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Published in: Health and Quality of Life Outcomes 1/2021

Open Access 01-12-2021 | Affective Disorder | Research

Sexual function, mental health, and quality of life under strain of COVID-19 pandemic in Iranian pregnant and lactating women: a comparative cross-sectional study

Authors: Negin Mirzaei, Shahideh Jahanian Sadatmahalleh, Mahnaz Bahri Khomami, Ashraf Moini, Anoshirvan Kazemnejad

Published in: Health and Quality of Life Outcomes | Issue 1/2021

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Abstract

Background

The impact of COVID-19 pandemic on mental health of pregnant and lactating women is unclear. This study aimed to assess the impact of COVID-19 on psychological health, sexual function, and quality of life (QoL) in Iranian pregnant and lactating women and compare the results with non-pregnant/non-lactating women.

Method

This comparative cross-sectional study was carried out on pregnant and lactating women, with non-pregnant/non-lactating women from May to Jun 2020. Patients were asked to complete three questionnaires: Hospital Anxiety and Depression Scale (HADS), Female Sexual Function Index (FSFI), and Short-Form Health Survey (SF-12). One-way ANOVA was used to reveal the statistical differences between the three groups.

Result

The mean age of patients was 20.81 ± 5.92 years old. The mean (SD) score of HADS in pregnant, lactating and non-pregnant / non-lactating women were 12.11 (6.72), 11.98 (8.44) and 9.38 (6.2) respectively, and the results showed that the scores in pregnant, lactating women were higher than non-pregnant / non-lactating women (P < 0.001). Also the mean (SD) score of QOL and FSFI was 68.29 (9.47), 74.18 (12.65), 79.03 (10.48) and 22.71 (8.16), 22.72 (8.16), 26.19 (3.93) in three groups and the scores in pregnant, lactating women were lower than non-pregnant/non-lactating women (P < 0.001).

Conclusion

The COVID-19 epidemic increases the risk of depression, anxiety, FSD, and lowers QoL in pregnant and lactating women, with the general population. This suggests the urgent need for psychological intervention in the maternal population during the epidemic.
Literature
2.
go back to reference Organization WH. WHO Director-General’s remarks at the media briefing on 2019-nCoV on 11 February 2020. Internet] World Health Organization. 2020. Organization WH. WHO Director-General’s remarks at the media briefing on 2019-nCoV on 11 February 2020. Internet] World Health Organization. 2020.
3.
go back to reference Hall RC, Hall RC, Chapman MJ. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics. Gen Hosp Psychiatry. 2008;30(5):446–52.CrossRef Hall RC, Hall RC, Chapman MJ. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics. Gen Hosp Psychiatry. 2008;30(5):446–52.CrossRef
4.
go back to reference Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395(10224):e37–8.CrossRef Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet. 2020;395(10224):e37–8.CrossRef
6.
go back to reference Lee DT, Sahota D, Leung TN, Yip AS, Lee FF, Chung TK. Psychological responses of pregnant women to an infectious outbreak: a case-control study of the 2003 SARS outbreak in Hong Kong. J Psychosom Res. 2006;61(5):707–13.CrossRef Lee DT, Sahota D, Leung TN, Yip AS, Lee FF, Chung TK. Psychological responses of pregnant women to an infectious outbreak: a case-control study of the 2003 SARS outbreak in Hong Kong. J Psychosom Res. 2006;61(5):707–13.CrossRef
7.
go back to reference Wu Y, Zhang C, Liu H, Duan C, Li C, Fan J, et al. Perinatal depressive and anxiety symptoms of pregnant women along with COVID-19 outbreak in China. Am J Obst Gynecol. 2020;223(2):240.e1-e9.CrossRef Wu Y, Zhang C, Liu H, Duan C, Li C, Fan J, et al. Perinatal depressive and anxiety symptoms of pregnant women along with COVID-19 outbreak in China. Am J Obst Gynecol. 2020;223(2):240.e1-e9.CrossRef
8.
go back to reference Dowse E, Chan S, Ebert L, Wynne O, Thomas S, Jones D, et al. Impact of perinatal depression and anxiety on birth outcomes: a retrospective data analysis. Matern Child Health J. 2020;24(6):718–26.CrossRef Dowse E, Chan S, Ebert L, Wynne O, Thomas S, Jones D, et al. Impact of perinatal depression and anxiety on birth outcomes: a retrospective data analysis. Matern Child Health J. 2020;24(6):718–26.CrossRef
9.
go back to reference Basson R, Gilks T. Women’s sexual dysfunction associated with psychiatric disorders and their treatment. Womens Health. 2018;14:1745506518762664. Basson R, Gilks T. Women’s sexual dysfunction associated with psychiatric disorders and their treatment. Womens Health. 2018;14:1745506518762664.
10.
go back to reference Mourady D, Richa S, Karam R, Papazian T, Moussa FH, El Osta N, et al. Associations between quality of life, physical activity, worry, depression and insomnia: a cross-sectional designed study in healthy pregnant women. PLoS ONE. 2017;12(5):e0178181.CrossRef Mourady D, Richa S, Karam R, Papazian T, Moussa FH, El Osta N, et al. Associations between quality of life, physical activity, worry, depression and insomnia: a cross-sectional designed study in healthy pregnant women. PLoS ONE. 2017;12(5):e0178181.CrossRef
11.
go back to reference Chow S-C, Wang H, Shao J. Sample size calculations in clinical research. Boca Raton: CRC Press; 2007.CrossRef Chow S-C, Wang H, Shao J. Sample size calculations in clinical research. Boca Raton: CRC Press; 2007.CrossRef
12.
go back to reference Snaith RP. The hospital anxiety and depression scale. Health Qual Life Outcomes. 2003;1(1):29.CrossRef Snaith RP. The hospital anxiety and depression scale. Health Qual Life Outcomes. 2003;1(1):29.CrossRef
13.
go back to reference Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1(1):14.CrossRef Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1(1):14.CrossRef
14.
go back to reference Rosen CB, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R, R, . The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Therapy. 2000;26(2):191–208.CrossRef Rosen CB, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R, R, . The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Therapy. 2000;26(2):191–208.CrossRef
15.
go back to reference Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh (Health Monitor). 2008;7(3). Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh (Health Monitor). 2008;7(3).
16.
go back to reference Ware JE Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–33.CrossRef Ware JE Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–33.CrossRef
17.
go back to reference Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC Public Health. 2009;9(1):341.CrossRef Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC Public Health. 2009;9(1):341.CrossRef
19.
go back to reference Wu Y-T, Zhang C, Liu H, Duan C-C, Li C, Fan J-X, et al. Perinatal Depression of Women Along with 2019 Novel Coronavirus Breakout in China. 2020. Wu Y-T, Zhang C, Liu H, Duan C-C, Li C, Fan J-X, et al. Perinatal Depression of Women Along with 2019 Novel Coronavirus Breakout in China. 2020.
21.
go back to reference Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395:912.CrossRef Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395:912.CrossRef
22.
go back to reference Ng J, Sham A, Leng TP, Fung S. Pregnant Women’s Perceptions on Severe Acute Respiratory Syndrome (SARS) risk. Ng J, Sham A, Leng TP, Fung S. Pregnant Women’s Perceptions on Severe Acute Respiratory Syndrome (SARS) risk.
23.
go back to reference Segerstrom SC, Miller GE. Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull. 2004;130(4):601.CrossRef Segerstrom SC, Miller GE. Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull. 2004;130(4):601.CrossRef
24.
go back to reference Grote NK, Bridge JA, Gavin AR, Melville JL, Iyengar S, Katon WJ. A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry. 2010;67(10):1012–24.CrossRef Grote NK, Bridge JA, Gavin AR, Melville JL, Iyengar S, Katon WJ. A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry. 2010;67(10):1012–24.CrossRef
25.
go back to reference Ystrom E. Breastfeeding cessation and symptoms of anxiety and depression: a longitudinal cohort study. BMC Pregnancy Childbirth. 2012;12(1):36.CrossRef Ystrom E. Breastfeeding cessation and symptoms of anxiety and depression: a longitudinal cohort study. BMC Pregnancy Childbirth. 2012;12(1):36.CrossRef
26.
go back to reference Basson R. Women’s sexual dysfunction: revised and expanded definitions. CMAJ. 2005;172(10):1327–33.CrossRef Basson R. Women’s sexual dysfunction: revised and expanded definitions. CMAJ. 2005;172(10):1327–33.CrossRef
27.
go back to reference Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female sexual function during pregnancy and after childbirth. J Sex Med. 2010;7(8):2782–90.CrossRef Serati M, Salvatore S, Siesto G, Cattoni E, Zanirato M, Khullar V, et al. Female sexual function during pregnancy and after childbirth. J Sex Med. 2010;7(8):2782–90.CrossRef
28.
go back to reference Yuksel B, Ozgor F. Effect of the COVID-19 pandemic on female sexual behavior. Int J Gynecol Obstetr. 2020;150(1):102–98.CrossRef Yuksel B, Ozgor F. Effect of the COVID-19 pandemic on female sexual behavior. Int J Gynecol Obstetr. 2020;150(1):102–98.CrossRef
29.
go back to reference Liu S, Han J, Xiao D, Ma C, Chen B. A report on the reproductive health of women after the massive 2008 Wenchuan earthquake. Int J Gynecol Obstetr. 2010;108(2):161–4.CrossRef Liu S, Han J, Xiao D, Ma C, Chen B. A report on the reproductive health of women after the massive 2008 Wenchuan earthquake. Int J Gynecol Obstetr. 2010;108(2):161–4.CrossRef
31.
go back to reference Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.CrossRef Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.CrossRef
32.
go back to reference Brotto L, Atallah S, Johnson-Agbakwu C, Rosenbaum T, Abdo C, Byers ES, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med. 2016;13(4):538–71.CrossRef Brotto L, Atallah S, Johnson-Agbakwu C, Rosenbaum T, Abdo C, Byers ES, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med. 2016;13(4):538–71.CrossRef
33.
go back to reference Johnson CE. Sexual health during pregnancy and the postpartum (CME). J Sex Med. 2011;8(5):1267–84.CrossRef Johnson CE. Sexual health during pregnancy and the postpartum (CME). J Sex Med. 2011;8(5):1267–84.CrossRef
34.
go back to reference Reamy KJ, White SE. Sexuality in the puerperium: a review. Arch Sex Behav. 1987;16(2):165–86.CrossRef Reamy KJ, White SE. Sexuality in the puerperium: a review. Arch Sex Behav. 1987;16(2):165–86.CrossRef
35.
36.
go back to reference Bartellas E, Crane JM, Daley M, Bennett KA, Hutchens D. Sexuality and sexual activity in pregnancy. BJOG: Int J Obstet Gynaecol. 2000;107(8):964–8.CrossRef Bartellas E, Crane JM, Daley M, Bennett KA, Hutchens D. Sexuality and sexual activity in pregnancy. BJOG: Int J Obstet Gynaecol. 2000;107(8):964–8.CrossRef
37.
go back to reference Leeman LM, Rogers RG. Sex after childbirth: postpartum sexual function. Obstet Gynecol. 2012;119(3):647–55.CrossRef Leeman LM, Rogers RG. Sex after childbirth: postpartum sexual function. Obstet Gynecol. 2012;119(3):647–55.CrossRef
38.
go back to reference World Health Organization. Division of Mental H, Prevention of Substance A. WHOQOL: measuring quality of life. Geneva: World Health Organization; 1997 World Health Organization. Division of Mental H, Prevention of Substance A. WHOQOL: measuring quality of life. Geneva: World Health Organization; 1997
39.
go back to reference Kazemi F, Nahidi F, Kariman N. Assessment scales, associated factors and the quality of life score in pregnant women in Iran. Glob J Health Sci. 2016;8(11):127–39.CrossRef Kazemi F, Nahidi F, Kariman N. Assessment scales, associated factors and the quality of life score in pregnant women in Iran. Glob J Health Sci. 2016;8(11):127–39.CrossRef
40.
go back to reference Lau J, Yang X, Tsui H, Kim J. Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62. J Epidemiol Community Health. 2003;57(11):864–70.CrossRef Lau J, Yang X, Tsui H, Kim J. Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62. J Epidemiol Community Health. 2003;57(11):864–70.CrossRef
41.
go back to reference Xiao H, Zhang Y, Kong D, Li S, Yang N. Social capital and sleep quality in individuals who self-isolated for 14 days during the coronavirus disease 2019 (COVID-19) outbreak in January 2020 in China. Med Sci Monit: Int Med J Exp Clin Res. 2020;26:e923921–31. Xiao H, Zhang Y, Kong D, Li S, Yang N. Social capital and sleep quality in individuals who self-isolated for 14 days during the coronavirus disease 2019 (COVID-19) outbreak in January 2020 in China. Med Sci Monit: Int Med J Exp Clin Res. 2020;26:e923921–31.
42.
go back to reference Tsai S-Y, Lee P-L, Lin J-W, Lee C-N. Cross-sectional and longitudinal associations between sleep and health-related quality of life in pregnant women: a prospective observational study. Int J Nurs Stud. 2016;56:45–53.CrossRef Tsai S-Y, Lee P-L, Lin J-W, Lee C-N. Cross-sectional and longitudinal associations between sleep and health-related quality of life in pregnant women: a prospective observational study. Int J Nurs Stud. 2016;56:45–53.CrossRef
43.
go back to reference Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455.CrossRef Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455.CrossRef
Metadata
Title
Sexual function, mental health, and quality of life under strain of COVID-19 pandemic in Iranian pregnant and lactating women: a comparative cross-sectional study
Authors
Negin Mirzaei
Shahideh Jahanian Sadatmahalleh
Mahnaz Bahri Khomami
Ashraf Moini
Anoshirvan Kazemnejad
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2021
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-021-01720-0

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