Archive \ Volume.14 2023 Issue 4

Depression, Anxiety, and Low Self-Esteem Dynamics in Pregnancy During the SARS-COV2 Pandemic

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  1. Faculty of Medicine, Doctoral School, Ovidius University of Constanta, Romania.
  2. Department of Forensic Medicine, Iuliu Hatieganu, University of Medicine and Pharmacy, Cluj Napoca, Romania.
  3. Faculty of Medicine, Doctoral School, “Victor Babes”University of Medicine and Pharmacy Timisoara, Timisoara, Romania.
  4. Department of Internal Medicine, Faculty of Medicine, University Emergency Hospital, Ovidius University of Constanta; Romania.
  5. Faculty of Law and Administrative Sciences, Ovidius University of Constanta, Romania.
  6. Faculty of Psychology, Hyperion University of Bucharest, Romania.
  7. Department of Obstetrics and Gynecology, University Emergency Hospital, Faculty of Medicine - Doctoral School Ovidius University of Constanta.
  8. Faculty of Dental Medicine, “Victor Babes”University of Medicine and Pharmacy Timisoara, Timisoara, Romania.
  9. The Doctoral School of the "Victor Babeş", University of Medicine and Pharmacy, Timisoara, Romania.


Pregnancy profoundly affects several aspects of a woman's life in today's society. Mental and physical health have different incidences among pregnant women, and they also have a higher risk for certain psychological conditions. Starting from the group's psychological profiler and clinical psychologist, we chose a set of questioners and analyzed a group of pregnant women enrolled in the pregnancy follow-up program by their family doctor/G.P. Starting from the test-retest method, we analyzed pregnancy from several psychological perspectives (depression, anxiety, and self-esteem) and set out to determine these fluctuations by trimester of pregnancy. We chose the test and retest method to establish the initial level of depression, anxiety, and self-esteem and applied the questionnaires in each trimester, trying to apply them in the midweek (+/- 1 week) for each participant. All tests and questions indicated statistically significant increases of a worrying magnitude. An immediate priority of the scientific community should be collecting high-quality data on the mental health effects of the COVID-19 pandemic across the whole population and especially vulnerable groups such as pregnant women who were presented in this study.

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Banariu GM, Delcea C, George-Cătălin A, Tica I, Rus M, Neagoe G, et al. Depression, Anxiety, and Low Self-Esteem Dynamics in Pregnancy During the SARS-COV2 Pandemic. Arch Pharm Pract. 2023;14(4):149-54.
Banariu, G. M., Delcea, C., George-Cătălin, A., Tica, I., Rus, M., Neagoe, G., Onuc, S., Chioran, D., Ilia, I., Bululoi, A. S., et al. (2023). Depression, Anxiety, and Low Self-Esteem Dynamics in Pregnancy During the SARS-COV2 Pandemic. Archives of Pharmacy Practice, 14(4), 149-154.

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  1. Figueroa CA, Aguilera A. The Need for a Mental Health Technology Revolution in the COVID-19 Pandemic. Front Psychiatry. 2020;11:523.
  2. Rodríguez-Rey R, Garrido-Hernansaiz H, Collado S. Psychological Impact and Associated Factors During the Initial Stage of the Coronavirus (COVID-19) Pandemic Among the General Population in Spain. Front Psychol. 2020;11:1540.
  3. Balsamo M, Carlucci L. Italians on the Age of COVID-19: The Self-Reported Depressive Symptoms Through Web-Based Survey. Front Psychol. 2020;11:569276.
  4. Abdelhafiz AS, Alorabi M. Social Stigma: The Hidden Threat of COVID-19. Front Public Health. 2020;8:429.
  5. Ozamiz-Etxebarria N, Idoiaga Mondragon N, Dosil Santamaría M, Picaza Gorrotxategi M. Psychological Symptoms During the Two Stages of Lockdown in Response to the COVID-19 Outbreak: An Investigation in a Sample of Citizens in Northern Spain. Front Psychol. 2020;11:1491. 
  6. Banariu GM, Delcea C, Tica I, Rus M, Neagoe G, Onuc S, et al. Covid-19 a potent cocktail with associated mental problems: the psychosomatic effects in pregnant women-an interdisciplinary approach. Rom J Leg Med. 2022;30:325-30. doi:10.4323/rjlm.2022.325
  7. Miclutia IV, Milhem Z, Bonea M, Delcea C. Impact of Covid-19 pandemic on sexual behavior. Rom J Leg Med. 2022;30:315-21. doi:10.4323/rjlm.2022.315
  8. Siserman C, Delcea C, Gyorgy M, Crișan C. Forensic perspective of the Covid pandemic impact on the number of victims of violence. Rom J Leg Med. 2022;30(1):8-11.
  9. Freidl EK, Stroeh OM, Elkins RM, Steinberg E, Albano AM, Rynn M. Assessment and Treatment of Anxiety Among Children and Adolescents. Focus. 2017;15(2):144-56.
  10. Banariu GM, Tica I, Rus M, Onuc S, Sasu DA, Neagoe G, et al. Distribution of Depression among Different Groups and Sub-Groups of Women during the Covid Pandemic an Analysis from an Interdisciplinary Perspective. Roman J Leg Med. 2022:100-6. doi:10.4323/rjlm.2022.100
  11. Rus M, Enache A, Călin MF, Sandu ML, Delcea C. Burnout Effect Impact Over Medical Staff During Actual Covid-19 Pandemic Context. Rom J Leg Med. 2021;29(3):227-3. doi:10.4323/rjlm.2021.379
  12. Delcea C, Siserman C. The Emotional Impact of Covid-19 On Forensic Staff. Rom J Leg Med. 2021;29(1):142-6. doi:10.4323/rjlm.2021.142
  13. Rus M, Matei R, Sandu ML, Delcea C, Siserman C. Emotional distress and coping strategies of health care workers during COVID-19 pandemic. Rom J Leg Med. 2020;28:442-50. doi:10.4323/rjlm.2020.442
  14. Delcea C, Chirilă VI, Săuchea AM. Effects of COVID-19 on sexual life–a meta-analysis. Sexologies. 2021;30(1):e49-54. doi:10.1016/j.sexol.2020.12.001
  15. Siserman C, Delcea C, Matei HV, Vică ML. Major affective distress in testing forensic paternity. Rom J Leg Med. 2019;27(3):292-6. doi:10.4323/rjlm.2019.292
  16. Soldin OP, Tractenberg RE, Hollowell JG, Jonklaas J, Janicic N, Soldin SJ. Trimester-specific changes in maternal thyroid hormone, thyrotropin, and thyroglobulin concentrations during gestation: trends and associations across trimesters in iodine sufficiency. Thyroid. 2004;14(12):1084-90. doi:10.1089/thy.2004.14.1084
  17. Delcea C, Rad D, Toderici OF, Bululoi AS. Posttraumatic Growth, Maladaptive Cognitive Schemas and Psychological Distress in Individuals Involved in Road Traffic Accidents-A Conservation of Resources Theory Perspective. Healthcare (Basel). 2023;11(22):2959. doi:10.3390/healthcare11222959
  18. Schock H, Zeleniuch-Jacquotte A, Lundin E, Grankvist K, Lakso HÅ, Idahl A, et al. Hormone concentrations throughout uncomplicated pregnancies: a longitudinal study. BMC Pregnancy Childbirth. 2016;16(1):146. doi:10.1186/s12884-016-0937-5
  19. Zhang Y, Ma ZF. Psychological responses and lifestyle changes among pregnant women with respect to the early stages of COVID-19 pandemic. Int J Soc Psychiatry. 2021;67(4):344-50. doi:10.1177/0020764020952116
  20. Costa ECV, Castanheira E, Moreira L, Correia P, Ribeiro D, Graça Pereira M. Predictors of emotional distress in pregnant women: the mediating role of relationship intimacy. J Ment Health. 2020;29(2):152-60. doi:10.1080/09638237.2017.1417545
  21. Hadjipavlou G, Hernandez C, Ogrodniczuk J. Psychotherapy in Contemporary Psychiatric Practice. Can J Psychiatry. 2015;60(6):294-300.
  22. Galea-Holhoș LB, Delcea C, Siserman CV, Ciocan V. Age Estimation of Human Remains Using the Dental System: A Review. Ann Dent Spec. 2023;11(3):14-8. doi:10.51847/YAvWbKgJs8
  23. Vartolomei L, Cotruș A, Stanciu C, Delcea C, Tozzi M, Lievore E, et al. Quality of Life and Psychological Distress among Patients with Small Renal Masses. J Clin Med. 2022;11(14):3944.  doi:10.3390/jcm11143944
  24. Storch EA, Roberti JW, Roth DA. Factor structure, concurrent validity, and internal consistency of the Beck Depression Inventory-Second Edition in a sample of college students. Depress Anxiety. 2004;19(3):187-9. doi:10.1002/da.20002
  25. Osman A, Kopper BA, Barrios F, Gutierrez PM, Bagge CL. Reliability and validity of the Beck depression inventory--II with adolescent psychiatric inpatients. Psychol Assess. 2004;16(2):120-32. doi:10.1037/1040-3590.16.2.120
  26. Benedict RH, Fishman I, McClellan MM, Bakshi R, Weinstock-Guttman B. Validity of the Beck Depression Inventory-Fast Screen in multiple sclerosis. Mult Scler. 2003;9(4):393-6. doi:10.1191/1352458503ms902oa
  27. Nicoară ND, Marian P, Petriș AO, Delcea C, Manole F. A Review of The Role of Cognitive-Behavioral Therapy on Anxiety Disorders of Children And Adolescents. Pharmacophore. 2023;14(4):35-9. doi:10.51847/lKULo5pB1T
  28. Shear MK, Vander Bilt J, Rucci P, Endicott J, Lydiard B, Otto MW, et al. Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A). Depress Anxiety. 2001;13(4):166-78. doi:10.1002/da.1033
  29. Clark DB, Donovan JE. Reliability and validity of the Hamilton Anxiety Rating Scale in an adolescent sample. J Am Acad Child Adolesc Psychiatry. 1994;33(3):354-60. doi:10.1097/00004583-199403000-00009
  30. Griffiths RA, Beumont PJ, Giannakopoulos E, Russell J, Schotte D, Thornton C, et al. Measuring self-esteem in dieting disordered patients: the validity of the Rosenberg and Coopersmith contrasted. Int J Eat Disord. 1999;25(2):227-31. doi:10.1002/(sici)1098-108x(199903)25:2<227::aid-eat13>;2-4
  31. Francis LJ, Wilcox C. Self-esteem: Coopersmith and Rosenberg compared. Psychol Rep. 1995;76(3):1050. doi:10.2466/pr0.1995.76.3.1050
  32. García JA, Y Olmos FC, Matheu ML, Carreño TP. Self esteem levels vs global scores on the Rosenberg self-esteem scale. Heliyon. 2019;5(3):e01378.
  33. Donnellan MB, Ackerman RA, Brecheen C. Extending structural analyses of the Rosenberg Self-Esteem Scale to consider criterion-related validity: Can composite self-esteem scores be good enough?. J Pers Assess. 2016;98(2):169-77. doi:10.1080/00223891.2015.1058268
  34. Ghanbari E, Yektatalab S, Mehrabi M. Effects of Psychoeducational Interventions Using Mobile Apps and Mobile-Based Online Group Discussions on Anxiety and Self-Esteem in Women with Breast Cancer: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2021;9(5):e19262.
  35. Gherman C, Enache A, Delcea C. The multi-factorial determinism of forensic expertise regarding sentence interruption on medical grounds and decision. J Forensic Leg Med. 2019;61:45-55. doi:10.1016/j.jflm.2018.10.005
  36. Siserman C, Giredea C, Delcea C. The Comorbidity of Paraphilic Disorders and Rape In Individuals Incarcerated For Sexual Offences. Rom J Leg Med. 2020;28(3):278-82. doi:10.4323/rjlm.2020.278
  37. Siserman C, Gyorgy M, Delcea C. Predictive Factors of Violent Crime. Roman J Leg Med. 2022;30(3):196-9. doi:10.4323/rjlm.2022.196
  38. Delcea C. Construction, Validation, and Standardization of the Sexual S-On Application. Int J Sex Health. 2022;34:196-9. doi:10.1080/19317611.2022.2017618
  39. Siserman C, Delcea C, Matei HV, Vică ML. Major affective distress in testing forensic paternity. Rom J Leg Med. 2019;27(3):292-6.
  40. Delcea C, Bululoi AS, Gyorgy M, Rad D. Psychological Distress Prediction Based on Maladaptive Cognitive Schemas and Anxiety with Random Forest Regression Algorithm. Pharmacophore. 2023;14(5):62-9.




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