ORIGINAL ARTICLE
Postnatal depression and social support during the COVID-19 pandemic among Arab women in Jordan and the United States: A comparative study
 
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1
Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
 
2
Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, JORDAN
 
3
Herbert Wertheim School of Public Health, University of California San Diego, San Diego, CA, USA
 
 
Online publication date: 2023-12-06
 
 
Publication date: 2024-01-01
 
 
Electron J Gen Med 2024;21(1):em557
 
KEYWORDS
ABSTRACT
Objectives:
To compare the levels of postnatal depression experienced by Arab women in Jordan and the United States (USA) and the impact of social support during the COVID-19 pandemic.

Methodology:
Participants were recruited through online survey links and social media channels, as well as face to face. A sample comprising 434 women in the postnatal period participated in the study that included Arab women in the USA and Jordan women, responding to a comprehensive questionnaire that encompassed inquiries about their pandemic status, demographic characteristics, postnatal depression, and social support. CES-D depression scale was used to determine the level of depression.

Findings:
The depression mean score among women in the postnatal period from Jordan was 24.90±4.14 and the depression mean score among Arab women in the USA was 27.70±4.49. The prevalence of depression among Jordanian women was 52.8% and the prevalence of depression among Arab American women was 73.0%. There is a significant difference between both groups in depression during the postnatal period with more prevalence among Arab American women (t=7.64, p=.010). There are no significant differences between groups in tangible and actual social support among both groups (t=1.50, p=.127).

Conclusions:
This nationwide study conducted among postnatal women in Jordan has shed light on several critical findings. Our study found that Arab women in the USA were suffering from more depression compared to Jordanian women. Moreover, our research highlighted a significant inverse relationship between social support and postnatal depression, indicating that as social support increased, levels of depression decreased among women in the postnatal period.

REFERENCES (41)
1.
AlAzzam M, Abuhammad S, Tawalbeh L, Dalky H. Prevalence and correlates of depression, anxiety, and suicidality among high school students: A national study. J Psychosoc Nurs Ment Health Serv. 2021;59(8):43-51. https://doi.org/10.3928/027936... PMid:34110946.
 
2.
AlAzzam M, Abuhammad S, Abdalrahim A, Hamdan-Mansour AM. Predictors of depression and anxiety among senior high school students during COVID-19 pandemic: The context of home quarantine and online education. J Sch Nurs. 2021;37(4):241-8. https://doi.org/10.1177/105984... PMid:33563066.
 
3.
Abuhammad S, Khabour OF, Alomari MA, Alzoubi KH. Depression, stress, anxiety among jordanian people during COVID-19 pandemic: A survey-based study. Inform Med Unlocked. 2022;30:100936. https://doi.org/10.1016/j.imu.... PMid:35399332 PMCid:PMC8977212.
 
4.
Abuhammad S. Violence against Jordanian women during COVID-19 outbreak. Int J Clin Pract. 2021;75(3):e13824. https://doi.org/10.1111/ijcp.1....
 
5.
Abuhammad S. Barriers to distance learning during the COVID-19 outbreak: A qualitative review from parents’ perspective. Heliyon. 2020;6(11):e05482. https://doi.org/10.1016/j.heli... PMid:33200106 PMCid:PMC7654229.
 
6.
Abuhammad S, Hamaideh S, Gharaibeh M, Assaf EA, Al-Qasem H, Aldeirawi K. Depression among Jordanian women during pregnancy in COVID-19: Role of social support. Electron J Gen Med. 2023;20(4):em487. https://doi.org/10.29333/ejgm/....
 
7.
Ajong AB, Kenfack B, Ali IM, et al. Ionised and total hypocalcaemia in pregnancy: An analysis of prevalence and risk factors in a resource-limited setting, Cameroon. PLoS One. 2022;17(5):e0268643. https://doi.org/10.1371/journa... PMid:35584129 PMCid:PMC9116680.
 
8.
Abuhammad S. Attitude of pregnant and lactating women toward COVID-19 vaccination in Jordan: A cross-sectional study. J Perinat Med. 2022;50(7):896-903. https://doi.org/10.1515/jpm-20... PMid:35503514.
 
9.
Abuhammad S. Preparing for future pandemics: Challenges for healthcare leadership. J Healthc Leadersh. 2022;14:131-6. https://doi.org/10.2147/JHL.S3... PMid:36118653 PMCid:PMC9480602.
 
10.
Rice F, Harold GT, Boivin J, van den Bree M, Hay DF, Thapar A. The links between prenatal stress and offspring development and psychopathology: Disentangling environmental and inherited influences. Psychol Med. 2010;40(2):335-45. https://doi.org/10.1017/S00332... PMid:19476689 PMCid:PMC2830085.
 
11.
Ceulemans M, Hompes T, Foulon V. Mental health status of pregnant and breastfeeding women during the COVID-19 pandemic: A call for action. Int J Gynecol Obstet. 2020;151(1):146-7. https://doi.org/10.1002/ijgo.1... PMid:32620037.
 
12.
Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord. 2020;277:5-13. https://doi.org/10.1016/j.jad.... PMid:32777604 PMCid:PMC7395614.
 
13.
Dragioti E, Li H, Tsitsas G, et al. A large-scale meta-analytic atlas of mental health problems prevalence during the COVID-19 early pandemic. J Med Virol. 2022;94(5):1935-49. https://doi.org/10.1002/jmv.27... PMid:34958144 PMCid:PMC9015528.
 
14.
Preis H, Mahaffey B, Heiselman C, Lobel M. Vulnerability and resilience to pandemic-related stress among US women pregnant at the start of the COVID-19 pandemic. Soc Sci Med. 2020;266:113348. https://doi.org/10.1016/j.socs... PMid:32927382 PMCid:PMC7474815.
 
15.
Grumi S, Provenzi L, Accorsi P, et al. Depression and anxiety in mothers who were pregnant during the COVID-19 outbreak in Northern Italy: The role of pandemic-related emotional stress and perceived social support. Front Psychiatry. 2021;12:716488. https://doi.org/10.3389/fpsyt.... PMid:34539466 PMCid:PMC8446509.
 
16.
Talge NM, Neal C, Glover V, Early Stress, Translational Research and Prevention Science Network: Fetal and Neonatal Experience on Child and Adolescent Mental Health. Antenatal maternal stress and long-term effects on child neurodevelopment: How and why? J Child Psychol Psychiatry. 2007;48(3-4):245-61. https://doi.org/10.1111/j.1469... PMid:17355398.
 
17.
Dipietro JA. Maternal stress in pregnancy: Considerations for fetal development. J Adolesc Health. 2012;51(2 Suppl): S3-8. https://doi.org/10.1016/j.jado... PMid:22794531 PMCid:PMC3402207.
 
18.
Lazarus RS, Folkman S. Stress, appraisal, and coping. New York (NY), USA: Springer; 1984.
 
19.
Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. Gen Psychiatr. 2020;33(2):e100213. https://doi.org/10.1136/gpsych... PMid:32215365 PMCid:PMC7061893.
 
20.
Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students’ mental health in the United States: Interview survey study. J Med Internet Res. 2020;22(9):e21279. https://doi.org/10.2196/21279 PMid:32805704 PMCid:PMC7473764.
 
21.
Yao H, Chen J-H, Xu Y-F. Patients with mental health disorders in the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4):e21. https://doi.org/10.1016/S2215-... PMid:32199510.
 
22.
Ostacoli L, Cosma S, Bevilacqua F, et al. Psychosocial factors associated with postpartum psychological distress during the COVID-19 pandemic: A cross-sectional study. BMC Pregnancy Childbirth. 2020;20(1):703. https://doi.org/10.1186/s12884... PMid:33208115 PMCid:PMC7671935.
 
23.
Zanardo V, Volpe F, de Luca F, et al. Maternity blues: A risk factor for anhedonia, anxiety, and postnatal depression components of Edinburgh postnatal depression scale. J Matern Fetal Neonatal Med. 2020;33(23):3962-8. https://doi.org/10.1080/147670... PMid:30909766.
 
24.
Silverman AL, Herzog AA, Silverman DI. Hearts and minds: Stress, anxiety, and postnatal depression: Unsung risk factors for cardiovascular disease. Cardiol Rev. 2019;27(4): 202-7. https://doi.org/10.1097/CRD.00... PMid:30130257.
 
25.
Melrose S. Seasonal affective disorder: An overview of assessment and treatment approaches. Depress Res Treat. 2015;2015:178564. https://doi.org/10.1155/2015/1... PMid:26688752 PMCid:PMC4673349.
 
26.
Øverland S, Woicik W, Sikora L, et al. Seasonality and symptoms of depression: A systematic review of the literature. Epidemiol Psychiatr Sci. 2020;29:e31. https://doi.org/10.1017/S20457... PMid:31006406 PMCid:PMC8061295.
 
27.
Mariño-Narvaez C, Puertas-Gonzalez JA, Romero-Gonzalez B, Peralta-Ramirez MI. Giving birth during the COVID-19 pandemic: The impact on birth satisfaction and postpartum depression. Int J Gynecol Obstet. 2021;153(1): 83-8. https://doi.org/10.1002/ijgo.1... PMid:33368216 PMCid:PMC9087776.
 
28.
Chen Q, Li W, Xiong J, Zheng X. Prevalence and risk factors associated with postpartum depression during the COVID-19 pandemic: A literature review and meta-analysis. Int J Environ Res Public Health. 2022;19(4):2219. https://doi.org/10.3390/ijerph... PMid:35206407 PMCid:PMC8872263.
 
29.
Safi-Keykaleh M, Aliakbari F, Safarpour H, et al. Prevalence of postpartum depression in women amid the COVID-19 pandemic: A systematic review and meta-analysis. Int J Gynecol Obstet. 2022;157(2):240-7. https://doi.org/10.1002/ijgo.1... PMid:35122433 PMCid:PMC9087783.
 
30.
Kawaguchi R, Matsumoto K, Ishikawa T, et al. Guideline for gynecological practice in Japan: Japan Society of Obstetrics and Gynecology and Japan Association of Obstetricians and Gynecologists 2020 edition. J Obstet Gynaecol Res. 2021;47(1):5-25. https://doi.org/10.1111/jog.14... PMid:33145837.
 
31.
Matsushima M, Horiguchi H. The COVID-19 pandemic and mental well-being of pregnant women in Japan: Need for economic and social policy interventions. Disaster Med Public Health Prep. 2022;16(2):449-54. https://doi.org/10.1017/dmp.20... PMid:32907687 PMCid:PMC7642494.
 
32.
Komatsu H, Banno K, Yanaihara N, Kimura T, Board Members of Japan Society of Obstetrics and Gynecology. Prevention and practice during the COVID-19 emergency declaration period in Japanese obstetrical/gynecological facilities. J Obstet Gynaecol Res. 2020;46(11):2237-41. https://doi.org/10.1111/jog.14... PMid:32909322.
 
33.
Beck CT. Predictors of postpartum depression: An update. Nurs Res. 2001;50(5):275-85. https://doi.org/10.1097/000061... PMid:11570712.
 
34.
Collins NL, Dunkel-Schetter C, Lobel M, Scrimshaw SC. Social support in pregnancy: Psychosocial correlates of birth outcomes and postpartum depression. J Pers Soc Psychol. 1993;65(6):1243-58. https://doi.org/10.1037/0022-3... PMid:8295121.
 
35.
Usmani S, Greca E, Javed S, et al. Risk factors for postpartum depression during COVID-19 pandemic: A systematic literature review. J Prim Care Community Health. 2021;12:21501327211059348. https://doi.org/10.1177/215013... PMid:34894838 PMCid:PMC8671662.
 
36.
Shuman CJ, Peahl AF, Pareddy N, et al. Postpartum depression and associated risk factors during the COVID-19 pandemic. BMC Res Notes. 2022;15(1):102. https://doi.org/10.1186/s13104... PMid:35287695 PMCid:PMC8919141.
 
37.
Abuhammad S, AlAzzam M, Mukattash T. The perception of nurses towards their roles during the COVID-19 pandemic. Int J Clin Pract. 2021;75(4):e13919. https://doi.org/10.1111/ijcp.1... PMCid:PMC7883258.
 
38.
Goyal D, Selix NW. Impact of COVID-19 on maternal mental health. MCN Am J Matern Child Nurs. 2021;46(2):103-9. https://doi.org/10.1097/NMC.00... PMid:33470613 PMCid:PMC7924923.
 
39.
Ridgway L, McKenna L, Hokke S, Hackworth N, Nicholson JM. Maternal and Child Health Nursing education before and during COVID-19: An exploratory descriptive study. J Prof Nurs. 2022;41:100-7. https://doi.org/10.1016/j.prof... PMid:35803644 PMCid:PMC9078752.
 
40.
Tadesse E. Antenatal care service utilization of pregnant women attending antenatal care in public hospitals during the COVID-19 pandemic period. Int J Womens Health. 2020;12:1181-8. https://doi.org/10.2147/IJWH.S... PMid:33335430 PMCid:PMC7737544.
 
41.
Cameron EE, Joyce KM, Delaquis CP, Reynolds K, Protudjer JL, Roos LE. Maternal psychological distress & mental health service use during the COVID-19 pandemic. J Affect Disord. 2020;276:765-74. https://doi.org/10.1016/j.jad.... PMid:32736186 PMCid:PMC7370903.
 
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