The Relationship Between Fear of COVID -19, Insomnia and Depression in Pregnant Women during The Pandemic Period (Structural Equation Modeling)

Authors : Aynur Kızılırmak, Bahtışen Kartal

Pages : 74-80

Doi:10.33631/sabd.1495100

View : 61 | Download : 93

Publication Date : 2025-01-03

Article Type : Research Paper

Abstract :Aim: This study aimed to determine the relationship between fear, insomnia and depression in pregnant women. Material and Methods: This descriptive study was conducted on a web-based with 439 pregnant women. Data were collected using the “Descriptive Information Form”, “COVID-19 Fear Scale”, “Women\\\'s Health Initiative Insomnia Scale” and “Edinburgh Postpartum Depression Scale” via social media using a random sampling method. Descriptive statistics, Pearson correlation tests and structural equation model were used to evaluate the data. Results: The pregnant women were found to have a COVID-19 fear score average of 22.00±5.83, and 32.1% risk of depression while 43.3% had insomnia. The COVID-19 fear score was found to have a positive effect on insomnia (β= 0.290; p<0.001) and on depression (β= 0.410; p<0.001). It was determined that the fear of COVID-19 affects the levels of insomnia and depression in pregnant women, and that insomnia also has a significant effect on depression. A one-unit increase in the COVID-19 fear levels of pregnant women led to an increase of 0.273 in the level of insomnia and 0.151 in the levels of depression. In addition, it was seen that 18.3% of the changes in insomnia and 34.5% of the changes in depression were explained by this model. It was seen that the fear of COVID-19 had statistically significant effect on insomnia (effect value = 0.43) and depression (effect value = 0.36). Moreover, it was determined that insomnia had a direct (effect value=0.34) effect on depression. Conclusion: During the COVID-19 pandemic, it was determined that the fear of COVID-19 experienced by pregnant women affected pregnancy depression both directly and indirectly through insomnia. As a result, it can be said that insomnia significantly mediates the effect of fear of COVID-19 on depression in pregnant women. Keywords: Depression; fear of COVID-19; insomnia; pandemic; pregnancy.
Keywords : Depresyon, gebelik, pandemi, uykusuzluk, COVID-19 korkusu