The authors regret an error in the syntax that caused systematically lowered scores for all individuals on the pregnancy-related anxiety questionnaire (PRAQ) and the interpersonal support evaluation list (ISEL). These scores have been updated in the tables and the text. There are no changes to the conclusions of the manuscript.
The authors would like to apologize for any inconvenience caused.
Section 2.4 Anxiety and depression symptoms
“In our sample, the median was 21, which we used to divide…”
Section 3.4 Parity
“… nulliparous individuals had higher pregnancy-related anxiety symptoms (F = 40.1, p<0.0001) compared to primiparous…”
Section 3.6 Resilience factors
“Average scores on the ISEL Total Support (general social support) were 40.1 +/- 6.3, which …”
Discussion p. 10, halfway down page
“Pregnancy-related anxiety symptoms were similarly elevated in our cohort (mean=21.1) compared to…”
Table 1, Table 3, Table 4, Table 5
Table 1.
Sample characteristics. Mean, standard deviation, and range are provided for key demographic characteristics and depression and anxiety symptoms in the sample. The number of datapoints available for each comparison is also given.
Measure | n | Mean | Standard deviation | Range | Cronbach's Alpha |
---|---|---|---|---|---|
Gestation (weeks) | 1987 | 22.5 | 8.4 | 4–35.9 | – |
Age (years) | 1900 | 32.4 | 4.2 | 18.6–47.6 | – |
Anxiety and Depression Symptoms | |||||
Pregnancy-related anxiety questionnaire | 1757 | 21.1 | 5.1 | 10–40 | 0.82 |
Edinburgh postnatal depression scale (EPDS) | 1764 | 10.7 | 5.3 | 0–30 | 0.88 |
PROMIS anxiety T-scores | 1757 | 60.1 | 8.1 | 36–83 | 0.94 |
COVID-19 Stressors | |||||
Job loss due to COVID-19 | 1581 | 254 yes / 1327 no | – | ||
Threat to own life from COVID-19 | 1795 | 46.4 | 24.3 | 0–100 | – |
Threat to baby's life from COVID-19 | 1793 | 51.7 | 25.1 | 0–100 | – |
Strained relationship with partner during COVID-19* | 1735 | 56.3 | 21.3 | 0–100 | – |
Social isolation due to COVID-19 | 1785 | 64.1 | 26.1 | 0–100 | – |
Concerned not receiving necessary care due to COVID-19 | 1585 | 35.7 | 27.6 | 0–100 | – |
Resilience Factors | |||||
Physical activity (total score from Godin) | 1947 | 33.1 | 21.2 | 0–119 | – |
Partner social support (SSEQ Total support) | 1685 | 55.8 | 14.9 | 4–80 | 0.94 |
General social support (ISEL) | 1674 | 40.1 | 6.3 | 12–48 | 0.88 |
Relationship strain was measured on a scale of 0–100, with 0 being It has strained our relationship and 100 being it has brought us closer together; 50 was not much has changed; so values <50 indicate strain and values >50 indicate closeness. All other COVID-19 stressors were measured from 0 [not at all] to 100 [very much so] with higher values indicating more strain.
Table 3.
Comparison of mental health symptoms by parity.
Nulliparous (n = 971) | Primiparous (n = 735) | Multiparous (n = 277) | F-value | p-value | |
---|---|---|---|---|---|
Edinburgh postnatal depression scale | 10.6 | 10.6 | 10.8 | 2.6 | 0.078 |
PROMIS Anxiety T-scores | 60.4 | 60.0 | 59.3 | 0.34 | 0.71 |
Pregnancy-related anxiety | 22.2 | 20.3 | 19.6 | 40.01 | <0.001 |
Significant results (p<0.017) are indicated in bold.
Table 4.
Multivariate models of COVID-19 specific factors predicting elevated anxiety and depression symptoms.
B | SE | Wald | df | p | Odds Ratio | 95% CI for Odds Ratio |
||
---|---|---|---|---|---|---|---|---|
Lower | Upper | |||||||
Depression Symptoms | ||||||||
Constant | −4.42 | 0.36 | 152.52 | 1 | <0.001 | .012 | ||
Threat to life | 0.011 | 0.003 | 9.93 | 1 | 0.002 | 1.01 | 1.01 | 1.02 |
Harm to baby | 0.010 | 0.003 | 9.95 | 1 | 0.002 | 1.01 | 1.01 | 1.02 |
Not getting needed care | 0.013 | 0.003 | 26.26 | 1 | <0.001 | 1.01 | 1.01 | 1.02 |
Relationship strain | −0.016 | 0.003 | 25.13 | 1 | <0.001 | 0.98 | 0.98 | 0.99 |
Social isolation | 0.045 | 0.004 | 163.92 | 1 | <0.001 | 1.05 | 1.04 | 1.05 |
Loss of employment | 0.21 | 0.18 | 1.42 | 1 | 0.23 | 1.24 | 0.87 | 1.76 |
General Anxiety Symptoms | ||||||||
Constant | −3.38 | 0.32 | 114.62 | 1 | <0.001 | 0.03 | ||
Threat to life | 0.021 | 0.003 | 39.09 | 1 | <0.001 | 1.02 | 1.01 | 1.03 |
Harm to baby | 0.011 | 0.003 | 12.87 | 1 | 0.001 | 1.01 | 1.01 | 1.02 |
Not getting needed care | 0.012 | 0.003 | 19.83 | 1 | <0.001 | 1.01 | 1.01 | 1.02 |
Relationship strain | −0.006 | 0.003 | 3.47 | 1 | 0.063 | 0.99 | 0.99 | 1.00 |
Social isolation | 0.032 | 0.003 | 119.46 | 1 | <0.001 | 1.03 | 1.03 | 1.04 |
Loss of employment | 0.180 | 0.18 | 1.02 | 1 | 0.31 | 1.20 | 0.85 | 1.70 |
Pregnancy-Related Anxiety Symptoms# | ||||||||
Constant | −2.61 | 0.31 | 72.70 | 1 | <0.001 | 0.07 | ||
Threat to life | 0.006 | 0.003 | 4.39 | 1 | 0.04 | 1.01 | 1.00 | 1.01 |
Harm to baby | 0.020 | 0.003 | 49.96 | 1 | <0.001 | 1.02 | 1.01 | 1.03 |
Not getting needed care | 0.018 | 0.002 | 57.08 | 1 | <0.001 | 1.02 | 1.01 | 1.02 |
Relationship strain | −0.005 | 0.003 | 2.92 | 1 | 0.09 | 0.99 | 0.99 | 1.00 |
Social isolation | 0.010 | 0.003 | 13.78 | 1 | 0.001 | 1.01 | 1.00 | 1.02 |
Loss of employment | −0.13 | 0.17 | 0.60 | 1 | 0.44 | 0.88 | 0.62 | 1.21 |
Loss of employment was binary (yes/no); all other variables are 0–100 scale. Significant results (p<0.0028) are shown in bold. #Model includes parity as a covariate.
Table 5.
Resilience factors predicting reduced anxiety and depression symptoms.
B | SE | Wald | df | p | Odds Ratio | 95% CI for Odds Ratio |
||
---|---|---|---|---|---|---|---|---|
Lower | Upper | |||||||
Depression Symptoms | ||||||||
Constant | 3.42 | .33 | 107.97 | 1 | <0.001 | 30.47 | ||
Physical Activity | −0.01 | 0.003 | 6.66 | 1 | 0.01 | 0.99 | 0.988 | 0.99 |
Partner support | −0.03 | 0.004 | 68.91 | 1 | <0.001 | 0.97 | 0.96 | 0.98 |
General support | −0.06 | 0.01 | 36.63 | 1 | <0.001 | 0.95 | 0.93 | 0.96 |
General Anxiety Symptoms | ||||||||
Constant | 3.49 | 0.34 | 108.07 | 1 | <0.001 | 32.84 | ||
Physical activity | −0.01 | 0.002 | 8.28 | 1 | 0.004 | 0.99 | 0.988 | 0.998 |
Partner support | −0.03 | .004 | 57.38 | 1 | <0.001 | 0.97 | 0.96 | 0.98 |
General support | −0.04 | 0.01 | 13.45 | 1 | <0.001 | 0.97 | 0.95 | 0.98 |
Pregnancy-Related Anxiety Symptoms# | ||||||||
Constant | 3.75 | 0.37 | 102.06 | 1 | <0.001 | 42.54 | ||
Physical activity | −0.01 | 0.003 | 6.66 | 1 | 0.01 | 0.99 | 0.988 | 0.998 |
Partner support | −0.03 | 0.004 | 68.26 | 1 | <0.001 | 0.97 | 0.96 | 0.98 |
General support | −0.06 | 0.009 | 34.94 | 1 | <0.001 | 0.95 | 0.93 | 0.96 |
Physical activity is the total score form the Godin. Partner support is the Total Support measure from the SSEQ; general support is the Total Support from the ISEL. Significant results (p<0.0056) are indicated in bold. #Model includes parity as a covariate.
Footnotes
Supplementary material associated with this article can be found, in the online version, at doi:10.1016/j.jad.2020.10.012.
Appendix. Supplementary materials
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.