BACKGROUND The current COVID-19 pandemic is a unique stressor with potentially negative consequences for pregnant and postpartum women. We investigated the impact of the COVID-19 pandemic on perinatal depression and anxiety in Spain. METHOD This cross-sectional study was conducted from June to December 2020. A total of 3,356 adult pregnant and postpartum women (with infants up to 6 months of age) from all Spanish regions were surveyed. The assessment included measures of Coronavirus Perinatal Experiences (COPE-IS questionnaire) and Generalized Anxiety Disorder Screener (GAD-7=10) and Edinburgh Postnatal Depression Scale (EPDS=10). RESULTS The prevalence of perinatal anxiety and depression (above established cut-offs) was 33.3% and 47.2%, respectively; 29.2% of women screened positive for both conditions. Higher rates of perinatal depression and anxiety were associated with increased concern about threats of COVID-19, especially employment and the financial impact, along with increased overall levels of distress. Exposure to COVID-19 and its symptoms did not appear to be a relevant risk factor. More COVID-19-related predictors and a higher rate of depression were found in postpartum women. CONCLUSIONS The current study highlights the substantial increase in symptoms of perinatal depression and anxiety, especially in postpartum women. Interventions for perinatal mental health should be a priority.

中文翻译：

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COVID-19 大流行对围产期抑郁和焦虑的影响：西班牙的一项大型横断面研究。

背景当前 COVID-19 大流行是一种独特的压力源，对孕妇和产后妇女具有潜在的负面影响。我们调查了 COVID-19 大流行对西班牙围产期抑郁症和焦虑症的影响。方法这项横断面研究于 2020 年 6 月至 2020 年 12 月进行。共调查了来自西班牙所有地区的 3,356 名成年孕妇和产后妇女（婴儿不超过 6 个月）。评估包括冠状病毒围产期经历（COPE-IS 问卷）和广泛性焦虑症筛查（GAD-7=10）和爱丁堡产后抑郁量表（EPDS=10）的测量。结果 围产期焦虑和抑郁的患病率（高于既定临界值）分别为 33.3% 和 47.2%；29.2% 的女性在这两种情况下均呈阳性。围产期抑郁症和焦虑症的发生率较高与对 COVID-19 威胁的担忧增加有关，尤其是就业和财务影响，以及总体痛苦程度的增加。接触 COVID-19 及其症状似乎不是相关的风险因素。在产后女性中发现了更多与 COVID-19 相关的预测因子和更高的抑郁症发生率。结论 目前的研究强调了围产期抑郁和焦虑症状的显着增加，尤其是在产后妇女中。围产期心理健康干预应该是优先事项。在产后女性中发现了更多与 COVID-19 相关的预测因子和更高的抑郁症发生率。结论 目前的研究强调了围产期抑郁和焦虑症状的显着增加，尤其是在产后妇女中。围产期心理健康干预应该是优先事项。在产后女性中发现了更多与 COVID-19 相关的预测因子和更高的抑郁症发生率。结论 目前的研究强调了围产期抑郁和焦虑症状的显着增加，尤其是在产后妇女中。围产期心理健康干预应该是优先事项。