The impact of lockdown policy on depressive symptoms among pregnant women in China:mediating effects of internet use and family support

作     者：Yongjie Zhou Ruoxi Wang Lei Liu Ting Ding Lijuan Huo Ling Qi Jie Xiong Jie Yan Lingyun Zeng Jiezhi Yang Suyi Song Gaolanxin Dai 

作者机构：Shenzhen Kanning HospitalShenzhen 518020China School of Medicine and Health ManagementTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030HubeiChina Research Center for Rural Health ServicesHubei Province Key Research Institute of Humanities and Social SciencesWuhan 430030HubeiChina Qingdao Mental Health CenterQingdao UniversityQingdao 266034China Department of PsychiatryAffiliated Brain Hospital of Guangzhou Medical University(Guangzhou Huiai Hospital)Guangzhou 510000China The First School of Clinical MedicineSouthern Medical UniversityGuangzhou 510000China School of Health Science and NursingWuhan Polytechnic UniversityWuhan 430023China ESSCA School of Management1 Rue Joseph Lakanal-BP 4034849003 Cedex 01 AngersFrance Grenoble Ecole de Management12 Rue Pierre Semard38000 GrenobleFrance Shenzhen Health Development Research CenterShenzhen 518028China 

出 版 物：《Global Health Research and Policy》 (全球健康研究与政策（英文）)

年 卷 期：2021年第6卷第1期

页      面：392-403页

学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

基　　金：supported by Sanming Project of Medicine in Shenzhen(No.SZSM202011014) Shenzhen Fund for Guangdong Provincial High level Clinical Key Specialties(No.SZGSP013) Research Project of Hubei Provincial Department of Education(B2019061) 

主　　题：Pregnant women Maternal depressive symptoms Lockdown COVID-19 Internet use Family support 

摘      要：Background:Although more and more attention has been paid to the psychological consequences of the lockdown policy amongst pregnant women,the underlying mechanism linking the lockdown policy to maternal depression has not been studied in the context of *** study aimed to explore the association between the lockdown policy and maternal depressive symptoms,and whether such association was mediated by internet use and/or family ***:This cross-sectional study used multi-stage sampling techniques in central and western *** were collected from 1266 pregnant women using a structtured questionnaire that measured internet use,family support,and depressive *** Patient Health Questionnaire-9(PHQ-9)was used to measure depressive *** use was measured by length of usage and varierity of purpose for internet *** support was measureed by spousal support and parental *** structural equation modelling was employed to conduct mediation analysis to test the specificity of the hypothetical ***:Overall,527 respondents(41.63%)presented depressive *** lockdown policy was negatively associated with depressive symptoms in pregnant women(β=−0.925,95%CI=−1.510,−0.360).The impact of the lockdown policy on depressive symptoms was partially mediated by internet use(β=1.589,95%CI=0.730,2.807)and family support(β=−0.162,95%CI=−0.341,−0.017),accounting for 42.67%of the total ***:The lockdown policy was generally associated with fewer depressive symptoms in pregnant *** lockdown policy increased maternal depressive symptoms through increased internet use,but decreased maternal depressive symptoms through enhanced family *** findings suggest that the psychological consequence of the lockdown policy may vary across different populations,and warrant the need to take into consideration the features of subgroups.