Determinants of pregnancy and postpartum depression: Prospective influences of depressive symptoms, body image satisfaction, and exercise behavior
Determinants of pregnancy and postpartum depression: Prospective influences of depressive symptoms, body image satisfaction, and exercise behavior
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DOI：
10.1007/s12160-008-9044-9
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发表时间：
2008-08-01
影响因子：
3.8
通讯作者：
Kirner, Tiffany L.
中科院分区：
文献类型：
--
作者：
Downs, Danielle Symons;DiNallo, Jennifer M.;Kirner, Tiffany L.
背景有限的研究前瞻性地研究了妇女在怀孕前、怀孕期间和怀孕后的运动和心理健康行为。目的本研究的目的是研究抑郁症状（DS）、身体形象满意度（BIS）、和运动行为（EB）前瞻性地解释了特定孕期抑郁症和产后抑郁症。（N=230名孕妇）在2005年至2007年的第一个，第二个和第三个三个月中期以及产后6周完成了自我报告的测量。妇女也被归类为积极的，有点活跃，以检查调节影响孕前EB解释DS的研究变量的贡献根据目前的活动指南。（a）DS、BIS和EB在三个怀孕时间点和产后相关。（B）DS和BIS是怀孕和产后后期抑郁的主要决定因素，结论DS和BIS是改善妇女妊娠期和产后心理健康的重要心理因素，孕前EB可能对妇女妊娠早期DS具有保护作用。
Background Limited research has prospectively examined women's exercise and psychological health behaviors before, during, and after pregnancy.Purpose The purpose of this study was to examine the associations between and the extent to which depressive symptoms (DS), body image satisfaction (BIS), and exercise behavior (EB) prospectively explained trimester-specific and postpartum depression.Methods Participants (N=230 pregnant women) completed self-reported measures midway through their first, second, and third trimesters and at 6-weeks postpartum from 2005 to 2007. Women were also classified based on current activity guidelines as active and somewhat active to examine the moderating influence of pre-pregnancy EB on the contributions of the study variables for explaining DS.Results We found that : (a) DS, BIS, and EB were associated across the three pregnancy time points and postpartum, (b) DS and BIS were main determinants of later depression in pregnancy and postpartum, and (c) the moderating influence of pre-pregnancy EB was evident in early pregnancy.Conclusions These preliminary findings suggest that DS and BIS are important psychological factors for intervention to improve women's pregnancy and postpartum psychological health and that EB in the pre-pregnancy period may offer women protective effects against DS in early pregnancy.