Health Anxiety Predicts Postponing or Cancelling Routine Medical Health Care Appointments among Women in Perinatal Stage during the Covid-19 Lockdown
Open Access
- 9 November 2020
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 17 (21), 8272
- https://doi.org/10.3390/ijerph17218272
Abstract
To avoid spreading the Corona Virus Disease 2019 (COVID-19), health authorities have forced people to reorganize their working and private lives and to avoid open and public spaces as much as possible. This has also been the case for women both during pregnancy and after delivery. Here, we investigated the associations between subjective beliefs in risk of infections and health anxiety, depression, stress, and other perinatal dimensions. To this end, we assessed 103 women (mean age: 28.57 years) during pregnancy and after delivery. They completed a series of questionnaires covering sociodemographic information, perinatal information, health anxiety, post-partum depression, and stress. Sixty-six participants (64.1%) were in the pre-partum stage, and 37 (35.9%) were post-partum. Health anxiety was unrelated to depression or stress. Knowing and being close to infected people was associated with higher health anxiety. Strict following of the safety recommendations was associated with greater health anxiety, depression, and stress. Postponing or cancelling routine medical check appointments was observed among participants with high health anxiety scores. Higher illness severity, overall health anxiety scores, and lower stress scores predicted those participants who postponed or cancelled their routine medical check appointments. Post-partum stage and a larger number of children were associated with higher stress scores, but not with depression or stress. The results are of practical and clinical importance; it appears that health anxiety, which is to say fear of getting infected with COVID-19 during pregnancy or at the post-partum stage, was associated with postponing or cancelling routine medical check appointments, but not with stress or depression.This publication has 41 references indexed in Scilit:
- World Medical Association Declaration of HelsinkiJAMA, 2013
- Factor Structure Analysis, Validity and Reliability of the Health Anxiety Inventory-Short FormJournal of Depression and Anxiety, 2013
- Detection of Postnatal DepressionPublished by Springer Science and Business Media LLC ,2011
- A taxometric analysis of health anxietyPsychological Medicine, 2008
- The Edinburgh Postnatal Depression Scale (EPDS): translation and validation study of the Iranian versionBMC Psychiatry, 2007
- The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasisPsychological Medicine, 2002
- Social Learning Theory and the Health Belief ModelHealth Education Quarterly, 1988
- Detection of Postnatal DepressionThe British Journal of Psychiatry, 1987
- The Health Belief Model: A Decade LaterHealth Education Quarterly, 1984