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Pandemic-related Anxiety in Pregnancy

Pregnant women in Japan who responded to an online survey early in the COVID-19 pandemic demonstrated higher levels of anxiety compared to women undergoing fertility treatments and to pregnant women in Iran.

The findings were published in the Journal of Affective Disorders Reports.

"The pandemic has changed the social environments of pregnant women and fertility patients," says Tohoku University clinical psychologist Koubon Wakashima.

For example, restrictions in Japan meant that pregnant women have been unable to participate in group parenting classes or travel to their parents' homes to receive traditional childbirth assistance. Medical institutions in the country reported fewer women accessing infertility treatments.

Wakashima and colleagues at Tohoku University, Hokkaido University and the National Foundation of Brief Therapy posted a survey on several pregnancy and fertility websites towards the end of May and the beginning of June 2020. Almost 300 pregnant women and 13 women undergoing fertility treatment responded to a Japanese version of the Fear of COVID-19 Scale, originally developed by Iranian researchers.

Results of the survey ©Tohoku University

Analyses of the surveys revealed that pregnant women in Japan had higher levels of anxiety compared to fertility patients. Their anxiety levels were associated with increased stockpiling and monitoring their own health. Pregnant women who considered social networking services an important information source expressed lower levels of anxiety compared to those who preferred newspapers and TV. Finally, the researchers compared the results of their survey to a similar one done in Iran and found that pregnant Japanese women demonstrated higher levels of anxiety compared to pregnant Iranian women.

The scientists acknowledge that their study has several limitations regarding, for example, the ability to assess strict causal relationships between anxiety and various coping behaviours, and a lack of detailed information on the media content the women were accessing.

Nevertheless, they suggest the results indicate the importance of improving communications that can help pregnant women cope with feelings of anxiety in addition to relaying information on infection prevention.

The team next aims to analyse how fear of COVID-19 varies by occupation and by time of year. They also plan to investigate how one person's fears impact other family members.

Publication Details:

Title: Fear of novel coronavirus disease (COVID-19) among pregnant and infertile women in Japan
Authors: Asai, K., Wakashima, K., Toda, S. & Koiwa, K.
Journal: Journal of Affective Disorders Reports
DOI: 10.1016/j.jadr.2021.100104

Press release in Japanese


Koubun Wakashima (Profile)
Professor, Graduate School of Education

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