Stony Brook University

Photo from Stony Brook Athletics

Stony Brook put forth a valiant effort after trailing by as many as 17 points, but ultimately fell to Monmouth, 24-21, in the 2022 season finale at Kessler Stadium on Nov. 19.

The Hawks took a 17-0 lead before Stony Brook was able to get on the board. With 3:55 to play in the first half graduate defensive back Carthell Flowers-Lloyd stepped in front of a screen and picked off a pass by Monmouth’s Enzo Arjona and returned it for a touchdown. Flowers-Lloyd’s interception was the first of his career and it swung the momentum in Stony Brook’s favor heading into the second half.

After Monmouth and Stony Brook traded punts to start the second half, the Seawolves cut the Hawks’ lead to 17-14 after a 66-yard touchdown run by redshirt sophomore running back Ross Tallarico with 5:02 to play in the third quarter. Tallarico took the carry up the middle and rushed untouched into the end zone for the longest rush of his career.

The Seawolves continued to apply the pressure on the defensive end and that pressure resulted in a sack-fumble by graduate defensive end Eric Black. Black blew past Monmouth’s offensive line to strip-sack Arjona and redshirt junior linebacker Aidan Kaler recovered the fumble.

 On Stony Brook’s ensuing drive redshirt freshman quarterback Daron Bryden found Tallarico for a five-yard touchdown pitch and catch to give the Seawolves’ a 21-17 lead with 8:17 to play in the game. For Tallarico, it was his second touchdown of the game.

Monmouth took the lead, 24-21, with 7:32 to play when Arjona found Dymere Miller for a 72-yard touchdown and held on to win by that very score.

“I am really proud of how we competed. We’ve had a lot of adversity in regards to being a better football team; but our kids competed. Offensively, we were not able to generate much throughout the game. The parts kept on plugging, our defense made some stops, and we were able to convert some things. If you’re in the game in the fourth quarter, you got to try to find a way to win,” said coach Priore on his reaction to Saturday’s game.

Photo from Stony Brook Athletics

 The Stony Brook swimming and diving team picked up eight first place finishes en route to a 157-143 win over Siena in Loudonville on Nov. 19.

The Seawolves started the meet off with a bang, securing a first-place finish in the 200 medley relay with a final time of 1:50.20. The relay team was comprised of senior Reagan MacDonald, graduate Jess Salmon, junior Mary Kate Conway and freshman Michelle Vu.

Freshman Clara Armstrong kept the momentum rolling with a win in the 1000 freestyle with a final time of 10:54.66. Conway and sophomore Brenna McLaughlin followed behind with wins in the 200 freestyle and 100 backstroke, respectively.

 Senior Maddy Enda touched the wall at 2:11.23 to earn the win in the 200 butterfly and MacDonald clocked in at 2:07.66 for a first-place finish in the 200 backstroke. Junior Sara DiStefano and Vu closed out the day for Stony Brook with first-place finishes in the 3-meter dive and 100 butterfly, respectively.

The team is back in action on Dec. 2, when they compete in the ECAC Championships in East Meadow.

From left to right, physician assistants Michelle Rosa and Katherine Malloy, Dr. David Fiorella and Dr. Jason Mathew visit Joseph Annunziata in his hospital bed. Photo from Stony Brook Medicine

By Daniel Dunaief

Joseph “Bob” Annunziata, a resident of Kings Park, wants you not to be like him.

An army veteran, Annunziata urges residents and, in particular, other veterans, to pay attention to their medical needs and to take action when they find out they have a problem. 

A self-described “tough guy” who grew up in Bay Ridge, Brooklyn, Annunziata put off medical care for a partially blocked left carotid artery and it caused a medical crisis.

“My brother and sister vets, if you got a pain or the doctor tells you to do something, do it,” he said. “It almost cost me my life. I don’t want that to happen to anyone else.”

Joseph Annunziata at his 80th birthday party

Annunziata, 80, was driving to the supermarket on Veterans Day when his right hand became limp and he was slurring his speech. Knowing he was in trouble, he turned the car around and drove 10 minutes to the Northport VA Medical Center.

The doctors evaluated him and rushed him to Stony Brook University Hospital, which is well equipped to handle stroke-related emergencies and is the only hospital in the state named one of America’s 100 Best Hospitals for Stroke Care for eight years in a row. 

Several doctors evaluated Annunziata, including by Dr. David Fiorella, Director of the Stony Brook Cerebrovascular Center and Co-Director of the Stony Brook Cerebrovascular and Comprehensive Stroke Center, and Jason Mathew, stroke neurologist.

“We identified that there was a severe blockage in the left side of his brain,” said Dr. Mathew. “If blood flow is not returned to this area, the patient is at risk for a larger area of stroke.”

Indeed, a larger stroke could have caused right side paralysis and could have robbed Annunziata of his ability to speak or worse.

Performing emergency surgery could protect endangered brain cells, but also presented some risk. If not removed carefully and completely, the clot in the carotid artery could travel into the brain or the stroke could expand over time due to a lack of sufficient blood flow to the left side of the brain.

Time pressure

Stony Brook doctors discussed the particulars of the case together and explained the situation to Annunziata, who could understand what they were describing and respond despite symptoms that threatened to deteriorate.

The hospital, which does between 200 and 250 interventional stroke treatments per year and handles many more strokes than that annually, has a group of health care specialists who can provide accessible information to patients who are not experts in the field and who need to make an informed decision under time pressure.

Stony Brook has become adept at “conveying this complex information in a time-sensitive way,” Dr. Fiorella said. In those cases for which surgery is the best option, each minute that the doctors don’t open up a blood vessel reduces the benefits and increases the risk of longer-term damage.

Stony Brook sees about one to two of these kinds of cases per month. As a whole, the hospital, which is a large referral center, sees numerous complex and unusual cerebrovascular cases of all types, Dr. Fiorella said.

Annunziata and the doctors decided to have the emergency surgery.

Dr. Fiorella used a balloon guiding catheter, which is a long tube with a working inner lumen that has a soft balloon on the outside of it that is designed to temporarily block flow. He deploys these occlusion balloons in most all stroke cases. 

The particular way he used it in these complete carotid occlusions is unique. The balloon guiding catheter makes interventional stroke procedures more efficient, safer, and the outcomes better, according to data for thrombectomy, Dr. Fiorella said. 

The occlusion balloon enabled Dr. Fiorella to control blow flow the entire time, which makes the procedure safer. The surgery took under an hour and involved a small incision in Annunziata’s right wrist.

Joseph Annunziata with his girlfriend Rosemarie Madrose

After the surgery, Annunziata was able to speak to doctors and call Rosemarie Madrose, his girlfriend of five and a half years. “He came out talking,” said Madrose. “I could understand him. I was relieved.” Four days after the emergency operation, Annunziata, who also received post operative care from Dr. Yuehjien Gu, Neurocritical Care Unit Director, left the hospital and returned to his home, where he spent the next morning preparing a welcome meal of a scrambled egg and two slices of toast.

The doctors attribute Annunziata’s quick recovery to a host of factors. Getting himself to the hospital as soon as symptoms started saved precious minutes, Dr. Fiorella said, as “time is brain.” He also advised against driving for people having stroke-like symptoms, which can include slurred speech, numbness, weakening of the arm or leg and loss of vision in one eye.

Dr. Fiorella urged people to call for help or to get a ride in an ambulance. Stony Brook has two mobile stroke unit ambulances, which are equipped with technology to assess patients while en route, saving time and alerting doctors in the hospital to patients who might need immediate attention and intervention.

These mobile units, which are available from 8 a.m. to 8 p.m., have helped reduce death and disability for stroke and have cut down the length of stays in the hospital.

People or family and friends who are observing someone who might be having a stroke can call 911 and indicate that the patient is having stroke-like symptoms. The emergency operator will alert the mobile stroke unit of a possible case if the unit is available and the patient is in range.

Helping a veteran

The doctors involved in Annunziata’s care were well aware of the fact that they were treating a veteran on Veterans Day.

“Oftentimes, we think about how we can give back more than just a thank you” to people like Annunziata, who “risked his life and helped his country the way he could,” said Dr. Mathew. “I’m helping him the way I can help.”

Dr. Fiorella added that he thought it was “wonderful” to “help someone who’s given so much to our country on Veterans Day.”

Army origin

Annunziata explained that he wound up in the Army through a circuitous route.  “We watched all the war movies” when he was young and wanted to join the Marines, he said.

When he went to enlist in 1962, he was told there was a two and a half year wait. He and his young friends got the same reception at the Air Force, Navy and the Army. As they were leaving the Army building on Whitehall Street, he and his friends ran into a sergeant with numerous medals on his uniform. The sergeant urged them to go back up the hallway and enter the first door on the right and indicate that they wanted to expedite the draft. About a week later, Annunziata was drafted and got a 15 cent token in the mail for a train trip to Wall Street.

After basic training at Fort Dix, he was stationed in Greenland, where Annunziata operated a radar at the top of a mountain for two years. He participated in drills in which he had to catch American planes flying overhead.

Fortunately, he said, even during the height of the Cold War and just months after the Cuban Missile Crisis, Annunziata never spotted a Russian threat, even though the base was just 20 minutes from Russian air space.

Having gone through emergency surgery that likely saved his life, Annunziata urges residents to pay attention to any medical needs on their radar.

Dr. Fiorella was amazed at how quickly Annunziata expressed concern for his fellow veterans during his recovery.

“One of the first things he talked about was, ‘How can I use what happened to me to help other vets?’” Dr. Fiorella said.

Annunziata’s girlfriend Madrose, who is grateful that the procedure saved his life, said he “didn’t listen to me. He knew he had to do this. I kept saying, ‘When are you going to do it?’ He said, ‘I will, I will, I will.’ He learned the hard way.” She added that they both know he is “extremely lucky.”

Image from Stony Brook Athletics

The Stony Brook University Athletics Department has expanded their partnership with Lidl to launch the “Hoops for Hunger” campaign. Lidl, recently ranked a top 5 U.S. grocer in the USA Today 10Best Readers’ Choice Awards, will donate one dollar for every basket that the Stony Brook men’s basketball team makes at Island Federal Arena throughout the 2022-23 season. All proceeds will be donated to Long Island Cares, a local food bank on a mission to feed Long Island’s food insecure.

“We want to thank the Stony Brook University Athletics Department and the men’s basketball team for joining with our corporate partners at Lidl to launch this very exciting Hoops for Hunger campaign,” said Paule Pachter, CEO of Long Island Cares.  “Lidl is one of our major corporate donors that donates thousands of pounds of food to assist The Harry Chapin Regional Food Bank in meeting the needs of 230,000 Long Islanders struggling with food insecurity. We’re also very grateful to the players on the Stony Brook men’s basketball team for getting involved in this campaign. Each ball scored will bring hope to those in need of emergency food assistance here on Long Island.”

At the completion of the 2022-23 campaign, Lidl will host an on-court check presentation revealing the total money raised throughout the season with representatives from Long Island Cares.

Daniel Knopf and Josephine Aller. Photo by John Griffin/Stony Brook University

By Daniel Dunaief

The ocean often serves as an enormous reflecting pool, showing a virtual image of migrating and water birds soaring on the wind, planes carrying people across continents, and clouds in multiple layers sporting various shades of white to grey.

Those clouds have more in common with the ocean below than just their reflection. In fact, some of the ice nucleating particles that help form the clouds come directly from the phytoplankton in the water below.

Daniel Knopf, Professor of Atmospheric Chemistry at Stony Brook University, and Josephine Aller, microbial oceanographer in the School of Marine and Atmospheric Sciences at Stony Brook University, have been teaming up to study the effect of sea spray aerosols on cloud formation in the ocean for 15 years.

Recently, the duo published a paper in the journal Science Advances, in which they simulated sea spray aerosols in laboratory tanks to reflect ocean conditions. They found that organic compounds released by marine microorganisms become ice nucleating particles.

“We performed ice formation experiments in our lab using particles generated from our tanks to determine under which conditions (of temperature and relative humidity) they form ice,” Knopf explained in an email. 

During specific temperature and relative humidity conditions, these sea spray aerosols, which are released when bubbles at the surface containing the materials burst or when wind carries them from the ocean into the air, initiate ice crystal formation.

Previous studies revealed that the water contains organic material from biological activity, but the researchers could not identify the specific type of nuclei.

“The current study closes this gap and identifies polysaccharides and proteinaceous matter” as the ice nucleating particles, Knopf explained.

Through work in the lab, Knopf and Aller showed that the particles produce ice crystals through two different pathways under typical atmospheric conditions. Ice can form either by water vapor onto the aerosolized particles or from liquid aerosol droplets.

From x-rays to climate models

Aller and Knopf explored the composition of individual particles using x-ray microscopy technology at the synchrotron light source at the Lawrence Berkeley National Laboratory in California. 

After digitally marking particles, the researchers transferred the particles to the x-ray microscope to determine their shape and composition.

“This allowed us to unambiguously examine the ice nucleating SSA particles and compare their organic signature with reference spectra of organic/ biogenic matter,” Knopf wrote.

Aller added that the research provides a clear picture of the conditions necessary for freezing.

“This study not only identifies the ice nucleating agent, but also provides the first holistic parameterization to predict freezing from SSA particles,” she said in a statement. “This new parameterization includes immersion freezing, as the INP is engulfed in a liquid, usually water, and the deposition ice nucleation where ice forms on the INP without any visual water.”

The parameterization can be applied in cloud-resolving and climate models to determine the climatic impact of ice crystal containing clouds, Aller added.

This type of modeling can help with climate models of the polar regions, which is heating at a rate faster than other parts of the world.

At this point, Knopf said the Stony Brook researchers have collaborated with scientists at NASA GISS who work on climate models to improve the understanding of mixed-phase clouds.

“We will make use of the newly developed ice formation parameterization in cloud-resolving models and compare the results to observations,” Knopf wrote. “Those results, ultimately, will be useful to improve climate models.”

Competition in the clouds

As for any surprises, Knopf added that it is “astonishing how biological activity in surface waters can be related to cloud formation in the atmosphere.” Additionally, he was amazed that the organic matter that nucleated the ice was similar independent of the water source.

Spectroscopically, the ice showed the same features, which allowed the researchers to combine the various data sets.

This means that different parts of the ocean do not need local freezing parameterization, which makes modeling the impact of oceans on cloud formation easier.

While sea spray aerosols can and do act as ice nucleating particles, the Stony Brook scientists added that other airborne particles also contribute to the formation of clouds. A heterogeneous mix of particles creates a competition among them for activation. Dust and certain fly ash serve as more efficient ice nucleating particles compared to sea spray aerosols.

During periods when sufficient water vapor is in the area, the sea spray aerosols can also be activated. When these organic particles do not become a part of clouds, they form supercooled droplets or float around as interstitial aerosols and get transported to other areas, Knopf explained.

As for the impact of global warming, Knopf suggested that such increases may first change the microorganisms’ activity and breakdown of chemical species in the ocean surface waters. “How this impacts the source of sea spray aerosols and ice nucleating particles, we do not know that yet,” he said.

The particular species of planktonic communities may change, as differences in nutrient levels could select for cyanobacteria over the normal mix of algal groups. That could cause a change in the exudates produced.

Locally, Knopf and Aller are working with Chris Gobler, Professor in the School of Marine and Atmospheric Sciences at Stony Brook, in Lake Agawam in Southampton, which is prone to harmful algal blooms. The Stony Brook scientists are working to understand if the toxins produced by these algae are becoming airborne in sufficient mass.

“It may imply a health-related issue when aerosolized and one is close to the source,” Knopf explained. “There won’t be toxic clouds due to dilution and aerosol mass constraints.”

Knopf and Aller hope to continue to develop these models by combining their lab work with field data.

“This is an ongoing process,” Knopf said. “The more data we acquire, the more accurate the parameterization should become.”

Photo from Stony Brook Athletics

The Stony Brook men’s cross country team returned to competition today, at the 2022 NCAA Regional at Van Cortland Park. Six of the seven Seawolf runners finished within the top 80 of the field, with four student-athletes recording top 40 finishes, including two Seawolves placing inside the top 20.
 
As a team, the Seawolves finished sixth overall for the best finish out of any CAA team that competed at the NCAA Regional race. Northeastern came in eighth and Hofstra rounded out the conference teams in 27th.
 
The squad was led by senior Evan Brennan and graduate Robert Becker, as both All-CAA runners capped off their season with NCAA All-Region honors after their performances in the race.
 
For the second year in a row at the NCAA Regional Championship, Brennan was the top finisher for the squad and Becker finished second-best for the Seawolves. The senior took 12th-place after crossing the finish line in 29:45.9. Coming in shortly after Brennan to round out the top 20 was Becker completing the race in 20th (29:57.7).
 
Carlos Santos Jr.Shane HendersonConor Malanaphy, and Michael Fama all placed within the top 80 as they helped the Seawolves pick up a sixth-place finish in the Regional Championship.
 
HIGHLIGHTS

  • Brennan took 12th-place as he crossed the finish line in 29:45.9. He ran at a pace of 4:48 per mile.
  • Becker finished in 20th-place overall as he clocked a time of 29:57.7 and ran an average mile of 4:50.
  • Santos Jr. came in shortly after Becker in 36th-place with a time of 30:26.8.
  • Henderson took 39th-place with a time of 30:29.6, Malanaphy finished in 57th at 30:54.4 and Fama took home 70th with a time of 31:10.5.
  • Over 227 runners competed in the championship race on Friday.

“The men’s team closed out the season with another competitive performance in the Regional Championship; the goal going in was to challenge for a top four finish. They came up a little short taking sixth-place but it wasn’t for lack of effort, led by two very good runs from Evan and Rob, who earned All-Region honors. All seven guys that lined up gave it all they had on the day and can be proud of the effort they gave, not only today, but throughout the season,” said head coach Andy Ronan.

Photo from Stony Brook Athletics

The Stony Brook football team put forth a valiant battle, but was narrowly edged by Towson, 21-17, on Nov. 12 at LaValle Stadium. The back-and-forth game was decided in the final seconds as the Seawolves nearly found the end zone as time expired, which would have lifted them to a thrilling finish.

Redshirt freshman quarterback Daron Bryden earned his fifth career start for the Seawolves and tossed a career-high 273 passing yards including a career-high two touchdowns. Stony Brook got on the board with 25 seconds left to play in the first quarter when Bryden found redshirt junior wide receiver Shawn Harris Jr. for a 70-yard touchdown pitch and catch. The score tied the game up at 7-7, and was the Seawolves’ longest play from scrimmage this season.

The Seawolves and Tigers were all knotted up at 7-7 after the first 30 minutes of play, which was highlighted by strong defensive efforts on both sides. Stony Brook struck first in the second half as Bryden threw his second touchdown of the day with 7:54 left to go in the third quarter when he found graduate wide receiver Khalil Newton for a 30-yard strike. For Newton, it was his fourth touchdown catch of the season and sixth of his career.

Towson tied the game up on the ensuing drive when Tyrrell Pigrome found Darian Street for a 36-yard touchdown. The game remained tied at 14-14 until redshirt junior kicker Angelo Guglielmello gave the Seawolves a 17-14 advantage when he knocked in a 26-yard field goal with 2:32 to play in the game.

Guglielmello cashed in on a Stony Brook drive that went 11 plays for 42 yards and consumed 7:13 of the clock. Towson responded on its next possession with a three-yard touchdown run that gave it a 21-17 lead, which it held on to down the stretch.

Prior to the game, Stony Brook honored its senior class which is comprised of Seba NekhetEric BlackKhalil NewtonCarthell Flowers-LloydJohn CorpacCarson TebbettsSam HowsonCameron LucasLarry Ross Jr.Matt MirabitoDamien CaffreyDelante Hellams Jr.Reidgee DimancheRandy Pringle, and Kyle Nunez.

#22 Keenan Sarvan was on fire Friday night, scoring 29 points for the team. Photos from Stony Brook Athletics

The Stony Brook men’s basketball team found their way to an 86-65 win over Miami Hamilton as they opened at home at Island Federal Arena on Nov. 11. 

Junior forward Kenan Sarvan led the offensive effort, finishing the game with a career-high 29 points and a career-high four assists, while also adding three rebounds. Sarvan exploded in the second half, registering 19 of his 29 points in the second half. 

Graduate forward Frankie Policelli led the team in rebounds, totaling 10 on the night. The New Hartford, N.Y. native went 5-of-10 from the field and 3-of-6 from three-point range. Graduate center Keenan Fitzmorris was a force on the offense, marking a career-high 10 points and shooting 5-of-6 from the field. 

Stony Brook took control with nine minutes left in the first half, going on a 10-0 run that started with Sarvan dishing the ball to senior guard Tanahj Pettway who then finished the driving layup. The Seawolves biggest lead came in the final 27 seconds of the contest when they increased the deficit to 24. The 21-point win is the first 20-point win since the Seawolves defeated Farmingdale State, 87-57, on December 29, 2021. 

The team headed to Rhode Island to take on both Rhode Island and Brown over the course of three days, facing-off with Rhode Island on Nov. 15 and Brown on Nov. 17. 

The team celebrates their win on Monday night. Photo from Stony Brook Athletics

The Stony Brook women’s basketball team erased a 26-point deficit and came from behind to defeat Iona in thrilling fashion, 73-71, on Nov. 14 at Island Federal Arena.  After being down 38-12 with 6:14 to play in the second quarter, the Seawolves outscored the Gaels 61-33 to earn their second win of the season.

Sophomore forward Sherese Pittman grabbed an offensive rebound with less than 10 seconds left in the game and went back up over four Iona defenders to score and give Stony Brook a 73-71 lead.

The Seawolves’ defense stood strong as Pittman locked up Iona’s Ketsia Athias on the final possession and held off the Gaels’ final chance to secure the win for Stony Brook. The team was led by graduate guard Anastasia Warren and senior guard Gigi Gonzalez, who both had career nights.

With less than one-minute remaining in the third quarter, Warren drilled a three-pointer to cut Stony Brook’s deficit back to six points. It got her up to 23 points on the night, as she eclipsed the 1,000-career point mark. Warren is the 19th player in Stony Brook women’s basketball program history to score at least 1,000 points in her career. She finished the game with a game-high 28 points, along with seven rebounds, three steals, and two assists. Gonzalez scored a career-high 24 points with three rebounds, three assists, and three steals.

Graduate forward Nairimar Vargas-Reyes put forth a valiant effort with her second career double-double. She scored 10 points and hauled in 11 rebounds.

Stony Brook led for just 31 seconds, but was able to come out victorious with its astounding comeback. The Seawolves now hold a 10-5 record over Iona in the all-time series. Stony Brook has won five-straight games against the Gaels. 

The team hits the road again to take on the St. John’s Red Storm at Carnesecca Arena in Queens on Nov. 19. Tip-off is set for 2 p.m. and the game will be broadcast live on FloHoops.

A study of more than 8,000 women from seven countries revealed that at the onset of the Covid-19 pandemic, stress experienced by pregnant women predicted more frequent anxiety and depressive symptoms. Photo provided by Marci Lobel, Stony Brook University
Published study of more than 8,000 women from seven Western countries reveals mental health risks at onset of pandemic

A study that assessed stress, anxiety and depressive symptoms in pregnant women from seven Western countries during the first major wave of the Covid-19 pandemic (April 17 to May 31, 2020) shows that stress from fears about Covid-19 led to anxiety and depressive symptoms above normal levels. Led by Stony Brook University Professor Marci Lobel, PhD, the findings are part of the International Covid-19 Pregnancy Experiences (I-COPE) Study and are published in Social Science & Medicine.

The Covid-19 pandemic has had unprecedented impact on public health, including mental health, and has affected social and economic conditions of people worldwide. The onset of the pandemic was especially stressful for pregnant women because of the initially unknown effects of the virus on fetuses, and because prenatal care and labor and delivery practices were greatly altered. The I-COPE Study is the first major research project to compare stress and mental health in pregnant women across these Western countries.

The study involved 8,148 pregnant women (on average about 27 weeks pregnant) from the United States, Germany, Switzerland, Spain, Poland, Italy and Israel. While the countries varied in magnitude of pandemic-related pregnancy stress – likely because of cultural differences and the specific impacts of the pandemic in each country – anxiety and depressive symptoms among the cohort were strongly predicted by pandemic-related and pregnancy-specific stress – a result the authors found was replicated within the individual countries.

”Our findings show that the stress experienced by pregnant women predicted more frequent anxiety and depressive symptoms, including symptom levels above clinically defined thresholds for poor mental health,” explains Lobel, Director of I-COPE, and a Professor in the Department of Psychology and the Department of Obstetrics, Gynecology and Reproductive Medicine at the Renaissance School of Medicine at Stony Brook University.

Among the seven countries, rates of moderate and severe anxiety symptoms ranged from 14.2 percent to 36 percent, and rates of likely depressive disorder ranged from 10.8 percent to 30.5 percent. Rates of both types of mood disturbance among women in Germany, Poland and the U.S. exceeded global ranges reported by analyses prior to the pandemic. Pregnant women who were younger or pregnant with their first child, those with high risk conditions, and those with limited access to the outdoors reported higher stress, and high stress in turn predicted the mood disturbances examined in this study.

Lobel and colleagues point out that many pre-pandemic studies – including those centered around other traumatic communal events such as the aftermath of natural disasters or terrorist attacks – also find evidence that prenatal stress is a risk factor for adverse maternal, fetal, infant, and child outcomes. Yet comparisons of these effects across multiple countries are rare, and the ability to examine them in the context of a global health crisis, when stress and its consequences are heightened, is unparalleled.

In 2021, Lobel and colleagues showed in another published study of women in the U.S. that prenatal stress during the pandemic onset also predicted worse birth outcomes, including greater likelihood of preterm birth or delivery of a newborn small for gestational age.

The authors conclude that results of the I-COPE Study confirm that stress from the pandemic is a strong, common predictor of anxiety and depressive symptoms in pregnant women. They add that the results “can be used to inform research and clinical interventions to protect against adverse consequences of prenatal stress, anxiety, and depression, as these mental health impacts pose longer-term threats to the health and well-being of women and their offspring.”