prevalence of anxiety and depressive symptoms among obese pregnant and postpartum women an intervention study普遍存在的焦虑和抑郁症状在肥胖的孕妇和产后妇女干预研究.pdfVIP

Claesson et al. BMC Public Health 2010, 10:766 /1471-2458/10/766 RESEARCH ARTICLE Open Access Prevalence of anxiety and depressive symptoms among obese pregnant and postpartum women: an intervention study * Ing-Marie Claesson , Ann Josefsson, Gunilla Sydsjö Abstract Background: Although studies have shown an association between anxiety and depression and obesity, psychological health among obese women during and after pregnancy has not been carefully studied. The aim of this study was to investigate psychological well-being using symptoms of depression and/or anxiety among obese pregnant women attending a weight gain restriction program and to then compare this group with a control group receiving traditional antenatal care. Methods: 151 obese pregnant women in an intervention group and 188 obese pregnant women in a control group answered the Beck Anxiety Inventory (BAI) and the Edinburgh Postnatal Depression Scale (EPDS). Group differences between the two groups were estimated by using the c2 - test on categorical variables. The Student’s t-test on continuous, normally distributed variables measuring changes in mean score on BAI and EPDS over time was used. To make a more comprehensive assessment of group differences, between as well as within the two groups, logistic regressions were performed with the BAI and EPDS as dependent variables, measured at gestational weeks 15 and 35 and 11 weeks postnatal. The grouping variable has been adjusted for socio- demographic variables and complications. Results: The prevalence of symptoms of anxiety during pregnancy varied between 24% and 25% in the intervention group and 22% and 23% in the control group. The prevalence of symptoms of anxiety postnatally was 9% in the intervention group and 11% in the control group. Five percent of the women in t