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Article ; Online: Factors Associated with Post-Traumatic Stress Symptoms in Pregnant and Postpartum Women.

Motrico, Emma / Galán-Luque, Teresa / Rodríguez-Domínguez, Carmen / Gómez-Gómez, Irene / Domínguez-Salas, Sara

Journal of women's health (2002)

2023 Volume 32, Issue 5, Page(s) 583–591

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Child ; Female ; Pregnancy ; Humans ; Stress Disorders, Post-Traumatic/psychology ; Cross-Sectional Studies ; Pandemics ; COVID-19/epidemiology ; Postpartum Period/psychology ; Pregnant Women/psychology
Language	English
Publishing date	2023-02-14
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1139774-3
ISSN	1931-843X ; 1059-7115 ; 1540-9996
ISSN (online)	1931-843X
ISSN	1059-7115 ; 1540-9996
DOI	10.1089/jwh.2022.0400
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Article ; Online: Psychometric properties and factor structure of the brief Wisconsin Inventory of Smoking Dependence Motives among Spanish smokers from the general population.

López-Núñez, Carla / Ruiz, Manuel J / Domínguez-Salas, Sara / Fernández-Artamendi, Sergio

Addictive behaviors

2023 Volume 147, Page(s) 107833

Abstract: Introduction: The brief version of the Wisconsin Inventory of Smoking Dependence Motives (B-WISDM) is a well-established instrument to measure the multidimensional nature of nicotine dependence. However, no previous research has assessed its ... ...

Abstract	Introduction: The brief version of the Wisconsin Inventory of Smoking Dependence Motives (B-WISDM) is a well-established instrument to measure the multidimensional nature of nicotine dependence. However, no previous research has assessed its psychometric properties in the Spanish context. The aim of the present study was to analyze the factor structure and measurement invariance across gender of this instrument among Spanish smokers from the general population. Methods: This cross-sectional study assessed 480 smokers through an online questionnaire including information on tobacco use and several nicotine dependence measures. Confirmatory Factor Analysis was used to assess the factorial structure of the Spanish B-WISDM, its internal consistency, measurement invariance across gender and convergent validity with the Fagerström Test for Nicotine Dependence (FTND) and the Glover-Nilsson Smoking Behavioral Questionnaire (GN-SBQ) scores. Results: Results indicate that the eleven correlated factors solution had a better fit when compared to the other tested models (two correlated factors and two second-order factors with eleven first-order correlated factors solution), remaining such structure invariant across gender. Internal consistency of the scale was high (α = 0.950; dimension α values ranged between 0.657 and 0.921). Overall scores and dimensions of the scale significantly and positively correlated with other nicotine dependence measures (except for Social/Environmental Goads and FTND). Conclusions: This is the first version of the B-WISDM validated to assess nicotine dependence with a multidimensional perspective within the Spanish culture. Results show adequate psychometric properties regarding its factor structure and measurement invariance across gender, supporting its utility to evaluate the motives driving tobacco use among Spanish smokers from the general population.
MeSH term(s)	Humans ; Smokers ; Tobacco Use Disorder ; Cross-Sectional Studies ; Psychometrics ; Wisconsin ; Smoking
Language	English
Publishing date	2023-08-10
Publishing country	England
Document type	Journal Article
ZDB-ID	197618-7
ISSN	1873-6327 ; 0306-4603
ISSN (online)	1873-6327
ISSN	0306-4603
DOI	10.1016/j.addbeh.2023.107833
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Article ; Online: The socio-demographic profile associated with perinatal depression during the COVID-19 era.

Kovacheva, Katina / Rodríguez-Muñoz, María F / Gómez-Baya, Diego / Domínguez-Salas, Sara / Motrico, Emma

BMC public health

2023 Volume 23, Issue 1, Page(s) 786

Abstract: Background: Coronavirus disease 2019 (COVID-19) has caused an increase in perinatal depression. The aim of this research was to identify which sociodemographic variables are related to the increase in perinatal depression due to the pandemic. In ... ...

Abstract	Background: Coronavirus disease 2019 (COVID-19) has caused an increase in perinatal depression. The aim of this research was to identify which sociodemographic variables are related to the increase in perinatal depression due to the pandemic. In addition to estimating to what extent they predict perinatal depression, differentiating the prenatal and postnatal periods. Methods: The sample consisted of 3,356 subjects, 1,402 in the prenatal period and 1,954 in the postnatal period. The Edinburgh Postnatal Depression Scale was used to assess depressive symptomatology. A subset of 14 questions was included to collect demographic data. Items from the Spanish version of the Coronavirus Perinatal Experiences Survey were also included. Results: Experiencing the change of environment due to COVID-19 as negative and having a history of mental health predict perinatal depression, otherwise having higher education decreases the risk. In the prenatal stage having symptoms compatible with COVID-19 is a predictor of perinatal depression and having more than 3 years living together with the partner and being a housewife decreases the risk. In the postnatal stage being unemployed is a predictor of prenatal depression and being a first-time mother decreases the risk. Conclusions: This study highlights the relevance of sociodemographic status. It is essential to be aware of the risk factors of perinatal depression, to make adequate prevention, and to create health policies to alleviate the consequences of the pandemic.
MeSH term(s)	Pregnancy ; Female ; Humans ; Depression/epidemiology ; Depression/psychology ; COVID-19/epidemiology ; Depressive Disorder/complications ; Mothers/psychology ; Vitamins ; Demography ; Depression, Postpartum/epidemiology ; Depression, Postpartum/etiology
Chemical Substances	Vitamins
Language	English
Publishing date	2023-04-28
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-023-15665-0
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Article ; Online: Maternity care changes and postpartum mental health during the COVID-19 pandemic: a Spanish cross-sectional study.

Fuente-Moreno, Marina / Garcia-Terol, Clara / Domínguez-Salas, Sara / Rubio-Valera, María / Motrico, Emma

Journal of reproductive and infant psychology

2023 , Page(s) 1–16

Abstract: Background: The coronavirus disease 2019 (COVID-19) pandemic led to abrupt changes in maternity care, but the impact of these changes has not yet been deeply evaluated. This study aimed to assess the impact of the unexpected changes in maternity care ... ...

Abstract	Background: The coronavirus disease 2019 (COVID-19) pandemic led to abrupt changes in maternity care, but the impact of these changes has not yet been deeply evaluated. This study aimed to assess the impact of the unexpected changes in maternity care due to the COVID-19 pandemic on postpartum mental health (depression, anxiety and posttraumatic stress disorder). Methods: A cross-sectional, web-based study was conducted in Spain during the second half of 2020. The eligibility criteria were women≥18 years with a child≤6 months. The Edinburgh Postnatal Depression Scale (EPDS), the Generalized Anxiety Disorder-7 Screener (GAD-7) and a subset of the PTSD checklist (PCL-5) were used to assess postpartum mental health. Information regarding sociodemographic characteristics and maternity care changes was collected, and multivariate regression models were used. Results: Among 1781 participants, 29.3% and 33% had clinically significant depressive and anxiety symptoms, respectively. The most prevalent unexpected changes reported were related to the exclusion of supportive relatives during birth and postpartum. Changes reported during birth showed a minor association with PTSD symptomatology, and those that occurred during the postpartum period were associated with clinical depression, anxiety and PTSD symptoms. Conclusions: The unexpected changes in maternity care due to the COVID-19 pandemic, especially those that occurred during the postpartum period, increased the risk of mental health problems.
Language	English
Publishing date	2023-01-29
Publishing country	England
Document type	Journal Article
ZDB-ID	639124-2
ISSN	1469-672X ; 0264-6838
ISSN (online)	1469-672X
ISSN	0264-6838
DOI	10.1080/02646838.2023.2171375
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Article: The influence of lifestyles to cope with stress over mental health in pregnant and postpartum women during the COVID-19 pandemic.

Gómez-Baya, Diego / Gómez-Gómez, Irene / Domínguez-Salas, Sara / Rodríguez-Domínguez, Carmen / Motrico, Emma

Current psychology (New Brunswick, N.J.)

2022 , Page(s) 1–20

Abstract: The COVID-19 pandemic affected daily life routines and lifestyles of pregnant and postpartum women and increased their stress and risk of suffering from mental health problems. The aim of this study was to analyse which sociodemographic variables, COVID- ... ...

Abstract	The COVID-19 pandemic affected daily life routines and lifestyles of pregnant and postpartum women and increased their stress and risk of suffering from mental health problems. The aim of this study was to analyse which sociodemographic variables, COVID-19 exposure variables and lifestyles to cope with stress variables predicted anxiety, depression, and PTSD symptoms in pregnant and postpartum women during the COVID-19 pandemic. A cross-sectional design was performed with a sample of 3356 Spanish women participating in the Riseup-PPD-COVID-19 study. These participants completed an online survey composed of measures of anxiety (GAD-7), depression (EPDS), and PTSD related to COVID-19 (Checklist DSM-5), as well as demographics, exposure to COVID-19, and lifestyles to cope with stress. Regarding results, 47.2% showed depression and a third reported anxiety, whereas moderate scores were observed in PTSD symptoms. The most commonly used strategies to cope with stress in the COVID-19 pandemic were talking with friends and family and increasing time with social networks. Better results in mental health were associated with coping strategies such as talking with family and friends or participating in family activities, physical activity, sleeping well at night, eating healthier, and increasing personal care. Furthermore, poor results in mental health were observed in those participants who increased time with screens, ate fast food, reported substance use, and talked more frequently with health professionals. More symptoms were also observed in younger women, primiparous women, and those who reported more exposure to COVID-19. The results underline the need to strengthen the mental health of pregnant and postpartum women.
Language	English
Publishing date	2022-06-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2021598-8
ISSN	1936-4733 ; 1046-1310
ISSN (online)	1936-4733
ISSN	1046-1310
DOI	10.1007/s12144-022-03287-5
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Article ; Online: Validation of the generalized anxiety disorder screener (GAD-7) in Cypriot pregnant and postpartum women.

Vogazianos, Paris / Motrico, Emma / Domínguez-Salas, Sara / Christoforou, Andri / Hadjigeorgiou, Eleni

BMC pregnancy and childbirth

2022 Volume 22, Issue 1, Page(s) 841

Abstract: Background: Anxiety is increasingly acknowledged as a common mental health issue during the perinatal period. Its prevalence as well as the associated adverse effects constitute screening imperative. This study evaluates the psychometric properties and ... ...

Abstract	Background: Anxiety is increasingly acknowledged as a common mental health issue during the perinatal period. Its prevalence as well as the associated adverse effects constitute screening imperative. This study evaluates the psychometric properties and underlying factor structures of a Greek version of GAD-7 among pregnant and postpartum women (up to 6 months) in Cyprus. Methods: This study was conducted from June to December 2020. A total of 457 Cypriot women in the perinatal period (222 pregnant and 235 postpartum) were surveyed. The assessment included anxiety (GAD-7) and depression (EPDS), and psychosocial factors related with anxiety. The internal consistency and factor structure of GAD-7 were evaluated using reliability coefficients, Cronbach's Alpha and McDonald's Omega, and factor analysis, both Exploratory as well as Confirmatory. Results: GAD-7 demonstrated good internal consistency (α = 0.907; Ω = 0.909). Horn's parallel analysis indicated a single factor as the most appropriate. CFA using the standard ML method indicated a good model fit, χ Conclusions: GAD-7 is a valid and reliable measure and healthcare professionals should utilize GAD-7 as a standard instrument for the screening of anxiety symptoms in pregnant and postpartum Greek Cypriot women.
MeSH term(s)	Pregnancy ; Female ; Humans ; Patient Health Questionnaire ; Reproducibility of Results ; Anxiety Disorders/diagnosis ; Anxiety Disorders/psychology ; Postpartum Period/psychology ; Psychometrics ; Anxiety/diagnosis
Language	English
Publishing date	2022-11-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2059869-5
ISSN	1471-2393 ; 1471-2393
ISSN (online)	1471-2393
ISSN	1471-2393
DOI	10.1186/s12884-022-05127-7
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Article ; Online: Relationship between social support and perinatal depression during the COVID-19 pandemic.

Kovacheva, Katina / de la Fe Rodríguez-Muñoz, María / Gómez-Baya, Diego / Domínguez-Salas, Sara / Motrico, Emma

Journal of reproductive and infant psychology

2023 , Page(s) 1–14

Abstract: Aims/background: This research aimed to identify the sources of social support and its relationship with perinatal depression (PPD) during the coronavirus (COVID-19) pandemic.: Design/methods: We carried out a cross-sectional study with a sample of 3, ...

Abstract	Aims/background: This research aimed to identify the sources of social support and its relationship with perinatal depression (PPD) during the coronavirus (COVID-19) pandemic. Design/methods: We carried out a cross-sectional study with a sample of 3,356 women during perinatal period living in Spain. We used five items from the Spanish version of the Coronavirus Perinatal Experiences - Impact Survey to assess the impact of COVID-19 on social support and, the Edinburgh Postnatal Depression Scale was used to assess depressive symptomatology. Results: The results obtained identified a possible relationship between seeking in-person support (OR = 0.51; 0.67, during pregnancy and after delivery respectively) and degree of feeling social support (OR = 0.77; 0.77) during the COVID-19 pandemic with a lower prevalence of depression. Otherwise, requiring the help of a mental health professional (OR = 2.92; 2.41) and weeks of confinement (OR = 1.03; 1.01) appeared to be associated with a higher prevalence of depression. During pregnancy, a possible association was found between the degree of concern about future changes in support and involvement of family and friends (OR = 1.75) with a higher prevalence of depression. On the other hand, in the postpartum period, there seems to be a relationship between seeking social support through social media (OR = 1.32) with a higher prevalence of depression and receiving support from friends (OR = 0.70) and health professionals (OR = 0.53) with a lower prevalence of depression. Conclusion: These results highlighted the importance of protecting perinatal mental health during the COVID-19 pandemic by protecting and developing social support networks.
Language	English
Publishing date	2023-07-06
Publishing country	England
Document type	Journal Article
ZDB-ID	639124-2
ISSN	1469-672X ; 0264-6838
ISSN (online)	1469-672X
ISSN	0264-6838
DOI	10.1080/02646838.2023.2230585
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Article ; Online: The Impact of the COVID-19 Pandemic on Perinatal Depression and Anxiety: A Large Cross-sectional Study in Spain.

Motrico, Emma / Domínguez-Salas, Sara / Rodríguez-Domínguez, Carmen / Gómez-Gómez, Irene / Rodríguez-Muñoz, María F / Gómez-Baya, Diego

Psicothema

2022 Volume 34, Issue 2, Page(s) 200–208

Abstract: Background: The current COVID-19 pandemic is a unique stressor with potentially negative consequences for pregnant and postpartum women. We investigated the impact of the COVID-19 pandemic on perinatal depression and anxiety in Spain.: Method: This ... ...

Abstract	Background: The current COVID-19 pandemic is a unique stressor with potentially negative consequences for pregnant and postpartum women. We investigated the impact of the COVID-19 pandemic on perinatal depression and anxiety in Spain. Method: This cross-sectional study was conducted from June to December 2020. A total of 3,356 adult pregnant and postpartum women (with infants up to 6 months of age) from all Spanish regions were surveyed. The assessment included measures of Coronavirus Perinatal Experiences (COPE-IS questionnaire) and Generalized Anxiety Disorder Screener (GAD-7=10) and Edinburgh Postnatal Depression Scale (EPDS=10). Results: The prevalence of perinatal anxiety and depression (above established cut-offs) was 33.3% and 47.2%, respectively; 29.2% of women screened positive for both conditions. Higher rates of perinatal depression and anxiety were associated with increased concern about threats of COVID-19, especially employment and the financial impact, along with increased overall levels of distress. Exposure to COVID-19 and its symptoms did not appear to be a relevant risk factor. More COVID-19-related predictors and a higher rate of depression were found in postpartum women. Conclusions: The current study highlights the substantial increase in symptoms of perinatal depression and anxiety, especially in postpartum women. Interventions for perinatal mental health should be a priority.
MeSH term(s)	Adult ; Anxiety/diagnosis ; Anxiety Disorders/diagnosis ; COVID-19 ; Cross-Sectional Studies ; Depression/epidemiology ; Female ; Humans ; Pandemics ; Pregnancy ; Spain/epidemiology
Language	English
Publishing date	2022-04-07
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2421645-8
ISSN	1886-144X ; 1886-144X
ISSN (online)	1886-144X
ISSN	1886-144X
DOI	10.7334/psicothema2021.380
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Article: Psychometric Properties of the Utrecht Work Engagement Scale (UWES-9) in a Sample of Active Health Care Professionals in Spain.

Domínguez-Salas, Sara / Rodríguez-Domínguez, Carmen / Arcos-Romero, Ana Isabel / Allande-Cussó, Regina / García-Iglesias, Juan Jesús / Gómez-Salgado, Juan

Psychology research and behavior management

2022 Volume 15, Page(s) 3461–3472

Abstract: Purpose: The impact of the COVID-19 pandemic on the working, personal and health conditions of health professionals has been highlighted, although it is necessary to verify whether certain instruments used in research on this topic have sufficient ... ...

Abstract	Purpose: The impact of the COVID-19 pandemic on the working, personal and health conditions of health professionals has been highlighted, although it is necessary to verify whether certain instruments used in research on this topic have sufficient psychometric support for their use. This need was the main motivation for undertaking the present study. We aimed to analyse the psychometric properties of the Utrecht Work Engagement Scale (UWES-9) in a sample of active health care workers during the pandemic. Patients and methods: A cross-sectional study was conducted from March to August 2020 with 2326 active health care workers (78.7% women). The instruments that were applied included the UWES-9 scale, the Sense of Coherence scale (SOC-13), the Goldberg General Health Questionnaire (GHQ-12) and an item on self-perceived health. Results: The three-factor structure related to the correlation of pairs of errors presented the best fit. The reliability of the UWES-9 was highlighted by the adequate internal consistency of the items, the existence of invariance according to gender, and its convergent and discriminant validity. Conclusion: The findings of this work support the use of the UWES-9 to assess the work engagement of health personnel during the COVID-19 pandemic and identify it as an adequate measure of this psychological variable and the constructs that comprise it.
Language	English
Publishing date	2022-11-30
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2495093-2
ISSN	1179-1578
ISSN	1179-1578
DOI	10.2147/PRBM.S387242
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Article ; Online: Women, negative work-home interaction and stress: Impact of the second wave of the COVID-19 pandemic on spanish general and healthcare workers.

Rodríguez-Domínguez, Carmen / Domínguez-Salas, Sara / Allande-Cussó, Regina / Romero-Martín, Macarena / Gómez-Salgado, Juan / Ruiz-Frutos, Carlos

Science progress

2022 Volume 105, Issue 3, Page(s) 368504221112751

Abstract: The COVID-19 pandemic has come to stay, at least for a while. The initial bewilderment and restrictive measures have given way to the population's mental decay and increased stress on workers facing work and family demands in a difficult-to-manage ... ...

Abstract	The COVID-19 pandemic has come to stay, at least for a while. The initial bewilderment and restrictive measures have given way to the population's mental decay and increased stress on workers facing work and family demands in a difficult-to-manage situation. For this reason, this descriptive cross-sectional study sought to analyze stress levels in a sample of 263 general and healthcare workers (from 24 to 67 years of age) and their relationship with negative work-home interaction (WHI) and with gender in the second wave of contagions and deaths caused by the COVID-19 pandemic in Spain (October-December 2020). The results showed that having a higher level of WHI, the presence of work overload, health concerns, economic concerns, and lower-income were predictors of stress among these workers. Age and health-related occupations were contributing factors to work overload and health-related concerns. In addition, the relationship between being a woman and suffering from higher stress levels was mediated by income level, economic concern, and the WHI. Other variables such as having children or dependents, marital status, concern for the health of others, and teleworking were not associated with the stress levels detected in the sample. This research pays attention to the health state of workers beyond the initial stage of the pandemic, where most studies on this issue have concentrated. Thus, this study provides evidence of the uneven impact this crisis has on women and men, contributing to clarifying the relationship between gender, the WHI, and stress.
MeSH term(s)	COVID-19/epidemiology ; Child ; Cross-Sectional Studies ; Female ; Health Personnel ; Humans ; Male ; Pandemics ; Spain/epidemiology
Language	English
Publishing date	2022-10-27
Publishing country	England
Document type	Journal Article
ZDB-ID	128412-5
ISSN	2047-7163 ; 0036-8504 ; 0302-1785
ISSN (online)	2047-7163
ISSN	0036-8504 ; 0302-1785
DOI	10.1177/00368504221112751
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