Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health...

Autores
Miranda, Agustín Ramiro; Scotta, Ana Verónica; Cortez, Mariela Valentina; Soria, Elio Andrés
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Fil: Miranda, Agustín Ramiro. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Miranda, Agustín Ramiro. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Scotta, Ana Verónica. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Scotta, Ana Verónica. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Cortez, Mariela Valentina. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Cortez, Mariela Valentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Soria, Elio Andrés. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Instituto de Biología Celular; Argentina.
Fil: Soria, Elio Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Objective: The 2019 coronavirus disease pandemic (COVID-19) required strict confinement measures that differentially impacted the individual's daily life. Thus, this work aimed to study postpartum women's mental health in Argentina during mandatory social isolation. Design: A cross-sectional survey was conducted from May to July 2020, which included five validated questionnaires to assess postpartum depression (Postpartum Depression Screening Scale‐Short Form), insomnia (Insomnia Severity Index), memory complaints (Memory Complaint Scale), metacognition (Brief Metamemory and Metaconcentration Scale), and breastfeeding self-efficacy (Breastfeeding Self-Efficacy Scale-Short Form). Sociodemographic variables, social isolation characteristics, and breastfeeding practices were also collected. This study was conducted in accordance with the Declaration of Helsinki. Statistical analysis included zero-order correlations, multiple logistic regressions, and a set of structural equation models (SEM) to test direct and indirect effects. Goodness-of-fit indices were calculated for SEM. Setting Postpartum women were recruited from public hospitals, private health clinics, and online community recruitment in the Cordoba province (Argentina). Participants: 305 postpartum women from Argentina. Measurements and findings: 37% of women reported postpartum depression, 46% insomnia, 42% memory impairment, 60% low metaconcentration, 50% low metamemory, and 23% low breastfeeding efficacy. Also, significant associations were found demonstrating that social isolation promoted postpartum depression and insomnia were reciprocally related, which compromised female cognition and efficacy. This situation was aggravated in women during late postpartum, with previous children, and by low social support (e.g., family, health professionals), with non-exclusive breastfeeding being increased. Key conclusions: This is the first study addressing postpartum women's mental status during social isolation in Argentina, which was a promoting factor for postpartum depression and insomnia that were reciprocally related. This situation was also aggravated by reproductive factors, such as late postpartum, multiparity, breastfeeding frequency, and non-exclusive breastfeeding. Additionally, breastfeeding self-efficacy depended on mental health status, and euthymia therefore favoured the practice of exclusive breastfeeding.
publishedVersion
Fil: Miranda, Agustín Ramiro. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Miranda, Agustín Ramiro. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Scotta, Ana Verónica. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Scotta, Ana Verónica. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Cortez, Mariela Valentina. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Cortez, Mariela Valentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Soria, Elio Andrés. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Instituto de Biología Celular; Argentina.
Fil: Soria, Elio Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Materia
Covid 19
Pandemics
Depression
Postpartum
Sleep
Self efficacy
Metacognition
Cognitive dysfunction
Nivel de accesibilidad
acceso abierto
Condiciones de uso
Repositorio
Repositorio Digital Universitario (UNC)
Institución
Universidad Nacional de Córdoba
OAI Identificador
oai:rdu.unc.edu.ar:11086/19892
Acceder
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oai_identifier_str oai:rdu.unc.edu.ar:11086/19892
network_acronym_str RDUUNC
repository_id_str 2572
network_name_str Repositorio Digital Universitario (UNC)
spelling Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factorsMiranda, Agustín RamiroScotta, Ana VerónicaCortez, Mariela ValentinaSoria, Elio AndrésCovid 19PandemicsDepressionPostpartumSleepSelf efficacyMetacognitionCognitive dysfunctionFil: Miranda, Agustín Ramiro. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.Fil: Miranda, Agustín Ramiro. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.Fil: Scotta, Ana Verónica. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.Fil: Scotta, Ana Verónica. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.Fil: Cortez, Mariela Valentina. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.Fil: Cortez, Mariela Valentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.Fil: Soria, Elio Andrés. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Instituto de Biología Celular; Argentina.Fil: Soria, Elio Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.Objective: The 2019 coronavirus disease pandemic (COVID-19) required strict confinement measures that differentially impacted the individual's daily life. Thus, this work aimed to study postpartum women's mental health in Argentina during mandatory social isolation. Design: A cross-sectional survey was conducted from May to July 2020, which included five validated questionnaires to assess postpartum depression (Postpartum Depression Screening Scale‐Short Form), insomnia (Insomnia Severity Index), memory complaints (Memory Complaint Scale), metacognition (Brief Metamemory and Metaconcentration Scale), and breastfeeding self-efficacy (Breastfeeding Self-Efficacy Scale-Short Form). Sociodemographic variables, social isolation characteristics, and breastfeeding practices were also collected. This study was conducted in accordance with the Declaration of Helsinki. Statistical analysis included zero-order correlations, multiple logistic regressions, and a set of structural equation models (SEM) to test direct and indirect effects. Goodness-of-fit indices were calculated for SEM. Setting Postpartum women were recruited from public hospitals, private health clinics, and online community recruitment in the Cordoba province (Argentina). Participants: 305 postpartum women from Argentina. Measurements and findings: 37% of women reported postpartum depression, 46% insomnia, 42% memory impairment, 60% low metaconcentration, 50% low metamemory, and 23% low breastfeeding efficacy. Also, significant associations were found demonstrating that social isolation promoted postpartum depression and insomnia were reciprocally related, which compromised female cognition and efficacy. This situation was aggravated in women during late postpartum, with previous children, and by low social support (e.g., family, health professionals), with non-exclusive breastfeeding being increased. Key conclusions: This is the first study addressing postpartum women's mental status during social isolation in Argentina, which was a promoting factor for postpartum depression and insomnia that were reciprocally related. This situation was also aggravated by reproductive factors, such as late postpartum, multiparity, breastfeeding frequency, and non-exclusive breastfeeding. Additionally, breastfeeding self-efficacy depended on mental health status, and euthymia therefore favoured the practice of exclusive breastfeeding.publishedVersionFil: Miranda, Agustín Ramiro. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.Fil: Miranda, Agustín Ramiro. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.Fil: Scotta, Ana Verónica. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.Fil: Scotta, Ana Verónica. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.Fil: Cortez, Mariela Valentina. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.Fil: Cortez, Mariela Valentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.Fil: Soria, Elio Andrés. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Instituto de Biología Celular; Argentina.Fil: Soria, Elio Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.2021-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdf0266-6138http://hdl.handle.net/11086/19892 https://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGErhttps://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGErenginfo:eu-repo/semantics/openAccessreponame:Repositorio Digital Universitario (UNC)instname:Universidad Nacional de Córdobainstacron:UNC2025-10-23T11:17:17Zoai:rdu.unc.edu.ar:11086/19892Institucionalhttps://rdu.unc.edu.ar/Universidad públicaNo correspondehttp://rdu.unc.edu.ar/oai/snrdoca.unc@gmail.comArgentinaNo correspondeNo correspondeNo correspondeopendoar:25722025-10-23 11:17:17.727Repositorio Digital Universitario (UNC) - Universidad Nacional de Córdobafalse
dc.title.none.fl_str_mv Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
spellingShingle Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
Miranda, Agustín Ramiro
Covid 19
Pandemics
Depression
Postpartum
Sleep
Self efficacy
Metacognition
Cognitive dysfunction
title_short Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title_full Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title_fullStr Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title_full_unstemmed Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
title_sort Triggering of postpartum depression and insomnia with cognitive impairment in Argentinian women during the pandemic COVID-19 social isolation in relation to reproductive and health factors
dc.creator.none.fl_str_mv Miranda, Agustín Ramiro
Scotta, Ana Verónica
Cortez, Mariela Valentina
Soria, Elio Andrés
author Miranda, Agustín Ramiro
author_facet Miranda, Agustín Ramiro
Scotta, Ana Verónica
Cortez, Mariela Valentina
Soria, Elio Andrés
author_role author
author2 Scotta, Ana Verónica
Cortez, Mariela Valentina
Soria, Elio Andrés
author2_role author
author
author
dc.subject.none.fl_str_mv Covid 19
Pandemics
Depression
Postpartum
Sleep
Self efficacy
Metacognition
Cognitive dysfunction
topic Covid 19
Pandemics
Depression
Postpartum
Sleep
Self efficacy
Metacognition
Cognitive dysfunction
dc.description.none.fl_txt_mv Fil: Miranda, Agustín Ramiro. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Miranda, Agustín Ramiro. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Scotta, Ana Verónica. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Scotta, Ana Verónica. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Cortez, Mariela Valentina. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Cortez, Mariela Valentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Soria, Elio Andrés. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Instituto de Biología Celular; Argentina.
Fil: Soria, Elio Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Objective: The 2019 coronavirus disease pandemic (COVID-19) required strict confinement measures that differentially impacted the individual's daily life. Thus, this work aimed to study postpartum women's mental health in Argentina during mandatory social isolation. Design: A cross-sectional survey was conducted from May to July 2020, which included five validated questionnaires to assess postpartum depression (Postpartum Depression Screening Scale‐Short Form), insomnia (Insomnia Severity Index), memory complaints (Memory Complaint Scale), metacognition (Brief Metamemory and Metaconcentration Scale), and breastfeeding self-efficacy (Breastfeeding Self-Efficacy Scale-Short Form). Sociodemographic variables, social isolation characteristics, and breastfeeding practices were also collected. This study was conducted in accordance with the Declaration of Helsinki. Statistical analysis included zero-order correlations, multiple logistic regressions, and a set of structural equation models (SEM) to test direct and indirect effects. Goodness-of-fit indices were calculated for SEM. Setting Postpartum women were recruited from public hospitals, private health clinics, and online community recruitment in the Cordoba province (Argentina). Participants: 305 postpartum women from Argentina. Measurements and findings: 37% of women reported postpartum depression, 46% insomnia, 42% memory impairment, 60% low metaconcentration, 50% low metamemory, and 23% low breastfeeding efficacy. Also, significant associations were found demonstrating that social isolation promoted postpartum depression and insomnia were reciprocally related, which compromised female cognition and efficacy. This situation was aggravated in women during late postpartum, with previous children, and by low social support (e.g., family, health professionals), with non-exclusive breastfeeding being increased. Key conclusions: This is the first study addressing postpartum women's mental status during social isolation in Argentina, which was a promoting factor for postpartum depression and insomnia that were reciprocally related. This situation was also aggravated by reproductive factors, such as late postpartum, multiparity, breastfeeding frequency, and non-exclusive breastfeeding. Additionally, breastfeeding self-efficacy depended on mental health status, and euthymia therefore favoured the practice of exclusive breastfeeding.
publishedVersion
Fil: Miranda, Agustín Ramiro. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Miranda, Agustín Ramiro. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Scotta, Ana Verónica. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Scotta, Ana Verónica. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Cortez, Mariela Valentina. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
Fil: Cortez, Mariela Valentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
Fil: Soria, Elio Andrés. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Instituto de Biología Celular; Argentina.
Fil: Soria, Elio Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ciencias de la Salud; Argentina.
description Fil: Miranda, Agustín Ramiro. Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Escuela de Fonoaudiología; Argentina.
publishDate 2021
dc.date.none.fl_str_mv 2021-11
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv 0266-6138
http://hdl.handle.net/11086/19892 https://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGEr
https://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGEr
identifier_str_mv 0266-6138
url http://hdl.handle.net/11086/19892 https://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGEr
https://www.sciencedirect.com/science/article/pii/S0266613821001522?casa_token=N6JXo1hbjdsAAAAA:_GXBV643QhCqxp8yPII9wKP4-JZ6T7SBYp885oW6xAtptRf1yIu5Y7wMYVkkjvY0QNScNTVELGEr
dc.language.none.fl_str_mv eng
language eng
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Repositorio Digital Universitario (UNC)
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instacron:UNC
reponame_str Repositorio Digital Universitario (UNC)
collection Repositorio Digital Universitario (UNC)
instname_str Universidad Nacional de Córdoba
instacron_str UNC
institution UNC
repository.name.fl_str_mv Repositorio Digital Universitario (UNC) - Universidad Nacional de Córdoba
repository.mail.fl_str_mv oca.unc@gmail.com
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