Trajectories of Depressive Symptoms and Anxiety during Pregnancy and Associations with Pregnancy Stress

International Journal of Environmental Research and Public Health

卷:18

ChangGi Park¹  Mi-Young Kim²  Ki-Eun Kim³  EunJeong Choi⁴  JungYeol Han⁴  Hyejung Lee⁵ 

[1] College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA;

[2] College of Nursing, Woosuk University, Jeollabuk-do 55338, Korea;

[3] College of Nursing, Yonsei University, Seoul 03722, Korea;

[4] Department of Obstetrics and Gynecology, Inje University Ilsan Paik Hospital, Goyang 10380, Korea;

[5] Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul 03722, Korea;

关键词: depression;    anxiety;    cortisol;    pregnancy;    trajectory analysis;    Korea;   

DOI  :  10.3390/ijerph18052733

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown