Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors

Objective: The 2019 coronavirus disease pandemic (COVID-19) required strict confinement measures that differentially impacted the individual's daily life. Thus, this work aimed to study postpartum women's mental health in Argentina during mandatory social isolation. Design: A cross-s...

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Autores principales: Miranda, Agustín Ramiro, Scotta, Ana Verónica, Cortez, Mariela Valentina, Soria, Elio Andrés
Formato: article
Lenguaje:Inglés
Publicado: 2021
Materias:
Covid 19
Pandemics
Depression
Postpartum
Sleep
Self efficacy
Metacognition
Cognitive dysfunction
Acceso en línea:http://hdl.handle.net/11086/19892 https://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGEr
https://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGEr
Aporte de:
Repositorio Digital Universitario (UNC) de Universidad Nacional de Córdoba
id I10-R14111086-19892
record_format dspace
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-141
collection Repositorio Digital Universitario (UNC)
language Inglés
topic Covid 19
Pandemics
Depression
Postpartum
Sleep
Self efficacy
Metacognition
Cognitive dysfunction
spellingShingle Covid 19
Pandemics
Depression
Postpartum
Sleep
Self efficacy
Metacognition
Cognitive dysfunction
Miranda, Agustín Ramiro
Scotta, Ana Verónica
Cortez, Mariela Valentina
Soria, Elio Andrés
Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
topic_facet Covid 19
Pandemics
Depression
Postpartum
Sleep
Self efficacy
Metacognition
Cognitive dysfunction
description Objective: The 2019 coronavirus disease pandemic (COVID-19) required strict confinement measures that differentially impacted the individual's daily life. Thus, this work aimed to study postpartum women's mental health in Argentina during mandatory social isolation. Design: A cross-sectional survey was conducted from May to July 2020, which included five validated questionnaires to assess postpartum depression (Postpartum Depression Screening Scale‐Short Form), insomnia (Insomnia Severity Index), memory complaints (Memory Complaint Scale), metacognition (Brief Metamemory and Metaconcentration Scale), and breastfeeding self-efficacy (Breastfeeding Self-Efficacy Scale-Short Form). Sociodemographic variables, social isolation characteristics, and breastfeeding practices were also collected. This study was conducted in accordance with the Declaration of Helsinki. Statistical analysis included zero-order correlations, multiple logistic regressions, and a set of structural equation models (SEM) to test direct and indirect effects. Goodness-of-fit indices were calculated for SEM. Setting Postpartum women were recruited from public hospitals, private health clinics, and online community recruitment in the Cordoba province (Argentina). Participants: 305 postpartum women from Argentina. Measurements and findings: 37% of women reported postpartum depression, 46% insomnia, 42% memory impairment, 60% low metaconcentration, 50% low metamemory, and 23% low breastfeeding efficacy. Also, significant associations were found demonstrating that social isolation promoted postpartum depression and insomnia were reciprocally related, which compromised female cognition and efficacy. This situation was aggravated in women during late postpartum, with previous children, and by low social support (e.g., family, health professionals), with non-exclusive breastfeeding being increased. Key conclusions: This is the first study addressing postpartum women's mental status during social isolation in Argentina, which was a promoting factor for postpartum depression and insomnia that were reciprocally related. This situation was also aggravated by reproductive factors, such as late postpartum, multiparity, breastfeeding frequency, and non-exclusive breastfeeding. Additionally, breastfeeding self-efficacy depended on mental health status, and euthymia therefore favoured the practice of exclusive breastfeeding.
format article
author Miranda, Agustín Ramiro
Scotta, Ana Verónica
Cortez, Mariela Valentina
Soria, Elio Andrés
author_facet Miranda, Agustín Ramiro
Scotta, Ana Verónica
Cortez, Mariela Valentina
Soria, Elio Andrés
author_sort Miranda, Agustín Ramiro
title Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title_short Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title_full Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title_fullStr Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title_full_unstemmed Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title_sort triggering of postpartum depression and insomnia with cognitive impairment in argentinian women during the pandemic covid-19 social isolation in relation to reproductive and health factors
publishDate 2021
url http://hdl.handle.net/11086/19892 https://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGEr
https://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGEr
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