RM, Goodman, SH, Rapa, E, Rahman, A, McCallum, M, et al.. Effects of perinatal mental disorders on the fetus and child. Lancet 2014;384:1800–19.Search in Google Scholar

9. Rondó, PH, Ferreira, RF, Nogueira, F, Ribeiro, MC, Lobert, H, Artes, R. Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr 2003;57:266–72. https://doi.org/10.1038/sj.ejcn.1601526.Search in Google Scholar PubMed

10. Qu, F, Wu, Y, Zhu, YH, Barry, J, Ding, T, Baio, G, et al.. The association between psychological stress and miscarriage: a systematic review and meta-analysis. Sci Rep 2017;7:1731. https://doi.org/10.1038/s41598-017-01792-3.Search in Google Scholar PubMed PubMed Central

11. Grigoriadis, S, Graves, L, Peer, M, Mamisashvili, L, Tomlinson, G, Vigod, SN, et al.. Maternal anxiety during pregnancy and the association with adverse perinatal outcomes: systematic review and meta-analysis. J Clin Psychiatr 2018;79:17r12011.10.4088/JCP.17r12011Search in Google Scholar PubMed

12. MacKinnon, N, Kingsbury, M, Mahedy, L, Evans, J, Colman, I. The association between prenatal stress and externalizing symptoms in childhood: evidence from the avon longitudinal study of parents and children. Biol Psychiatr 2018;83:100–8. https://doi.org/10.1016/j.biopsych.2017.07.010.Search in Google Scholar PubMed

13. Lebel, C, Walton, M, Letourneau, N, Giesbrecht, GF, Kaplan, BJ, Dewey, D. Prepartum and postpartum maternal depressive symptoms are related to children’s brain structure in preschool. Biol Psychiatr 2016;80:859–68. https://doi.org/10.1016/j.biopsych.2015.12.004.Search in Google Scholar PubMed

14. Post, MW. Definitions of quality of life: what has happened and how to move on. Top Spinal Cord Inj Rehabil 2014;20:167–80. https://doi.org/10.1310/sci2003-167.Search in Google Scholar PubMed PubMed Central

15. Senneseth, M, Alsaker, K, Natvig, GK. Health-related quality of life and post-traumatic stress disorder symptoms in accident and emergency attenders suffering from psychosocial crises: a longitudinal study. J Adv Nurs 2012;68:402–13. https://doi.org/10.1111/j.1365-2648.2011.05752.x.Search in Google Scholar PubMed PubMed Central

16. Karimi, MS, Mahdavian, M, Khalili, R. Relationship between social support and anxiety caused by COVID-19 in pregnant women. Iran J Obstet Gynecol Infertility 2020;23:9–17.Search in Google Scholar

17. Alipour, GA, Alipour, Z, Abdollahzadeh, H. Preliminary validation of the Corona disease anxiety scale (CDAS) in the Iranian sample. Q J Health Psychol 2020;8:163–75.Search in Google Scholar

18. Montazeri, A, Vahdaninia, M, Mousavi, SJ, Omidvari, S. The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC Publ Health 2009;9:341. https://doi.org/10.1186/1471-2458-9-341.Search in Google Scholar PubMed PubMed Central

19. Saadati, N, Afshari, P, Boostani, H, Beheshtinasab, M, Abedi, P, Maraghi, E. Health anxiety and related factors among pregnant women during the COVID-19 pandemic: a cross-sectional study from Iran. BMC Psychiatr 2021;21:1–7. https://doi.org/10.1186/s12888-021-03092-7.Search in Google Scholar PubMed PubMed Central

20. Kahyaoglu Sut, H, Kucukkaya, B. Anxiety, depression, and related factors in pregnant women during the COVID-19 pandemic in Turkey: a web-based cross-sectional study. Psychiatr Care 2021;57:860–8. https://doi.org/10.1111/ppc.12627.Search in Google Scholar PubMed PubMed Central

21. Liu, X, Chen, M, Wang, Y, Sun, L, Zhang, J, Shi, Y, et al.. Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID-19 outbreak: a cross-sectional study. Int J Gynaecol Obstet 2020;127:1229–40. https://doi.org/10.1111/1471-0528.16381.Search in Google Scholar PubMed PubMed Central

22. Jelly, P, Chadha, L, Kaur, N, Sharma, S, Sharma, R, Stephen, S, et al.. Impact of COVID-19 pandemic on the psychological status of pregnant women. Cureus 2021;1:e12875. https://doi.org/10.7759/cureus.12875.Search in Google Scholar PubMed PubMed Central

23. Li, S, Wang, Y, Xue, J, Zhao, N, Zhu, T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. Int J Environ Res Publ Health 2020;17:2032. https://doi.org/10.3390/ijerph17062032.Search in Google Scholar PubMed PubMed Central

24. Cao, W, Fang, Z, Hou, G, Han, M, Xu, X, Dong, J, et al.. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatr Res 2020;287:112934. https://doi.org/10.1016/j.psychres.2020.112934.Search in Google Scholar PubMed PubMed Central

25. Zhou, S-J, Zhang, L-G, Wang, L-L, Guo, Z-C, Wang, J-Q, Chen, J-C, et al.. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatr 2020;29:749–58. https://doi.org/10.1007/s00787-020-01541-4.Search in Google Scholar PubMed PubMed Central

26. Lin, Y, Hu, Z, Alias, H, Wong, LP. Knowledge, attitudes, impact, and anxiety regarding COVID-19 infection among the public in China. Front Public Health 2020;8:236. https://doi.org/10.3389/fpubh.2020.00236.Search in Google Scholar PubMed PubMed Central

27. Rastgarian, A, Kalani, N, Golestan, F, Estakhr, M, Ghotbi, Z, Hatami, N, et al.. Evaluation of anxiety caused by COVID-19 in patients with multiple sclerosis: a cross-sectional study on the second wave of coronavirus in jahrom city, Iran. J. Mar. Med 2021;3:49–56.10.32598/qums.15.5.2069.3.1Search in Google Scholar

28. Costa, EC, Castanheira, E, Moreira, L, Correia, P, Ribeiro, D, Graça Pereira, M. Predictors of emotional distress in pregnant women: the mediating role of relationship intimacy. J Ment Health 2020;29:152–60. https://doi.org/10.1080/09638237.2017.1417545.Search in Google Scholar PubMed

29. Wu, Z, McGoogan, JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA 2020;323:1239–42. https://doi.org/10.1001/jama.2020.2648.Search in Google Scholar PubMed

30. Valero-Moreno, S, Lacomba-Trejo, L, Casaña-Granell, S, Prado-Gascó, VJ, Montoya-Castilla, I, Pérez-Marín, M. Psychometric properties of the questionnaire on threat perception of chronic illnesses in pediatric patients. Rev Latino-Am Enferm 2020;28:e3242. https://doi.org/10.1590/1518-8345.3144.3242.Search in Google Scholar PubMed PubMed Central

31. Dong, X-Y, Wang, L, Tao, Y-X, Suo, X-l, Li, Y-C, Liu, F, et al.. Psychometric properties of the anxiety inventory for respiratory disease in patients with COPD in China. Int J Chronic Obstr Pulm Dis 2017;12:49–58. https://doi.org/10.2147/COPD.S117626.Search in Google Scholar PubMed PubMed Central

32. Karimi, S. Relationship between covid-19 anxiety and quality of life with the mediating role of sleep quality in people with diabetes. J Diabet Nurs 2021;9:1660–73.Search in Google Scholar

33. Barone, MTU, Ngongo, B, Menna-Barreto, L. Sleep-wake cycle impairment adding on the risk for COVID-19 severity in people with diabetes. Sleep sci 2020;13:191. https://doi.org/10.5935/1984-0063.20200038.Search in Google Scholar PubMed PubMed Central

34. Dong, D, Lou, P, Wang, J, Zhang, P, Sun, J, Chang, G, et al.. Interaction of sleep quality and anxiety on quality of life in individuals with type 2 diabetes mellitus. Health Qual Life Outcome 2020;18:1–7. https://doi.org/10.1186/s12955-020-01406-z.Search in Google Scholar PubMed PubMed Central

35. Leong Bin Abdullah, MFI, Ahmad Yusof, H, Mohd Shariff, N, Hami, R, Nisman, NF, Law, KS. Depression and anxiety in the Malaysian urban population and their association with demographic characteristics, quality of life, and the emergence of the COVID-19 pandemic. Curr Psychol 2021;40:6259–70. https://doi.org/10.1007/s12144-021-01492-2.Search in Google Scholar PubMed PubMed Central

Received: 2022-09-14

Accepted: 2022-11-28

Published Online: 2022-12-21

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Articles in the same Issue

https://doi.org/10.1515/ijamh-2022-0080

Keywords for this article

adolescent pregnant women; anxiety; COVID-19; quality of life