Prevalence of anxiety and depressive symptoms among obese pregnant and postpartum women an intervention study 英文参考文献.docVIP
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Prevalence of anxiety and depressive symptoms among obese pregnant and postpartum women an intervention study 英文参考文献
Claessonetal.BMCPublicHealth2010,10:766
/1471-2458/10/766
RESEARCH ARTICLE
OpenAccess
Prevalenceofanxietyanddepressivesymptoms
amongobesepregnantandpostpartumwomen:
aninterventionstudy
Ing-MarieClaesson*,AnnJosefsson,GunillaSydsj?
Abstract
Background:Althoughstudieshaveshownanassociationbetweenanxietyanddepressionandobesity,
psychologicalhealthamongobesewomenduringandafterpregnancyhasnotbeencarefullystudied.Theaimof
thisstudywastoinvestigatepsychologicalwell-beingusingsymptomsofdepressionand/oranxietyamongobese
pregnantwomenattendingaweightgainrestrictionprogramandtothencomparethisgroupwithacontrol
groupreceivingtraditionalantenatalcare.
Methods:151obesepregnantwomeninaninterventiongroupand188obesepregnantwomeninacontrol
groupansweredtheBeckAnxietyInventory(BAI)andtheEdinburghPostnatalDepressionScale(EPDS).Group
differencesbetweenthetwogroupswereestimatedbyusingthec2-testoncategoricalvariables.TheStudent’s
t-testoncontinuous,normallydistributedvariablesmeasuringchangesinmeanscoreonBAIandEPDSovertime
wasused.Tomakeamorecomprehensiveassessmentofgroupdifferences,betweenaswellaswithinthetwo
groups,logisticregressionswereperformedwiththeBAIandEPDSasdependentvariables,measuredat
gestationalweeks15and35and11weekspostnatal.Thegroupingvariablehasbeenadjustedforsocio-
demographicvariablesandcomplications.
Results:Theprevalenceofsymptomsofanxietyduringpregnancyvariedbetween24%and25%inthe
interventiongroupand22%and23%inthecontrolgroup.Theprevalenceofsymptomsofanxietypostnatallywas
9%intheinterventiongroupand11%inthecontrolgroup.Fivepercentofthewomenintheinterventiongroup
and4%ofthewomeninthecontrolgroupshowedsymptomsofanxietyduringthecourseofpregnancyandat
thepostpartumassessment.Theprevalenceofsymptomsofdepressionduringpregnancyvariedbetween19%
and22%intheinterventiongroupbutwasconstantat18%inthecontrolgroup.Postnatalprevalencewas11%in
bothgroups.Sixpercentofthewomenintheinterventiongroupand4%inthecontrolgroupshowedsymptoms
ofdepressionduringthecourseofpregnancyandatthepost
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