Research Article
BibTex RIS Cite

COVID-19 Salgınının Doğum Sonrası Anksiyete ve Duygu Düzenleme Güçlükleri Üzerine Etkisi

Year 2025, Volume: 7 Issue: 2, 212 - 227, 25.08.2025

Abstract

Bu çalışmanın amacı COVID-19 salgınının annelerin postpartum anksiyete ve duygu düzenleme güçlüğü yaşama durumları üzerine etkisini belirlemektir. Tanımlayıcı ve ilişki arayıcı türde planlanan çalışmaya doğum sonu ilk 6-8.hafta içerisinde olan 222 kadın katılmıştır. Çalışmanın veri toplama aşamasında; araştırmacılar tarafından hazırlanan Kişisel bilgi formu, Beck Anksiyete Ölçeği ve Duygu Düzenleme Güçlüğü Ölçeği Kısa Formu kullanılmıştır. Çalışma sonucunda COVID-19 salgını sürecinde doğum yapan kadınların Beck Anksiyete Ölçeği puan ortalaması 31.2 ± 10.36, Duygu Düzenleme Güçlüğü Ölçeği puan ortalaması 29.45 ± 12.98 olarak bulunmuştur. Katılımcıların yaşları ve eğitim düzeyleri ile anksiyete düzeyleri arasında anlamlı bir ilişki olduğu belirlemiştir. Annenin uyku sorunu yaşama durumu ve COVID-19 hastalığına yakalanma korkusu ile kadınların anksiyete düzeyleri ve duygu düzenleme güçlüğü durumları arasında anlamlı bir ilişki olduğu tespit edilmiştir. Duygu düzenleme güçlüğü ölçeği ve beck anksiyete ölçeği ilişki durumu incelendiğinde çalışmaya katılan kadınların duygu durum güçlüğü ve anksiyete düzeyleri arasında pozitif yönlü, orta düzeyde ve anlamlı bir ilişki olduğu görülmüştür (r = 0.619; p=0.001). COVID-19 pandemisi sürecinde doğum yapan kadınların, şiddetli düzeyde anksiyetesi olduğu ve sürecin anksiyete ve duygu düzenleme güçlüğü yaşama durumları üzerinde etkisi olduğu tespit edilmiştir. Sağlık profesyonellerinin anksiyete ve duygu durumu düzenleme güçlüğü ile başa çıkma yöntemlerine eğitim ve danışmanlık hizmetleri sırasında yer vermesi önerilmektedir.

References

  • Akpınar, F., & Üstün, Y. (2020). Kadın hastalıkları ve doğum pratiğinde sars-cov-2 (COVID-19) enfeksiyonu ile ilgili güncel bilgiler. Türk Kadın Sağlığı ve Neonatoloji Dergisi, 2(1), 13-16. Retrieved from https://dergipark.org.tr/tr/pub/etlikzubeyde/issue/53488/704989
  • Aytaç, S. H., & Yazıcı, S. (2020). The effect of social support on pregnancy and postpartum depression. International Journal of Caring Sciences, 13(1), 746. https://www.internationaljournalofcaringsciences.org/docs/83_yazici_original_13_1.pdf
  • Bargi, G., & Koku, M. (2022). Kinesiophobia, physical activity, fear of covid-19, and fatigue in adult ındividuals: a cross-sectional study. Selcuk Med J, 38(3), 106-113. https://doi.org/10.30733/std.2022.01557.s
  • Bayri Bingol, F., & Demirgöz Bal, M. (2021). Doğum sonrası maternal anksiyete ve bağlanmayı etkileyen faktörler. Sürekli Tıp Eğitimi Dergisi, 30(1), 60-68. https://doi.org/10.17942/sted.887220
  • Beck, A.T., Epstein, N., Brown, G., & Ster, R.A. (1988). An inventory for measuring clinical anxiety: psychometric proporties. J Consult Clin Psychol, 56(6), 893-897. https://doi.org/10.1037/0022-006X.56.6.893
  • Bei, B., Coo, S., & Trinder, J. (2015). Sleep and mood during pregnancy and the postpartum period. Sleep Med Clin, 10(1), 25-33. https://doi.org/10.1016/j.jsmc.2014.11.011
  • Berking, M., Wirtz, C. M., Svaldi, J., & Hofmann, S. G. (2014). Emotion regulation predicts symptoms of depression over five years. Behaviour Research and Therapy, 57, 13-20. https://doi.org/10.1016/j.brat.2014.03.003
  • Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L. G., ... & Gratz, K. L. (2016). Development and validation of a brief version of the difficulties in emotion regulation scale: the DERS-16. Journal of Psychopathology And Behavioral Assessment, 38, 284-296. https://link.springer.com/article/10.1007/s10862-015-9514-x
  • Brooks, S. K., Weston, D., & Greenberg, N. (2020). Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review. Public Health, 189, 26-36. https://doi.org/10.1016/j.puhe.2020.09.006
  • Buruk, K., & Özlü, T. (2020). New coronavirus: sars-cov-2. Mucosa, 3(1), 1-4. https://doi.org/10.33204/mucosa.706906
  • Ceylan, B., & Günay Molu, N. (2022). Covid-19 salgını sırasında anne babaların kaygı düzeyi. Genel Sağlık Bilimleri Dergisi, 4(3), 278-287. https://doi.org/10.51123/jgehes.2022.64
  • Cook, T.M., Wang, J. (2010). Descriptive epidemiology of stigma against depression in a general population sample in alberta. BMC Psychiatry, 10, 29. https://doi.org/10.1186/1471-244X-10-29
  • Dennis, C.L., Brown, H.K., Wanigaratne, S., Vigod, S.N., Grigoriadis, S., Fung, K., et al. (2018). Determinants of comorbid depression and anxiety postnatally: a longitudinal cohort study of chinese-canadian women. J Affect Disord, 227,24-30. https://doi.org/10.1016/j.jad.2017.09.033
  • Di Florio, A., Putnam, K., Altemus, M., Apter, G., Bergink, V., Bilszta, J.,…and Meltzer-Brody, S. (2017). The impact of education, country, race and ethnicity on the self-report of postpartum depression using the edinburgh postnatal depression scale. Psychological Medicine, 47(5), 787-799. https://doi.org/10.1017/S0033291716002087
  • Dönmez, H., & Bükülmez, A. (2015). Postpartum depresyonun, annelerin bebeklerini emzirme süreleri ve bebek büyümesi üzerine etkisi. Selçuk Tıp Derg, 31(4), 358-62. https://app.selcukmedj.org/uploads/makale-pdf/SUTD-803..pdf?time=638866236217791038
  • Durduran, Y., Demir, L.S., Uyar, M., Kucukkendirci, H., Eren, G., Sahin, T.K. (2021). The accurate and ınaccurate conceptions acquired by society throughout the covid-19 pandemic. Selcuk Med J, 37(3), 200-208. https://doi.org/10.30733/std.2021.01499
  • Fairbrother, N., Janssen, P., Antony, N.M., Tucker, E., & Young, A.H. (2016). Perinatal anxiety disorder prevalence and incidence. J Affect Disord, 200, 148-155. https://doi.org/10.1016/j.jad.2015.12.082
  • Fallon, V., Halford, J.C.G., Bennett, K.M., et al. (2016). The postpartum specific anxiety scale: development and preliminary validation. Arch Womens Ment Health, 19, 1079-1090. https://doi.org/10.1007/s00737-016-0658-9
  • Field, T. (2018). Postnatal anxiety prevalence, predictors and effects on development: a narrative review. Infant Behav Dev, 51, 24-32. https://doi.org/10.1016/j.infbeh.2018.02.005
  • Gonzalez-Garcia, V., Exertier, M., & Denis, A. (2021). Anxiety, post-traumatic stress symptoms, and emotion regulation: a longitudinal study of pregnant women having given birth during the covid-19 pandemic. European Journal of Trauma and Dissociation, 5(2), 100225. https://doi.org/10.1016/j.ejtd.2021.100225
  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale”. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Haga, S. M., Ulleberg, P., Slinning, K., Kraft, P., Steen, T. B., & Staff, A. (2012). A longitudinal study of postpartum depressive symptoms: multilevel growth curve analyses of emotion regulation strategies, breastfeeding self-efficacy, and social support. Archives of Women's Mental Health, 15(3), 175-184. https://doi.org/10.1007/s00737-012-0274-2
  • Hakanen, H., Flykt, M., Sinervä, E., Nolvi, S., Kataja, E.L., Pelto, J. et al. (2019). How maternal pre- and postnatal symptoms of depression and anxiety affect early mother-infant interaction? J Affect Disord, 2(257), 83-90. https://doi.org/10.1016/j.jad.2019.06.048
  • Işıl, Ö., Onan, N., & Karaca, S. (2006). Erken postpartum dönemde anksiyete düzeyi ile algılanan sosyal destek arasındaki ilişkinin incelenmesi. İstanbul Üniversitesi Florence Nightingale Journal of Nursing, 14(57), 27-38. Retrieved from https://dergipark.org.tr/tr/pub/fnjn/issue/9033/112624
  • Kara, H., Almbaidheen, M., & Sağlam, E. (2021). Adölesan annelerin sosyodemografik özelliklerinin, anksiyete ve depresyon düzeylerinin değerlendirilmesi: Ağrı ili örneklemi. Selçuk Tıp Dergisi, 37(4), 351-358. https://doi.org/10.30733/std.2021.01529
  • Kashdan, T. B., Zvolensky, M. J., & McLeish, A. C. (2008). Anxiety sensitivity and affect regulatory strategies: individual and interactive risk factors for anxiety-related symptoms. Journal Of Anxiety Disorders, 22(3),429-440. https://doi.org/10.1016/j.janxdis.2007.03.011
  • Khan, S., Ali, A., Shi, H., Siddique, R., Nabi, G., Hu, J., ... & Han, G. (2020). Covid-19: clinical aspects and therapeutics responses. Saudi Pharmaceutical Journal, 28(8), 1004-1008. https://doi.org/10.1016/j.jsps.2020.06.022
  • Lawson, A., Murphy, K.E., Sloan, E., Uleryk, E., & Dalfen, A. (2015). The relationship between sleep and postpartum mental disorders: a systematic review. J Affect Disord, 1(176), 65-77. https://doi.org/10.1016/j.jad.2015.01.017
  • Lee, S. (2020). Coronavirus anxiety scale: a brief mental health screener for covıd-19 related anxiety. Death Studies, 44(7), 393-401. https://doi.org/10.1080/07481187.2020.1748481
  • Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L. & Liu, W. (2020). Prevalence and predictors of ptss during covıd-19 outbreak in China hardest-hit areas: gender differences matter. Psychiatry Research, 287, 112921. https://doi.org/10.1016/j.psychres.2020.112921
  • Marganska, A., Gallagher, M., & Miranda, R. (2013). Adult attachment, emotion dysregulation, and symptoms of depression and generalized anxiety disorder. American journal of orthopsychiatry, 83(1), 131. https://doi.org/10.1111/ajop.12001
  • Marques, R., Monteiro, F., Canavarro, M. C., & Fonseca, A. (2018). The role of emotion regulation difficulties in the relationship between attachment representations and depressive and anxiety symptoms in the postpartum period. Journal of Affective Disorders, 238, 39‑46. https://doi.org/10.1016/j.jad.2018.05.013
  • Marroquín, B. (2011). Interpersonal emotion regulation as a mechanism of social support in depression. Clinical Psychology Review, 31, 1276–1290. https://doi.org/10.1016/j.cpr.2011.09.005
  • Nakano, M., Upadhyaya, S., Chudal, R., Skokauskas, N., Luntamo, T., Sourander, A., et al. (2019). Risk factors for impaired maternal bonding when infants are 3 months old: a longitudinal population based study from japan. BMC Psychiatry, 19(1), 87. https://doi.org/10.1186/s12888-019-2068-9
  • Nilsson, C., & Lundgren, I. (2009). Women's lived experience of fear of childbirth. Midwifery, 25(2), e1-e9. https://doi.org/10.1016/j.midw.2007.01.017
  • Nowakowski, S., Meers, J., & Heimbach, E. (2013). Sleep and women’s health. Sleep Medicine Research, 4 (1), 1–22. https://doi.org/10.17241/smr.2013.4.1.1
  • Palmer, C. A., & Alfano, C. A. (2017). Sleep and emotion regulation: an organizing, integrative review. Sleep Medicine Reviews, 31, 6–16. https://doi.org/10.1016/j.smrv. 2015.12.006
  • Pickard, J.A., Caputi, P., & Grenyer, B.F (2016). Mindfulness and emotional regulation as sequential mediators in the relationship between attachment security and depression. Personality and Individual Differences, 99, 179-183. https://doi.org/10.1016/j.paid.2016.04.091
  • Polte, C., Junge, C., Tilmann, V.S., & Seidler, A., Eberhard- Gran, M., & Garthus-Niegel, S. (2019). Impact of maternal perinatal anxiety on social-emotional development of 2-year-olds, a prospective study of norwegian mothers and their offspring: the impact of perinatal anxiety on child development. Matern Child Health J, 23(3), 386-96. https://doi.org/10.1007/s10995-018-2684-x
  • Puryear, L.J. (2014). Postpartum adjustment: what is normal and what is not. In: Barnes, D. (eds). Women's reproductive mental health across the life span, Springer, Cham, 109-122. https://doi.org/10.1007/978-3-319-05116-1_6 Rajkumar, R. P. (2020). Covid-19 and mental health: a review of the existing literature. Asian Journal of Psychiatry, 52. https://doi.org/10.1016/j.ajp.2020.102066
  • Rutherford, H.J., Wallace, N.S., Laurent, H.K., & Mayes, L.C .(2015). Emotion regulation in parenthood Dev Rev, 36 , 1-14. https://doi.org/10.1016/j.dr.2014.12.008
  • Tees, M. T., Harville, E. W., Xiong, X., Buekens, P., Pridjian, G., & Elkind-Hirsch, K. (2010). Hurricane katrina-related maternal stress, maternal mental health, and early infant temperament. Maternal and Child Health Journal, 14(4), 511–518. https://doi.org/10.1007/s10995-009-0486-x
  • Tibubos, A. N., Grammes, J., Beutel, M. E., Michal, M., Schmutzer, G., & Brähler, E. (2018). Emotion regulation strategies moderate the relationship of fatigue with depersonalization and derealization symptoms. Journal of affective disorders, 227, 571-579. https://doi.org/10.1016/j.jad.2017.11.079
  • Tietz, A., Zietlow, A. L., & Reck, C. (2014). Maternal bonding in mothers with postpartum anxiety disorder: the crucial role of subclinical depressive symptoms and maternal avoidance behaviour. Archives of women's mental health, 17, 433-442. https://doi.org/10.1007/s00737-014-0423-x
  • Tucker, P., Pfefferbaum, B., Jeon-Slaughter, H., Khan, Q., & Garton, T. (2012). Emotional stress and heart rate variability measures associated with cardiovascular risk in relocated katrina survivors. Psychosomatic Medicine, 74(2), 160–168. https://doi.org/10.1097/PSY.0b013e318240a801
  • Uçak Duman, B. (2019). Postpartum depresyon, eş desteği ve duygu düzenleme güçlükleri arasındaki ilişki (Master's thesis, Maltepe Üniversitesi, Sosyal Bilimler Enstitüsü). Retrived form https://hdl.handle.net/20.500.12415/236
  • Ulusoy, M., Şahin, N.H., & Erkmen, H. (1998). Turkish version of the beck anxiety inventory: psychometric properties. Journal of Cognitive Psychotheraphy, 12, 163-172. Retrived from https://www.researchgate.net/publication/233792003
  • World Health Organization (WHO, 2020). Novel coronavirus (2019-Ncov). Technical Guidance. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance (07.04.2021)
  • Yalçın, H., & Kaya, Ş. (2020). Covid 19 pandemi sürecinde doğum yapan annelerin kaygı düzeyleri ve duygu düzenleme becerilerinin incelenmesi. International Social Sciences Studies Journal, 6, (65), 2778-2786. http://dx.doi.org/10.26449/sssj.2422
  • Yiğit, İ., & Guzey Yiğit, M. (2019). Psychometric properties of turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Current Psychology, 38, 1503-1511. https://doi.org/10.1007/s12144-017-9712-7 Zeybekoğlu, A., & Dursun, C. (2020). Koronavirüs (covid-19) pandemi sürecinde özel alanına kamusal alanı sığdıran çalışan anneler. Avrasya Sosyal ve Ekonomik Araştırmaları Dergisi, 7(5), 78-94. https://dergipark.org.tr/tr/pub/asead/issue/54658/738006

The Impact of COVID-19 Pandemic on Postpartum Anxiety and Difficulties in Emotion Regulation

Year 2025, Volume: 7 Issue: 2, 212 - 227, 25.08.2025

Abstract

This study aimed to assess the impact of COVID-19 pandemic on postpartum anxiety and emotion dysregulation among mothers. In this descriptive and correlational study, 222 women in the first 6-8th week after delivery participated. Data collection involved the use of a Personal information form (which were developed by the researchers) , Beck Anxiety Scale, and the Difficulty in Emotion Regulation Scale Short Form. The study found that women who gave birth during the COVID-19 pandemic had an average Beck Anxiety Scale score of 31.2 ± 10.36 and an average Difficulty in Emotion Regulation Scale score of 29.45 ± 12.98. Significant relationships were identified between the participants age and educational levels and their anxiety levels. Furthermore, it was observed that a significant association existed between maternal sleep problems, the fear of contracting COVID-19, and both anxiety levels and difficulties in emotion regulation among women. When examining the relationship between difficulty in emotion regulation scale and beck anxiety scale, a positive, moderate, and significant relationship was evident between the difficulties in emotion regulation and anxiety levels of the participating women (r = 0.619; p = 0.001). The study revealed that women who gave birth during the COVID-19 pandemic experienced severe anxiety, and this period had a significant impact on their anxiety levels and difficulties in emotion regulation. So, it is recommended that health professionals incorporate strategies for coping with anxiety and improving emotional regulation in their training and counseling services.

References

  • Akpınar, F., & Üstün, Y. (2020). Kadın hastalıkları ve doğum pratiğinde sars-cov-2 (COVID-19) enfeksiyonu ile ilgili güncel bilgiler. Türk Kadın Sağlığı ve Neonatoloji Dergisi, 2(1), 13-16. Retrieved from https://dergipark.org.tr/tr/pub/etlikzubeyde/issue/53488/704989
  • Aytaç, S. H., & Yazıcı, S. (2020). The effect of social support on pregnancy and postpartum depression. International Journal of Caring Sciences, 13(1), 746. https://www.internationaljournalofcaringsciences.org/docs/83_yazici_original_13_1.pdf
  • Bargi, G., & Koku, M. (2022). Kinesiophobia, physical activity, fear of covid-19, and fatigue in adult ındividuals: a cross-sectional study. Selcuk Med J, 38(3), 106-113. https://doi.org/10.30733/std.2022.01557.s
  • Bayri Bingol, F., & Demirgöz Bal, M. (2021). Doğum sonrası maternal anksiyete ve bağlanmayı etkileyen faktörler. Sürekli Tıp Eğitimi Dergisi, 30(1), 60-68. https://doi.org/10.17942/sted.887220
  • Beck, A.T., Epstein, N., Brown, G., & Ster, R.A. (1988). An inventory for measuring clinical anxiety: psychometric proporties. J Consult Clin Psychol, 56(6), 893-897. https://doi.org/10.1037/0022-006X.56.6.893
  • Bei, B., Coo, S., & Trinder, J. (2015). Sleep and mood during pregnancy and the postpartum period. Sleep Med Clin, 10(1), 25-33. https://doi.org/10.1016/j.jsmc.2014.11.011
  • Berking, M., Wirtz, C. M., Svaldi, J., & Hofmann, S. G. (2014). Emotion regulation predicts symptoms of depression over five years. Behaviour Research and Therapy, 57, 13-20. https://doi.org/10.1016/j.brat.2014.03.003
  • Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L. G., ... & Gratz, K. L. (2016). Development and validation of a brief version of the difficulties in emotion regulation scale: the DERS-16. Journal of Psychopathology And Behavioral Assessment, 38, 284-296. https://link.springer.com/article/10.1007/s10862-015-9514-x
  • Brooks, S. K., Weston, D., & Greenberg, N. (2020). Psychological impact of infectious disease outbreaks on pregnant women: rapid evidence review. Public Health, 189, 26-36. https://doi.org/10.1016/j.puhe.2020.09.006
  • Buruk, K., & Özlü, T. (2020). New coronavirus: sars-cov-2. Mucosa, 3(1), 1-4. https://doi.org/10.33204/mucosa.706906
  • Ceylan, B., & Günay Molu, N. (2022). Covid-19 salgını sırasında anne babaların kaygı düzeyi. Genel Sağlık Bilimleri Dergisi, 4(3), 278-287. https://doi.org/10.51123/jgehes.2022.64
  • Cook, T.M., Wang, J. (2010). Descriptive epidemiology of stigma against depression in a general population sample in alberta. BMC Psychiatry, 10, 29. https://doi.org/10.1186/1471-244X-10-29
  • Dennis, C.L., Brown, H.K., Wanigaratne, S., Vigod, S.N., Grigoriadis, S., Fung, K., et al. (2018). Determinants of comorbid depression and anxiety postnatally: a longitudinal cohort study of chinese-canadian women. J Affect Disord, 227,24-30. https://doi.org/10.1016/j.jad.2017.09.033
  • Di Florio, A., Putnam, K., Altemus, M., Apter, G., Bergink, V., Bilszta, J.,…and Meltzer-Brody, S. (2017). The impact of education, country, race and ethnicity on the self-report of postpartum depression using the edinburgh postnatal depression scale. Psychological Medicine, 47(5), 787-799. https://doi.org/10.1017/S0033291716002087
  • Dönmez, H., & Bükülmez, A. (2015). Postpartum depresyonun, annelerin bebeklerini emzirme süreleri ve bebek büyümesi üzerine etkisi. Selçuk Tıp Derg, 31(4), 358-62. https://app.selcukmedj.org/uploads/makale-pdf/SUTD-803..pdf?time=638866236217791038
  • Durduran, Y., Demir, L.S., Uyar, M., Kucukkendirci, H., Eren, G., Sahin, T.K. (2021). The accurate and ınaccurate conceptions acquired by society throughout the covid-19 pandemic. Selcuk Med J, 37(3), 200-208. https://doi.org/10.30733/std.2021.01499
  • Fairbrother, N., Janssen, P., Antony, N.M., Tucker, E., & Young, A.H. (2016). Perinatal anxiety disorder prevalence and incidence. J Affect Disord, 200, 148-155. https://doi.org/10.1016/j.jad.2015.12.082
  • Fallon, V., Halford, J.C.G., Bennett, K.M., et al. (2016). The postpartum specific anxiety scale: development and preliminary validation. Arch Womens Ment Health, 19, 1079-1090. https://doi.org/10.1007/s00737-016-0658-9
  • Field, T. (2018). Postnatal anxiety prevalence, predictors and effects on development: a narrative review. Infant Behav Dev, 51, 24-32. https://doi.org/10.1016/j.infbeh.2018.02.005
  • Gonzalez-Garcia, V., Exertier, M., & Denis, A. (2021). Anxiety, post-traumatic stress symptoms, and emotion regulation: a longitudinal study of pregnant women having given birth during the covid-19 pandemic. European Journal of Trauma and Dissociation, 5(2), 100225. https://doi.org/10.1016/j.ejtd.2021.100225
  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale”. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Haga, S. M., Ulleberg, P., Slinning, K., Kraft, P., Steen, T. B., & Staff, A. (2012). A longitudinal study of postpartum depressive symptoms: multilevel growth curve analyses of emotion regulation strategies, breastfeeding self-efficacy, and social support. Archives of Women's Mental Health, 15(3), 175-184. https://doi.org/10.1007/s00737-012-0274-2
  • Hakanen, H., Flykt, M., Sinervä, E., Nolvi, S., Kataja, E.L., Pelto, J. et al. (2019). How maternal pre- and postnatal symptoms of depression and anxiety affect early mother-infant interaction? J Affect Disord, 2(257), 83-90. https://doi.org/10.1016/j.jad.2019.06.048
  • Işıl, Ö., Onan, N., & Karaca, S. (2006). Erken postpartum dönemde anksiyete düzeyi ile algılanan sosyal destek arasındaki ilişkinin incelenmesi. İstanbul Üniversitesi Florence Nightingale Journal of Nursing, 14(57), 27-38. Retrieved from https://dergipark.org.tr/tr/pub/fnjn/issue/9033/112624
  • Kara, H., Almbaidheen, M., & Sağlam, E. (2021). Adölesan annelerin sosyodemografik özelliklerinin, anksiyete ve depresyon düzeylerinin değerlendirilmesi: Ağrı ili örneklemi. Selçuk Tıp Dergisi, 37(4), 351-358. https://doi.org/10.30733/std.2021.01529
  • Kashdan, T. B., Zvolensky, M. J., & McLeish, A. C. (2008). Anxiety sensitivity and affect regulatory strategies: individual and interactive risk factors for anxiety-related symptoms. Journal Of Anxiety Disorders, 22(3),429-440. https://doi.org/10.1016/j.janxdis.2007.03.011
  • Khan, S., Ali, A., Shi, H., Siddique, R., Nabi, G., Hu, J., ... & Han, G. (2020). Covid-19: clinical aspects and therapeutics responses. Saudi Pharmaceutical Journal, 28(8), 1004-1008. https://doi.org/10.1016/j.jsps.2020.06.022
  • Lawson, A., Murphy, K.E., Sloan, E., Uleryk, E., & Dalfen, A. (2015). The relationship between sleep and postpartum mental disorders: a systematic review. J Affect Disord, 1(176), 65-77. https://doi.org/10.1016/j.jad.2015.01.017
  • Lee, S. (2020). Coronavirus anxiety scale: a brief mental health screener for covıd-19 related anxiety. Death Studies, 44(7), 393-401. https://doi.org/10.1080/07481187.2020.1748481
  • Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L. & Liu, W. (2020). Prevalence and predictors of ptss during covıd-19 outbreak in China hardest-hit areas: gender differences matter. Psychiatry Research, 287, 112921. https://doi.org/10.1016/j.psychres.2020.112921
  • Marganska, A., Gallagher, M., & Miranda, R. (2013). Adult attachment, emotion dysregulation, and symptoms of depression and generalized anxiety disorder. American journal of orthopsychiatry, 83(1), 131. https://doi.org/10.1111/ajop.12001
  • Marques, R., Monteiro, F., Canavarro, M. C., & Fonseca, A. (2018). The role of emotion regulation difficulties in the relationship between attachment representations and depressive and anxiety symptoms in the postpartum period. Journal of Affective Disorders, 238, 39‑46. https://doi.org/10.1016/j.jad.2018.05.013
  • Marroquín, B. (2011). Interpersonal emotion regulation as a mechanism of social support in depression. Clinical Psychology Review, 31, 1276–1290. https://doi.org/10.1016/j.cpr.2011.09.005
  • Nakano, M., Upadhyaya, S., Chudal, R., Skokauskas, N., Luntamo, T., Sourander, A., et al. (2019). Risk factors for impaired maternal bonding when infants are 3 months old: a longitudinal population based study from japan. BMC Psychiatry, 19(1), 87. https://doi.org/10.1186/s12888-019-2068-9
  • Nilsson, C., & Lundgren, I. (2009). Women's lived experience of fear of childbirth. Midwifery, 25(2), e1-e9. https://doi.org/10.1016/j.midw.2007.01.017
  • Nowakowski, S., Meers, J., & Heimbach, E. (2013). Sleep and women’s health. Sleep Medicine Research, 4 (1), 1–22. https://doi.org/10.17241/smr.2013.4.1.1
  • Palmer, C. A., & Alfano, C. A. (2017). Sleep and emotion regulation: an organizing, integrative review. Sleep Medicine Reviews, 31, 6–16. https://doi.org/10.1016/j.smrv. 2015.12.006
  • Pickard, J.A., Caputi, P., & Grenyer, B.F (2016). Mindfulness and emotional regulation as sequential mediators in the relationship between attachment security and depression. Personality and Individual Differences, 99, 179-183. https://doi.org/10.1016/j.paid.2016.04.091
  • Polte, C., Junge, C., Tilmann, V.S., & Seidler, A., Eberhard- Gran, M., & Garthus-Niegel, S. (2019). Impact of maternal perinatal anxiety on social-emotional development of 2-year-olds, a prospective study of norwegian mothers and their offspring: the impact of perinatal anxiety on child development. Matern Child Health J, 23(3), 386-96. https://doi.org/10.1007/s10995-018-2684-x
  • Puryear, L.J. (2014). Postpartum adjustment: what is normal and what is not. In: Barnes, D. (eds). Women's reproductive mental health across the life span, Springer, Cham, 109-122. https://doi.org/10.1007/978-3-319-05116-1_6 Rajkumar, R. P. (2020). Covid-19 and mental health: a review of the existing literature. Asian Journal of Psychiatry, 52. https://doi.org/10.1016/j.ajp.2020.102066
  • Rutherford, H.J., Wallace, N.S., Laurent, H.K., & Mayes, L.C .(2015). Emotion regulation in parenthood Dev Rev, 36 , 1-14. https://doi.org/10.1016/j.dr.2014.12.008
  • Tees, M. T., Harville, E. W., Xiong, X., Buekens, P., Pridjian, G., & Elkind-Hirsch, K. (2010). Hurricane katrina-related maternal stress, maternal mental health, and early infant temperament. Maternal and Child Health Journal, 14(4), 511–518. https://doi.org/10.1007/s10995-009-0486-x
  • Tibubos, A. N., Grammes, J., Beutel, M. E., Michal, M., Schmutzer, G., & Brähler, E. (2018). Emotion regulation strategies moderate the relationship of fatigue with depersonalization and derealization symptoms. Journal of affective disorders, 227, 571-579. https://doi.org/10.1016/j.jad.2017.11.079
  • Tietz, A., Zietlow, A. L., & Reck, C. (2014). Maternal bonding in mothers with postpartum anxiety disorder: the crucial role of subclinical depressive symptoms and maternal avoidance behaviour. Archives of women's mental health, 17, 433-442. https://doi.org/10.1007/s00737-014-0423-x
  • Tucker, P., Pfefferbaum, B., Jeon-Slaughter, H., Khan, Q., & Garton, T. (2012). Emotional stress and heart rate variability measures associated with cardiovascular risk in relocated katrina survivors. Psychosomatic Medicine, 74(2), 160–168. https://doi.org/10.1097/PSY.0b013e318240a801
  • Uçak Duman, B. (2019). Postpartum depresyon, eş desteği ve duygu düzenleme güçlükleri arasındaki ilişki (Master's thesis, Maltepe Üniversitesi, Sosyal Bilimler Enstitüsü). Retrived form https://hdl.handle.net/20.500.12415/236
  • Ulusoy, M., Şahin, N.H., & Erkmen, H. (1998). Turkish version of the beck anxiety inventory: psychometric properties. Journal of Cognitive Psychotheraphy, 12, 163-172. Retrived from https://www.researchgate.net/publication/233792003
  • World Health Organization (WHO, 2020). Novel coronavirus (2019-Ncov). Technical Guidance. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance (07.04.2021)
  • Yalçın, H., & Kaya, Ş. (2020). Covid 19 pandemi sürecinde doğum yapan annelerin kaygı düzeyleri ve duygu düzenleme becerilerinin incelenmesi. International Social Sciences Studies Journal, 6, (65), 2778-2786. http://dx.doi.org/10.26449/sssj.2422
  • Yiğit, İ., & Guzey Yiğit, M. (2019). Psychometric properties of turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Current Psychology, 38, 1503-1511. https://doi.org/10.1007/s12144-017-9712-7 Zeybekoğlu, A., & Dursun, C. (2020). Koronavirüs (covid-19) pandemi sürecinde özel alanına kamusal alanı sığdıran çalışan anneler. Avrasya Sosyal ve Ekonomik Araştırmaları Dergisi, 7(5), 78-94. https://dergipark.org.tr/tr/pub/asead/issue/54658/738006
There are 50 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Hafize Dağ Tüzmen 0000-0001-7791-7536

Kamile Altuntuğ 0000-0002-0215-6143

Early Pub Date August 26, 2025
Publication Date August 25, 2025
Submission Date July 17, 2023
Acceptance Date October 3, 2023
Published in Issue Year 2025 Volume: 7 Issue: 2

Cite

APA Dağ Tüzmen, H., & Altuntuğ, K. (2025). The Impact of COVID-19 Pandemic on Postpartum Anxiety and Difficulties in Emotion Regulation. Genel Sağlık Bilimleri Dergisi, 7(2), 212-227.


                                                Journal of General Health Sciences is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC).