Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City

Abstract The mental health effects of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and the Coronavirus Disease 2019 (COVID-19) pandemic on postpartum women are of increasing concern among mental health practitioners. To date, only a handful of studies have explored the emotional...

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Autores principales:	Michael E. Silverman, Laudy Burgos, Zoe I. Rodriguez, Omara Afzal, Alyssa Kalishman, Francesco Callipari, Yvon Pena, Ruth Gabay, Holly Loudon
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/172b398f13664dfd8848dae333d340c5
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spelling	oai:doaj.org-article:172b398f13664dfd8848dae333d340c52021-12-02T12:53:17ZPostpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City10.1038/s41598-020-79564-92045-2322https://doaj.org/article/172b398f13664dfd8848dae333d340c52020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79564-9https://doaj.org/toc/2045-2322Abstract The mental health effects of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and the Coronavirus Disease 2019 (COVID-19) pandemic on postpartum women are of increasing concern among mental health practitioners. To date, only a handful of studies have explored the emotional impact of the pandemic surrounding pregnancy and none have investigated the consequence of pandemic-related social restrictions on the postpartum mood of those living among different socioeconomic status (SES). All postpartum patients appearing to the Mount Sinai Health System for their postpartum appointment between January 2, 2020 and June 30, 2020, corresponding to before and during pandemic imposed social restrictions, were screened for mood symptomatology using the Edinburgh Postnatal Depression Scale (EPDS). Each patient’s socioeconomic status (high/low) was determined by their location of clinical service. A total of 516 postpartum patients were screened. While no differences in EPDS scores were observed by SES prior to social restrictions (U = 7956.0, z = − 1.05, p = .293), a significant change in mood symptomatology was observed following COVID-19 restrictions (U = 4895.0, z = − 3.48, p < .001), with patients living in lower SES reporting significantly less depression symptomatology (U = 9209.0, z = − 4.56, p < .001). There was no change in symptomatology among patients of higher SES (U = 4045.5, z = − 1.06, p = .288). Postpartum depression, the most common complication of childbearing, is a prevalent, cross-cultural disorder with significant morbidity. The observed differences in postpartum mood between patients of different SES in the context of temporarily imposed COVID-19-related social restrictions present a unique opportunity to better understand the specific health and social support needs of postpartum patients living in urban economic poverty. Given that maternal mental illness has negative long-term developmental implications for the offspring and that poor mental health reinforces the poverty cycle, future health policy specifically directed towards supporting postpartum women living in low SES by ameliorating some of the early maternal burdens associated with balancing employment-family-childcare demands may assist in interrupting this cycle while simultaneously improving the long-term outcomes of their offspring.Michael E. SilvermanLaudy BurgosZoe I. RodriguezOmara AfzalAlyssa KalishmanFrancesco CallipariYvon PenaRuth GabayHolly LoudonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-7 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Michael E. Silverman Laudy Burgos Zoe I. Rodriguez Omara Afzal Alyssa Kalishman Francesco Callipari Yvon Pena Ruth Gabay Holly Loudon Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City
description	Abstract The mental health effects of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and the Coronavirus Disease 2019 (COVID-19) pandemic on postpartum women are of increasing concern among mental health practitioners. To date, only a handful of studies have explored the emotional impact of the pandemic surrounding pregnancy and none have investigated the consequence of pandemic-related social restrictions on the postpartum mood of those living among different socioeconomic status (SES). All postpartum patients appearing to the Mount Sinai Health System for their postpartum appointment between January 2, 2020 and June 30, 2020, corresponding to before and during pandemic imposed social restrictions, were screened for mood symptomatology using the Edinburgh Postnatal Depression Scale (EPDS). Each patient’s socioeconomic status (high/low) was determined by their location of clinical service. A total of 516 postpartum patients were screened. While no differences in EPDS scores were observed by SES prior to social restrictions (U = 7956.0, z = − 1.05, p = .293), a significant change in mood symptomatology was observed following COVID-19 restrictions (U = 4895.0, z = − 3.48, p < .001), with patients living in lower SES reporting significantly less depression symptomatology (U = 9209.0, z = − 4.56, p < .001). There was no change in symptomatology among patients of higher SES (U = 4045.5, z = − 1.06, p = .288). Postpartum depression, the most common complication of childbearing, is a prevalent, cross-cultural disorder with significant morbidity. The observed differences in postpartum mood between patients of different SES in the context of temporarily imposed COVID-19-related social restrictions present a unique opportunity to better understand the specific health and social support needs of postpartum patients living in urban economic poverty. Given that maternal mental illness has negative long-term developmental implications for the offspring and that poor mental health reinforces the poverty cycle, future health policy specifically directed towards supporting postpartum women living in low SES by ameliorating some of the early maternal burdens associated with balancing employment-family-childcare demands may assist in interrupting this cycle while simultaneously improving the long-term outcomes of their offspring.
format	article
author	Michael E. Silverman Laudy Burgos Zoe I. Rodriguez Omara Afzal Alyssa Kalishman Francesco Callipari Yvon Pena Ruth Gabay Holly Loudon
author_facet	Michael E. Silverman Laudy Burgos Zoe I. Rodriguez Omara Afzal Alyssa Kalishman Francesco Callipari Yvon Pena Ruth Gabay Holly Loudon
author_sort	Michael E. Silverman
title	Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City
title_short	Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City
title_full	Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City
title_fullStr	Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City
title_full_unstemmed	Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City
title_sort	postpartum mood among universally screened high and low socioeconomic status patients during covid-19 social restrictions in new york city
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/172b398f13664dfd8848dae333d340c5
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Postpartum mood among universally screened high and low socioeconomic status patients during COVID-19 social restrictions in New York City

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