{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T14:54:12Z","timestamp":1776869652881,"version":"3.51.2"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:00:00Z","timestamp":1686182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003243","name":"Ministerstvo Zdravotnictv\u00ed Cesk\u00e9 Republiky","doi-asserted-by":"publisher","award":["00064165"],"award-info":[{"award-number":["00064165"]}],"id":[{"id":"10.13039\/501100003243","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Our study (part of multicentric \u201cMindCOVID\u201d) investigates risk factors for anxiety and depression among pregnant women during the COVID\u201019 pandemic in the Czech Republic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>The study used a prospective cross\u2010sectional design. Data was collected using an online self\u2010administered questionnaire. Standardized scales, general anxiety disorder (GAD)\u20107 and patient health questionnaire (PHQ)\u20109 were administered online. Multivariate regression analysis was employed to evaluate the relationship between sociodemographic, medical and psychological variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Czech sample included 1830 pregnant women. An increase of depressive and anxiety symptoms measured by PHQ\u20109 and GAD\u20107 in pregnant women during the COVID\u201019 pandemic was associated with unfavorable financial situation, low social and family support, psychological and medical problems before and during pregnancy and infertility treatment. Fear of being infected and adverse effect of COVID\u201019, feeling of burden related to restrictions during delivery and organization of delivery and feeling of burden related to finances were associated with worse anxiety and depressive symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Social and emotional support and lack of financial worries are protective factors against mood disorders in pregnant women in relation to COVID\u201019 pandemic. In addition, adequate information about organization of delivery and additional support from healthcare professionals during the delivery are needed. Our findings can be used for preventive interventions, given that repeated pandemics in the future are anticipated.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14601","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T12:04:47Z","timestamp":1686225887000},"page":"1014-1025","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Anxiety and depressive symptoms in pregnant women during the <scp>COVID<\/scp>\u201019 pandemic in the Czech Republic\u2014Broader sociodemographic causes, connections and implications"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2387-1573","authenticated-orcid":false,"given":"Lenka","family":"Kr\u00e1msk\u00e1","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology Na Homolce Hospital  Prague Czech Republic"},{"name":"Department of Neurology Na Homolce Hospital  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0160\u00e1rka","family":"Slab\u00e1","sequence":"additional","affiliation":[{"name":"Fetal Medicine Center First Medical Faculty of the Charles University and General Teaching Hospital  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia","family":"Hre\u0161kov\u00e1","sequence":"additional","affiliation":[{"name":"K\u00fapele pre du\u0161u, s.r.o., Bardejov Spa  Bardejov Slovak Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Kajdy","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health Center of Postgraduate Medical Education  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6829-5947","authenticated-orcid":false,"given":"Dorota","family":"Sys","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health Center of Postgraduate Medical Education  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liona","family":"Poon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Prince of Wales Hospital, The Chinese University of Hong Kong  Hong Kong SAR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-5026","authenticated-orcid":false,"given":"Pavel","family":"Calda","sequence":"additional","affiliation":[{"name":"Fetal Medicine Center First Medical Faculty of the Charles University and General Teaching Hospital  Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-020-00464-8"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.02.017"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17062032"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13925"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.19940"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.2132"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e31827f2481"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.05.083"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-016-0697-2"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1925-8"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.07.126"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18137112"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.617001"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13894"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113567"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.01.027"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.1835"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1763946"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2013.04.006"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000021279"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14388"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13398"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppc.12627"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9082449"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2020-0182"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764020941567"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13335"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1843155"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-020-01073-5"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13295"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874434602115010388"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.04.022"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.05.009"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2020-0380"},{"key":"e_1_2_12_37_1","article-title":"Impact of COVID\u201019 pandemic on the psychological status of pregnant women","volume":"13","author":"Jelly P","year":"2021","journal-title":"Cureus"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19041983"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0265021"},{"key":"e_1_2_12_40_1","first-page":"1173","article-title":"Effects of mindfulness\u2010based cognitive therapy in pregnancy on psychological distress and gestational age: outcomes of a randomized controlled trial","volume":"12","author":"MacKinnon AL","year":"2021","journal-title":"Mind"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14601","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T10:32:40Z","timestamp":1743849160000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14601"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,8]]},"references-count":39,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/aogs.14601"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14601","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,8]]},"assertion":[{"value":"2023-01-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}