Simone Schwank

Simone Schwank
Karolinska Institutet | KI · Department of Clinical Science, Intervention and Technology - CLINTEC

Doctor of Philosophy

About

21
Publications
8,497
Reads
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293
Citations
Introduction
One in five women develop mental health problems related to pregnancy and childbirth. The lack of recognition of the problem may have serious implications for both mother and infant. The overall aim of this study is to explore how women and health care providers perceive mental health problems during pregnancy in Sweden and China.
Additional affiliations
November 2019 - November 2022
Karolinska Institutet
Position
  • PostDoc Position
July 2016 - present
DIS Study Abroad Scandinavia
Position
  • Lecturer
August 2012 - November 2014
Shanghai University
Position
  • Lecturer
Education
August 2015 - September 2018
Columbia University
Field of study
  • Psychology

Publications

Publications (21)
Article
Full-text available
Objective: Mind-COVID is a prospective cross-sectional study aimed to assess risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic. This study compares outcomes in middle-income economies and high-income economies. Methods: 7,102 pregnant women from 12 high-income economies and 9 middle-income economies were i...
Article
Full-text available
Background: The COVID-19 pandemic has contributed to unprecedented worries and challenges for pregnant women due to social restrictions and changes in maternity care provision. We aimed to investigate the mental health impact of COVID-19 pandemic on pregnant women in Sweden and explore factors associated with poor perinatal mental health in this s...
Preprint
Full-text available
Background: The COVID-19 pandemic has contributed to unprecedented worries and challenges for pregnant women due to social restrictions and changes in maternity care provision. We aimed to investigate the mental health impact of COVID-19 pandemic on pregnant women in Sweden and explore factors associated with poor perinatal mental health in this sp...
Research
To investigate the impact of a web-based psychosocial intervention on EPDS among urban pregnant women living in Hong Kong and Shanghai.
Article
Full-text available
Introduction Mental health disorders are common during pregnancy and the postnatal period and can have serious adverse effects on women and their children. The consequences for global mental health due to COVID-19 are likely to be significant and may have a long-term impact on the global burden of disease. Besides physical vulnerability, pregnant w...
Article
Full-text available
Background: There is an increasing global trend towards the widespread over-medicalisation of labour and childbirth. The present study aimed to investigate pregnant women's clinical characteristics, intrapartum interventions, duration of labour and its associated factors; and to compare the differences of these variables between nulliparas and mul...
Article
Full-text available
Sixteen women in Shanghai participated in semistructured interviews, and thematic analysis was used to interpret their responses. An overarching theme, three main themes, and 13 subthemes were identified. The overarching theme (the old ways and the new—transition into motherhood) in new China, had these main themes: (1) urban Chinese women’s transi...
Article
Full-text available
With the pandemic of Coronavirus disease‐19 (COVID‐19) spiraling out of control, the world is desperately frazzled at the moment. A few empirical studies related to this pandemic have reported higher prevalence of mental health problems among women compared to men.1 In this context, pregnant women and new mothers could certainly be more vulnerable....
Article
Full-text available
China's healthcare is improving together with rapid economic growth. Yet, mental healthcare is lagging behind. Prevalence of perinatal depression is high among women of the one-child generation, but access to qualified care is limited. Chinese healthcare professionals, policy makers and patients alike express concerns about insufficient knowledge a...
Article
Full-text available
Mental health is a major public health concern in China. Help-seeking behavior typically does not involve professionals. Aim of the study was to assess Shanghai women’s care-seeking behavior for common mental health disorders. Using an online survey, fielding questions regarding perinatal mental health status and help-seeking behavior. A total of 4...
Book
In order to reach the WHO’s Sustainable Development Goals relating to maternal and infant health, maternal mental health preconditional needs to be addressed. The purpose of the thesis project was to explore how Shanghai women and health care providers perceive mental health problems during the perinatal period in urban China, in the light of the t...
Article
Background Mental health has recently been receiving a growing amount of attention in mainland China, with mental disorders increasingly being recognized as a major public health concern. However, the treatment gap for mental health care is markedly high in China. Previous research and clinical practice have focused on high-risk physical disorders...
Article
Objectives: The Chinese government launched the two-child policy in 2015 to counteract the demographic changes, skewed sex ratio, and decreasing number of labor force. The policy shift has a significant impact on all levels of society and economy. This study aimed to describe how Mainland Chinese women face this new decision-making on their reprodu...
Article
Background: Caesarean section rates have risen beyond the WHO recommended level in many countries worldwide. An emerging epidemic in caesareans has appeared in China over the past two decades, mainly driven by non-medical factors. China's one-child policy was previously seen as a potential factor for contributing to women's high caesarean section...
Article
Objective To explore nulliparous women's perceptions of decision making regarding mode of delivery under China's two-child policy. Design Qualitative descriptive design with in-depth semi-structured interviews. Setting Postnatal wards at a tertiary specialized women's hospital in Shanghai, China. Participants 21 nulliparous women 2-3 days postpa...
Article
Full-text available
Background Pregnancy is a period of transition, which makes women more vulnerable and in unfavorable conditions may lead to psychopathology in both mother and infant. It is essential to outline factors adversely affecting the resolution of this period. Early interventions and why they matter: Interventions during pregnancy can provide important imp...
Article
Introduction Transition into parenthood is a demanding phase in life and exposes the becoming parents to vulnerability for depression, anxiety and stress. Perinatal mental health problems are a major public health issue and many women suffering from depression during their first year after delivery. High levels of stress during pregnancy are associ...
Article
Full-text available
Infant mental development occurs in interplay with a caregiver. The infant establishes an inner world, a psyche, by using his or her caregiver as transitional mental space for the development of a sense of self. This mental progress occurs simultaneously with motor elaboration, pre-conditioned by neurophysiological maturation. The bodily holding fu...
Article
Antenatal care is an important component of maternity care. In many parts of the world, midwives are the primary caregivers for childbearing women, providing a high level of continuity of care during a normal pregnancy. While in China, obstetricians are the primary providers of antenatal care for all childbearing women; and midwives only provide in...

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Projects

Projects (3)
Project
The fathers participate either in telephone peer support (intervention) or non-support (control). Our hypothesis is that there is a significant depressive symptoms difference between fathers exposed to telephone peer support as compared with the non-support group.
Project
The goal of the interdisciplinary project is to emphasize on the necessity of antenatal interventions to reduce adverse maternal mental health and intervene early to reduce adverse child outcomes. Focusing on indicators of maternal mental health disorders, which can be used as source of prevention and early intervention programs. Through the intervention we aim to improve infant psycho-emotional development and affect regulation. The pre-diagnostic capacity of the applied screening instruments for mental health problems, including: pregnancy interview (PI), measuring RF, the women’s metacognitive skills and the ability to keep the child in her mind, depression symptoms (EDS), perinatal anxiety (GAD7), and levels of stress (PSS14), is effective in prevention and early intervention. The pre-diagnostic capacity shall facilitate referral to treatment in the clinical setting. The goal is to identify an intervention that is feasible, cost effective, and easy to apply, without potential unwanted side-effects.
Project
The Chinese governmental implementation of the two-child policy has significant impact on all levels of society and economy. How the Chinese population manage their reproduction and family planning will be elucidated by the present study. The child policy based decisions’ reach and depth are discussed during the phase of immediate change and may serve as a prognosis for the child policy’s future development.