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Behavioral coping phenotypes and associated psychosocial outcomes of pregnant and postpartum women during the COVID-19 pandemic.
Werchan, Denise M; Hendrix, Cassandra L; Ablow, Jennifer C; Amstadter, Ananda B; Austin, Autumn C; Babineau, Vanessa; Anne Bogat, G; Cioffredi, Leigh-Anne; Conradt, Elisabeth; Crowell, Sheila E; Dumitriu, Dani; Fifer, William; Firestein, Morgan R; Gao, Wei; Gotlib, Ian H; Graham, Alice M; Gregory, Kimberly D; Gustafsson, Hanna C; Havens, Kathryn L; Howell, Brittany R; Humphreys, Kathryn L; King, Lucy S; Kinser, Patricia A; Krans, Elizabeth E; Lenniger, Carly; Levendosky, Alytia A; Lonstein, Joseph S; Marcus, Rachel; Monk, Catherine; Moyer, Sara; Muzik, Maria; Nuttall, Amy K; Potter, Alexandra S; Salisbury, Amy; Shuffrey, Lauren C; Smith, Beth A; Smith, Lynne; Sullivan, Elinor L; Zhou, Judy; Thomason, Moriah E; Brito, Natalie H.
Afiliación
  • Werchan DM; NYU Langone Health, New York, USA. Denise.Werchan@nyulangone.org.
  • Hendrix CL; NYU Langone Health, New York, USA.
  • Ablow JC; University of Oregon, Eugene, USA.
  • Amstadter AB; Virginia Commonwealth University, Richmond, USA.
  • Austin AC; NYU Langone Health, New York, USA.
  • Babineau V; Columbia University Irving Medical Center, New York, USA.
  • Anne Bogat G; Michigan State University, East Lansing, USA.
  • Cioffredi LA; University of Vermont, Burlington, USA.
  • Conradt E; University of Utah, Salt Lake City, USA.
  • Crowell SE; University of Utah, Salt Lake City, USA.
  • Dumitriu D; Columbia University Irving Medical Center, New York, USA.
  • Fifer W; Columbia University Irving Medical Center, New York, USA.
  • Firestein MR; Columbia University Irving Medical Center, New York, USA.
  • Gao W; Cedars-Sinai Medical Center, Los Angeles, USA.
  • Gotlib IH; Stanford University, Stanford, USA.
  • Graham AM; Oregon Health and Sciences University, Portland, USA.
  • Gregory KD; Cedars-Sinai Medical Center, Los Angeles, USA.
  • Gustafsson HC; Oregon Health and Sciences University, Portland, USA.
  • Havens KL; University of Southern California, Los Angeles, USA.
  • Howell BR; Department of Human Development and Family Science, Fralin Biomedical Research Institute at Virginia Tech Carilion, Virginia Tech, Blacksburg, USA.
  • Humphreys KL; Vanderbilt University, Nashville, USA.
  • King LS; Stanford University, Stanford, USA.
  • Kinser PA; Virginia Commonwealth University, Richmond, USA.
  • Krans EE; University of Pittsburgh, Pittsburgh, USA.
  • Lenniger C; NYU Langone Health, New York, USA.
  • Levendosky AA; Michigan State University, East Lansing, USA.
  • Lonstein JS; Michigan State University, East Lansing, USA.
  • Marcus R; Cedars-Sinai Medical Center, Los Angeles, USA.
  • Monk C; Columbia University Irving Medical Center, New York, USA.
  • Moyer S; Virginia Commonwealth University, Richmond, USA.
  • Muzik M; University of Michigan, Ann Arbor, USA.
  • Nuttall AK; Michigan State University, East Lansing, USA.
  • Potter AS; University of Vermont, Burlington, USA.
  • Salisbury A; Virginia Commonwealth University, Richmond, USA.
  • Shuffrey LC; Columbia University Irving Medical Center, New York, USA.
  • Smith BA; University of Southern California, Los Angeles, USA.
  • Smith L; The Lundquist Institute at Harbor-UCLA, West Carson, USA.
  • Sullivan EL; Oregon Health and Sciences University, Portland, USA.
  • Zhou J; University of Southern California, Los Angeles, USA.
  • Thomason ME; NYU Langone Health, New York, USA.
  • Brito NH; New York University, New York, USA. Denise.Werchan@nyulangone.org.
Sci Rep ; 12(1): 1209, 2022 01 24.
Article en En | MEDLINE | ID: mdl-35075202
The impact of COVID-19-related stress on perinatal women is of heightened public health concern given the established intergenerational impact of maternal stress-exposure on infants and fetuses. There is urgent need to characterize the coping styles associated with adverse psychosocial outcomes in perinatal women during the COVID-19 pandemic to help mitigate the potential for lasting sequelae on both mothers and infants. This study uses a data-driven approach to identify the patterns of behavioral coping strategies that associate with maternal psychosocial distress during the COVID-19 pandemic in a large multicenter sample of pregnant women (N = 2876) and postpartum women (N = 1536). Data was collected from 9 states across the United States from March to October 2020. Women reported behaviors they were engaging in to manage pandemic-related stress, symptoms of depression, anxiety and global psychological distress, as well as changes in energy levels, sleep quality and stress levels. Using latent profile analysis, we identified four behavioral phenotypes of coping strategies. Critically, phenotypes with high levels of passive coping strategies (increased screen time, social media, and intake of comfort foods) were associated with elevated symptoms of depression, anxiety, and global psychological distress, as well as worsening stress and energy levels, relative to other coping phenotypes. In contrast, phenotypes with high levels of active coping strategies (social support, and self-care) were associated with greater resiliency relative to other phenotypes. The identification of these widespread coping phenotypes reveals novel behavioral patterns associated with risk and resiliency to pandemic-related stress in perinatal women. These findings may contribute to early identification of women at risk for poor long-term outcomes and indicate malleable targets for interventions aimed at mitigating lasting sequelae on women and children during the COVID-19 pandemic.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Complicaciones del Embarazo / Periodo Posparto / Pandemias / Distrés Psicológico / SARS-CoV-2 / COVID-19 Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Complicaciones del Embarazo / Periodo Posparto / Pandemias / Distrés Psicológico / SARS-CoV-2 / COVID-19 Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Sci Rep Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido