Trajectories of Depressive Symptoms and Anxiety during Pregnancy and Associations with Pregnancy Stress.
Trajectories of Depressive Symptoms and Anxiety during Pregnancy and Associations with Pregnancy Stress.
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DOI：
10.3390/ijerph18052733
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发表时间：
2021-03-08
影响因子：
--
通讯作者：
Choi EJ
中科院分区：
文献类型：
--
作者：
Lee H;Kim KE;Kim MY;Park CG;Han JY;Choi EJ
本研究的目的是调查怀孕期间妇女抑郁症状和焦虑的轨迹组，并确定与这些组相关的因素。参与者是从韩国首尔一家妇女保健医院的门诊招募的。136名孕妇完成了一份调查问卷，其中包括抑郁症状、焦虑和怀孕压力等问题；此外，在她们怀孕期间，对她们的唾液进行了三次皮质醇激素水平测试。采用基于组的轨迹建模方法识别潜在轨迹组。采用有序logistic回归探讨潜在轨迹组与社会人口学因素和妊娠应激的关系。确定了三个抑郁症状轨迹组：低稳定（70%）、中度稳定（25%）和加重（5%）。确定了四个焦虑轨迹组：非常低稳定（10%），低稳定（67%），中等稳定（18%）和高稳定（5%）。与抑郁症状和焦虑轨迹组相关的唯一因素是妊娠压力（p < 0.001）。大多数参与者表现出稳定的情绪状态；然而，一些参与者经历了与更高的怀孕压力相关的更高水平的抑郁症状和焦虑。这些孕妇可能需要医疗保健提供者的额外护理，以促进她们在怀孕期间的健康。
The purposes of this study were to investigate the trajectory groups of depressive symptoms and anxiety in women during pregnancy and to identify the factors associated with those groups. Participants were recruited from the outpatient clinic of a women’s health hospital in Seoul, Korea. Pregnant women (n = 136) completed a survey questionnaire that included questions on depressive symptoms, anxiety, and pregnancy stress; additionally, their saliva was tested for cortisol hormone levels three times during their pregnancies. The group-based trajectory modeling approach was used to identify latent trajectory groups. Ordinal logistic regressions were used to explore the association of latent trajectory groups with sociodemographic factors and pregnancy stress. Three trajectory groups of depressive symptoms were identified: low-stable (70%), moderate-stable (25%), and increased (5%). Four trajectory groups of anxiety were identified: very low-stable (10%), low-stable (67%), moderate-stable (18%), and high-stable (5%). The only factor associated with both the depressive symptoms and anxiety trajectory groups was pregnancy stress (p < 0.001). Most participants showed stable emotional status; however, some participants experienced higher levels of depressive symptoms and anxiety related to higher pregnancy stress. These pregnant women may need additional care from healthcare providers to promote their wellbeing during pregnancy.
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影响因子：
2.2
作者：
Park, Jeong-Hwan;Karmaus, Wilfried;Zhang, Hongmei
通讯作者：
Zhang, Hongmei
影响因子：
3.7
作者：
Pesonen AK;Lahti M;Kuusinen T;Tuovinen S;Villa P;Hämäläinen E;Laivuori H;Kajantie E;Räikkönen K
通讯作者：
Räikkönen K
DOI：
10.1007/s00737-017-0777-y
发表时间：
2018-03
期刊：
Archives of women's mental health
影响因子：
--
作者：
Orta OR;Gelaye B;Bain PA;Williams MA
通讯作者：
Williams MA
影响因子：
4.5
作者：
Braithwaite, Elizabeth C.;Murphy, Susannah E.;Ramchandani, Paul G.
通讯作者：
Ramchandani, Paul G.
影响因子：
3.7
作者：
Garay, Samantha M.;Savory, Katrina A.;John, Rosalind M.
通讯作者：
John, Rosalind M.