Table_1_“Worn-out but happy”: Postpartum Women's Mental Health and Well-Being During COVID-19 Restrictions in Australia.docx

Background: From late 2019, COVID-19 disease has infiltrated the global population causing widespread challenges to public health. One cohort that has received less attention, but who may be more vulnerable to the mental and physical health related impacts of COVID-19 restrictions are postpartum mothers. The aim of this study was to explore the mental health, well-being, and health behaviours of mothers up to 12 months postpartum whilst living in Australia under COVID-19 level 3 and 4 restrictions.Methods: 351 women in their first year postpartum residing in Australia whilst under level 3/4 social distancing restrictions (during April 13 and June 11, 2020) were recruited to participate in an online questionnaire. The survey measured symptoms of depression, anxiety, and stress (DASS), wellness (SF-36), physical activity (Godin-Shephard score), perceived value of health outcomes, diet, and sleep. Descriptive statistics and linear regressions were performed.Results: Data was analysed for 139 eligible women. Of these women, 74% scored “normal” for depression, 84% for anxiety, and 72% for stress. Over half (58%) of women reported being worn out all, most, or a good bit of the time and 77% reported being a happy person all, most, or a good bit of the time. Analysis of the perceived values of health outcome revealed women had high value for “getting out of the house,” “achieving a better overall mood,” and “to feel better physically.” Women were considered physically active according to the Godin Leisure score, however only 41% of women met the current Australian national physical activity guidelines of 150 min.week−1.Conclusions: Overall the majority of postpartum mums that were surveyed, have normal mental health symptoms, and despite being worn out most are happy at least a good bit of the time. This study highlights the importance of health values in maintaining leisure physical activity and mental health. In addition it appears women may benefit from virtual group exercise and community programs to encourage being physically active and socialising with friends simultaneously.

背景：自2019年底以来，COVID-19疾病已渗透全球人口，对公共卫生造成了广泛挑战。一个受到较少关注，但可能更容易受到COVID-19限制措施对心理健康和身体健康影响的人群是产后母亲。本研究旨在探索澳大利亚在COVID-19三级和四级限制措施下，产后12个月内母亲的心理健康、福祉和健康行为。方法：招募了351名在澳大利亚居住且处于产后第一年、在2020年4月13日至6月11日期间的三级/四级社交距离限制下的妇女参与在线问卷调查。该调查测量了抑郁、焦虑和压力（DASS）症状、福祉（SF-36）、体力活动（Godin-Shephard评分）、对健康结果的感知价值、饮食和睡眠。进行了描述性统计和线性回归分析。结果：对139名合格妇女的数据进行了分析。在这些妇女中，74%的抑郁症状得分为“正常”，84%的焦虑症状得分为“正常”，72%的压力症状得分为“正常”。超过一半（58%）的妇女报告称，她们大部分时间或几乎一直感到疲惫不堪，而77%的妇女报告称，她们大部分时间或几乎一直感到快乐。对健康结果感知价值的分析显示，妇女对“走出家门”、“达到更好的整体情绪”和“感觉身体更舒适”具有很高的价值。根据Godin休闲评分，妇女被认为是有身体活动的，然而只有41%的妇女达到了当前澳大利亚国家150分钟/周的身体活动指南标准。结论：总体而言，调查的多数产后母亲的心理健康症状正常，尽管大多数时候感到疲惫，但至少大部分时间都是快乐的。本研究突出了健康价值观在维持休闲体力活动和心理健康方面的重要性。此外，似乎妇女可能从虚拟团体锻炼和社区项目中受益，这些项目旨在鼓励她们同时进行身体活动和与朋友社交。