{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T17:03:05Z","timestamp":1784394185365,"version":"3.55.0"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,10,18]],"date-time":"2021-10-18T00:00:00Z","timestamp":1634515200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p><jats:bold>Objective:<\/jats:bold> To identify the prevalence of comorbid anxiety and depression (CAD) and analyze the relationship between CAD and sociodemographic and obstetric-related variables in pregnant and postpartum Chinese women during the COVID-19 pandemic.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Participants were 2,237 pregnant and postpartum women (aged 19\u201347 years) who visited various medical institutions in China between February 28, 2020, and April 26, 2020. They were asked to complete an online survey assessing the anxiety and depression, obstetric characteristics, and sociodemographic variables. The women were grouped into the following categories in accordance with the Generalized Anxiety Disorder Scale-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9): (a) CAD, (b) \u201canxiety only,\u201d (c) \u201cdepression only,\u201d and (d) \u201cno depression or anxiety.\u201d After estimating the prevalence of CAD, \u201canxiety only,\u201d and \u201cdepression only,\u201d we carried out chi-squared tests and multiple logistic regression analysis to examine the related factors between these groups of pregnant and postpartum Chinese women.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Comorbid anxiety and depression, \u201canxiety only,\u201d and \u201cdepression only,\u201d occurred in 6.3, 5.8, and 3.9% of participants, respectively. The prevalence rates of CAD during the first, second, and third trimesters of pregnancy and the postpartum period were found to be 7.4, 6.5, 5.7, and 8.2%, respectively. The factors that differed among the groups were age (<jats:italic>p<\/jats:italic> &amp;lt; 0.05), marital status (<jats:italic>p<\/jats:italic> &amp;lt; 0.001), level of education (<jats:italic>p<\/jats:italic> &amp;lt; 0.05), family support (<jats:italic>p<\/jats:italic> &amp;lt; 0.001), and total live births (<jats:italic>p<\/jats:italic> &amp;lt; 0.001). \u201cPoor family support\u201d (odds ratio (OR): 1.90; 95% confidence interval (CI): 1.30\u20132.78; <jats:italic>p<\/jats:italic> = 0.0009) and \u201cno birth\u201d (OR: 1.91; 95% CI: 1.32\u20132.75; <jats:italic>p<\/jats:italic> = 0.0006) remained significant factors for the CAD group, while \u201cpoor family support\u201d (OR: 2.16; 95% CI: 1.34\u20133.47; <jats:italic>p<\/jats:italic> = 0.0015) remained a significant factor for the \u201cdepression only\u201d group when their results were compared to those of the \u201cno depression or anxiety\u201d group in the multiple logistic regression analysis.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Pregnant and postpartum Chinese women with poor family support and primipara are at high risk for CAD during the COVID-19 pandemic. These results support the need for targeted perinatal programs to address CAD in pregnant and postpartum women during the pandemic period.<\/jats:p>","DOI":"10.3389\/fpsyg.2021.701629","type":"journal-article","created":{"date-parts":[[2021,10,18]],"date-time":"2021-10-18T05:02:30Z","timestamp":1634533350000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":22,"title":["Comorbid Anxiety and Depression and Related Factors Among Pregnant and Postpartum Chinese Women During the Coronavirus Disease 2019 Pandemic"],"prefix":"10.3389","volume":"12","author":[{"given":"Zheng","family":"Luo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luyao","family":"Xue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengkui","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,10,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e031035","DOI":"10.1136\/bmjopen-2019-031035","article-title":"Neighbourhood socioeconomic status modifies the association between anxiety and depression during pregnancy and preterm birth: a community-based Canadian cohort study","volume":"10","author":"Adhikari","year":"2020","journal-title":"BMJ. 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