{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:05:10Z","timestamp":1789625110389,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T00:00:00Z","timestamp":1613001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T00:00:00Z","timestamp":1613001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare mental distress and COVID\u201019\u2010related family environment changes among pregnant women before and during the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a survey\u2010based study in Lishui City, Zhejiang, China, pregnant women were recruited before (March\u2013December, 2019; n\u00a0=\u00a02657) and during (January\u2013August, 2020; n\u00a0=\u00a0689) the COVID\u201019 pandemic. They completed the Symptom Check List\u201090 Revised (SCL90\u2010R) questionnaire and Pittsburgh Sleep Quality Index (PSQI), and were asked about their families via the Family Environment Scale (FES).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Higher SCL90\u2010R scores of somatization (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.003), depression (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.043), anxiety (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.041), hostility (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.009), and others (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.025) were reported by women during the COVID\u201019 pandemic. Sleep disorder also occurred more frequently among pregnant women during the pandemic (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.002). Social environmental characteristics of families showed impaired family cohesion, and increased levels of conflict and independence during the pandemic (all\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). The FES score for family cohesion was negatively related with obsessive\u2013compulsive, depression, anxiety, and hostility symptoms, whereas that for conflict was positively related with these symptoms (all\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The mental health, sleep, and family environment of pregnant women was impaired during the COVID\u201019 pandemic. Potential protective factors including increased social support might help to mitigate long\u2010lasting negative consequences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13575","type":"journal-article","created":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T23:56:44Z","timestamp":1609977404000},"page":"71-75","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Alteration in the psychologic status and family environment of pregnant women before and during the COVID\u201019 pandemic"],"prefix":"10.1002","volume":"153","author":[{"given":"Miaomiao","family":"Xie","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Lishui Maternal and Child Health Care Hospital Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine Shanghai General Hospital Shanghai Jiao Tong University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingjing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Shang Guojia Healthcare Company Ltd Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Lishui Maternal and Child Health Care Hospital Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2466\/02.20.PR0.113x16z1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17051729"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2020.01.005"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.5603\/GP.a2018.0017"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30360-3"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753495x12473751"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/dev.21505"},{"issue":"1","key":"e_1_2_7_9_1","first-page":"28","article-title":"The Pittsburgh Sleep Quality Index (PSQI)","volume":"8","author":"Smyth C","year":"2000","journal-title":"Director"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198909000-00002"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13348"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13925"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13398"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13335"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2020.1786037"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.07.126"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.03.021"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6925a1"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.12r07917"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15402010BSM0101_6"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646830601117308"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13575","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13575","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13575","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:53:16Z","timestamp":1773003196000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13575"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,11]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1002\/ijgo.13575"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13575","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,11]]},"assertion":[{"value":"2020-10-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}