Научная статья на тему 'CHILDBIRTH EXPERIENCE BEFORE AND DURING THE COVID-19 PANDEMIC: PTSD AND POSTPARTUM DEPRESSION'

CHILDBIRTH EXPERIENCE BEFORE AND DURING THE COVID-19 PANDEMIC: PTSD AND POSTPARTUM DEPRESSION Текст научной статьи по специальности «Фундаментальная медицина»

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Ключевые слова
ostpartum depression / postpartum PTSD / obstetric violence / COVID-19 pandemic / birth experience

Аннотация научной статьи по фундаментальной медицине, автор научной работы — Vera Yakupova, Anna Suarez, Anna Kharchenko

Abstract: Postpartum depression (PPD) and post-traumatic stress disorder (PTSD) are the most common complications after childbirth: up to 17% of healthy women worldwide experience PPD (https://pubmed.ncbi.nlm.nih.gov/30114665/) and about 3-4% of women experience PTSD (Ayers et.al, 2016). In the presence of risk factors (complications during pregnancy, preterm birth, prenatal depression, severe fear for the health of the child, lack of support during childbirth, etc.), postpartum PTSD can occur in 15-19% of women (Yildiz et. al, 2017). The purpose of the study: to investigate the associations between the changes in the maternity care system during the pandemic and the mental health of mothers in Russia. A sample of Russian women who gave birth during the first year of the pandemic (n=1645) and a control group of women who gave birth before the pandemic (n=611) completed an anonymous online survey about recent births. PTSD symptoms were assessed using the City University of London Birth Injury Rating Scale questionnaire, PRD symptoms were assessed using the Edinburgh scale. The prevalence of postpartum depression (43.9% vs 45.7%, p = 0.48) and PTSD (17.5% vs 15.1%, p = 0.64) did not change significantly due to the pandemic. Throughout the study period, the severity of symptoms of these disorders remained high. There was a statistically significant increase in the frequency of obstetric violence during the pandemic (p = 0.015), which, in turn, is highly correlated with postpartum PTSD (p < 0.001). Also, during the pandemic, the presence of preparation for childbirth was associated with lower risks of PTSD (p < 0.001), a similar association was not found before the pandemic (p = 0.19).

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Текст научной работы на тему «CHILDBIRTH EXPERIENCE BEFORE AND DURING THE COVID-19 PANDEMIC: PTSD AND POSTPARTUM DEPRESSION»

discrimination on experienced maternal health outcomes in minority populations. 3. Compare experienced maternal health outcomes between minority and non-minority Finnish women. Methods. Women of foreign origin, defined as any woman born outside of Finland or who have at least one parent born outside of Finland, who gave birth in Finland within the last 3 years were recruited via the snowball method (n=303). Participants responded to a 40-question survey about their perinatal experiences, specifically regarding levels of support from healthcare workers and feelings of discrimination. The data were analyzed for trends in demographic features such as self-reported ethnic identity, country of origin, and native language. Responses were compared to birthing parents' responses in the national Fin Children Survey conducted in autumn 2020, which consisted of data from parents in Finland with 3-6-month-old babies. Preliminary Results. Some women of foreign origin reported feeling discriminated against due to demographic categories such as race, ethnicity, and culture; native language; and citizenship. They also appeared to report receiving less adequate support in various aspects of pregnancy than their Finnish-born counterparts. More statistical analysis must be conducted to determine if any relationships exist between these reported experiences and specific countries of origin, race, or other demographic features.

Keywords: adequate support, maternity outcomes, minority women in Finland

DOI:

CHILDBIRTH EXPERIENCE BEFORE AND DURING THE COVID-19 PANDEMIC: PTSD AND POSTPARTUM

DEPRESSION

Vera Yakupova

Faculty of Psychology, Lomonosov Moscow State University Lomonosov, Moscow, Russia; e-mail:

Vera.a.romanova@gmail.com

Anna Suarez

Faculty of Psychology, Lomonosov Moscow State University Lomonosov, Moscow, Russia, Russia

Anna Kharchenko

Faculty of Psychology, Lomonosov Moscow State University Lomonosov, Moscow, Russia, Russia

Abstract: Postpartum depression (PPD) and post-traumatic stress disorder (PTSD) are the most common complications after childbirth: up to 17% of healthy women worldwide experience PPD (https://pubmed.ncbi.nlm.nih. gov/30114665/) and about 3-4% of women experience PTSD (Ayers et.al, 2016). In the presence of risk factors (complications during pregnancy, preterm birth, prenatal depression, severe fear for the health of the child, lack of support during childbirth, etc.), postpartum PTSD can occur in 15-19% of women (Yildiz et. al, 2017). The purpose of the study: to investigate the associations between the changes in the maternity care system during the pandemic and the mental health of mothers in Russia. A sample of Russian women who gave birth during the first year of the pandemic (n=1645) and a control group of women who gave birth before the pandemic (n=611) completed an anonymous online survey about recent births. PTSD symptoms were assessed using the City University of London Birth Injury Rating Scale questionnaire, PRD symptoms were assessed using the Edinburgh scale. The prevalence of postpartum depression (43.9% vs 45.7%, p = 0.48) and PTSD (17.5% vs 15.1%, p = 0.64) did not change significantly due to the pandemic. Throughout the study period, the severity of symptoms of these disorders remained high. There was a statistically significant increase in the frequency of obstetric violence during the pandemic (p = 0.015), which, in turn, is highly correlated with postpartum PTSD (p < 0.001). Also, during the pandemic, the presence of preparation for childbirth was associated with lower risks of PTSD (p < 0.001), a similar association was not found before the pandemic (p = 0.19).

Keywords: postpartum depression, postpartum PTSD, obstetric violence, COVID-19 pandemic, birth experience

DOI:

Digital technologies: Experience of Use

TRANSFORMATION OF CHILDRENS' BEHAVIOR OF CULTURAL PATTERNS IN THE CONTEXT OF SCREEN

TIME

Larisa Bayanova

Research associate, Psychological Institute Russian Academy of Education, Moscow, Russia; e-mail:

balan7@yandex.ru

Abstract: Two new phrases have recently appeared in the discourse of child psychology: "screen time" and "green time". The concept illuminates two realities - the time being spent in front of the screen of the gadget and the time outside of it. This raises the question of how "screen time" influences a child's behavior and their self-regulation during the interaction with cultural rules. A child's gadget passion may provoke plenty of problems. Research goal. It was hypothesized that "screen time" affects children's behavior. The common assumption is that children that frequently use smartphones don't obey adults and don't do their homework, illustrating a transformation in the habitual behavioral patterns of the children. The sample and the methodology. 200 children (average age = 8.6 ± 0.2) participated in the study. The time children spent with the gadget was measured, the "screen time" was calculated as the average time being spent during a week. The behavioral patterns were explored by the cultural congruence methodology. This methodology allowed us to diagnose the compliance of the child's behavior to the cultural rules typical for his age. These rules are summarized in five factors: "Social interaction", "Learning competence", "Self-control", "Obedience", "Self-service", and "Reglementation." Results. Interestingly, the study distinguished three groups of children: 1) those who attend a musical school, 2) those who are engaged in artistic activities, and 3) those who are not engaged in any system of additional education. Art-based activities allowed the children to have a chance to increase the "green time" away from the screen. The study confirmed that the average screen time in the 3rd group of children was higher. The screen time was statistically connected to the level of cultural congruence i.e., the compliance of the child's behavior to the cultural norms typical for his age. Conclusion. Indicators of the maturity of behavior patterns according to the cultural norms typical for a given age are higher among children engaged in musical and artistic activities. These results prove that the children who devote their "green time" to art assimilate to the rules better. This is the mark of successful socialization, as far as the interaction of a child takes place in a normative situation where the rules exist.

Keywords: screen time, green time, behavior patterns, cultural congruence, primary school age, art activities

DOI:

"PLAY WITH FORI" AN INNOVATIVE EDUCATIONAL PROGRAM FOR SOCIO-EMOTIONAL SKILLS DEVELOPMENT IN BULGARIAN PRESCHOOL EDUCATION

Sevdzhihan Eyubova

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