{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T05:30:32Z","timestamp":1768973432563,"version":"3.49.0"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Rationale<\/jats:title><jats:p>Postpartum depression is a significant health problem that negatively affects maternal and fetal health and should be carefully evaluated by health professionals in extraordinary situations such as disasters and pandemics. This study aimed to examine the effects of fear of COVID\u201019, perceived social support, and some socio\u2010demographic and obstetric characteristics of women on the risk of postpartum depression during the pandemic period using path analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study was conducted with 226 women over 18 years of age, literate, gave birth at term, were between 2 weeks and a year postpartum, could use smartphones, and had not had COVID\u201019. The data were collected using the instruments Personal Information Form, the Fear of COVID\u201019 Scale (FCV\u201019S), the Edinburgh Postnatal Depression Scale (EPDS), and the Multidimensional Scale of Perceived Social Support (MSPSS). Data were collected via online survey method between 14 November 2020 and 30 December 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of risk of postpartum depression was 35.8%. The mean FCV\u201019S score was 19.72\u2009\u00b1\u20096.75, the mean MSPSS score was 56.69\u2009\u00b1\u200917.49, and the mean EPDS score was 10.03\u2009\u00b1\u20096.21. Binary logistic regression analysis showed that risk factors associated with postpartum depression risk in postpartum women during the pandemic family type (OR: 0.316, <jats:italic>p<\/jats:italic>\u2009=\u20090.05), satisfaction with childbirth experience (OR: 5.907, <jats:italic>p<\/jats:italic>\u2009=\u20090.003), fear of COVID\u201019 (OR: 1.104, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and perceived social support (OR: 0.942, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). According to the path analysis, the <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>\/degree of freedom value of the model is 1.35 and GFI: 0.99, AGFI: 0.96, CFI: 0.98, RMSEA: 0.040, NFI: 0.94, NNFI: 0.93, SRMR: 0.041 for path analysis. Path analysis revealed that having a nuclear family (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20091.33), perceived social support (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22120.13), having a history of depression (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20093.61), fear of COVID\u201019 (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.14), and satisfaction with the birth experience (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22122.56) had a direct negative effect on the risk of PPD during the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings suggest that strengthening social support, helping her cope with the fear of COVID\u201019, having a good birth process, and reasonable evaluation of their mental health history can alleviate the risk of PPD during the pandemic period. On the other hand, our findings may guide the development of prevention and intervention approaches for factors that directly and indirectly affect women's PPD risk during the pandemic period.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.70098","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T10:29:42Z","timestamp":1745231382000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Effects of Fear of COVID\u201019 and Perceived Social Support on Postpartum Depression: A Path Analysis"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4290-7693","authenticated-orcid":false,"given":"Mehtap Uzun","family":"Aksoy","sequence":"first","affiliation":[{"name":"Faculty of Nursing Gazi University Ankara T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eda \u015eim\u015fek","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Health Sciences Kocaeli University Ankara T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aliye Do\u011fan","family":"Gangal","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Gazi University Ankara T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u015eeng\u00fcl Yaman","family":"S\u00f6zbir","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Gazi University Ankara T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayten \u015eenturk","family":"Erenel","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Health Sciences Lokman Hekim University Ankara T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30185-9"},{"key":"e_1_2_10_3_1","unstructured":"World Health Organization Coronavirus Disease (COVID\u201019) accessed August 2023 https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/coronavirus-disease-(covid-19)."},{"key":"e_1_2_10_4_1","unstructured":"US Centers for Disease Control and Prevention Legal Authorities for Isolation and Quarantine accessed August 2022 https:\/\/www.cdc.gov\/port-health\/legal-authorities\/isolation-quarantine.html."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113297"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30460-8"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17051729"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","unstructured":"M. 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