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Depression and Anxiety Trajectories among Women Who Undergo an Elective Cesarean Section

BACKGROUND: Depression and anxiety are important mood changes in childbearing women. However, changes in depression and anxiety over time in women who undergo an elective cesarean section (CS) have not yet been elucidated. We aimed to characterize the trajectories of depressive and anxiety symptoms,...

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Autores principales: Kuo, Shu-Yu, Chen, Su-Ru, Tzeng, Ya-Ling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3899292/
https://www.ncbi.nlm.nih.gov/pubmed/24466190
http://dx.doi.org/10.1371/journal.pone.0086653
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author Kuo, Shu-Yu
Chen, Su-Ru
Tzeng, Ya-Ling
author_facet Kuo, Shu-Yu
Chen, Su-Ru
Tzeng, Ya-Ling
author_sort Kuo, Shu-Yu
collection PubMed
description BACKGROUND: Depression and anxiety are important mood changes in childbearing women. However, changes in depression and anxiety over time in women who undergo an elective cesarean section (CS) have not yet been elucidated. We aimed to characterize the trajectories of depressive and anxiety symptoms, and patterns of co-occurrence, and examined the associated predictors of depression and anxiety courses. METHODS: A prospective longitudinal study of childbearing women (N = 139) who underwent a CS was conducted. Depressive and anxiety symptoms were respectively assessed using the Edinburgh Postnatal Depression Scale and State Anxiety Inventory, in the third trimester and at 1 day, 1 week, and 1 and 6 months postpartum. RESULTS: Group-based modeling identified three distinct trajectories of depressive symptoms: group 1 (low, 30.9%), group 2 (mild, 41.7%), and group 3 (high, 27.3%). Four group trajectories of anxiety symptoms were identified: group 1 (low, 19.4%), group 2 (mild, 44.6%), group 3 (high, 28.8%), and group 4 (very high, 7.2%). Mild symptoms of both depression and anxiety were the most common joint trajectory. Depression trajectories were significantly related to anxiety trajectories (p<0.001). Predictors of the joint trajectory included the pre-pregnant body mass index (odds ratio (OR): 2.42, 95% confidence interval (CI): 1.1∼6.3) and a poor sleep score (OR: 3.2, 95% CI: 1.4∼7.3) in the third trimester. CONCLUSIONS: Distinctive trajectories and co-occurrence patterns of depressive and anxiety symptoms were identified. Our findings suggest a need for greater attention to continuous assessment of psychological well-being among women who undergo an elective CS.
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spelling pubmed-38992922014-01-24 Depression and Anxiety Trajectories among Women Who Undergo an Elective Cesarean Section Kuo, Shu-Yu Chen, Su-Ru Tzeng, Ya-Ling PLoS One Research Article BACKGROUND: Depression and anxiety are important mood changes in childbearing women. However, changes in depression and anxiety over time in women who undergo an elective cesarean section (CS) have not yet been elucidated. We aimed to characterize the trajectories of depressive and anxiety symptoms, and patterns of co-occurrence, and examined the associated predictors of depression and anxiety courses. METHODS: A prospective longitudinal study of childbearing women (N = 139) who underwent a CS was conducted. Depressive and anxiety symptoms were respectively assessed using the Edinburgh Postnatal Depression Scale and State Anxiety Inventory, in the third trimester and at 1 day, 1 week, and 1 and 6 months postpartum. RESULTS: Group-based modeling identified three distinct trajectories of depressive symptoms: group 1 (low, 30.9%), group 2 (mild, 41.7%), and group 3 (high, 27.3%). Four group trajectories of anxiety symptoms were identified: group 1 (low, 19.4%), group 2 (mild, 44.6%), group 3 (high, 28.8%), and group 4 (very high, 7.2%). Mild symptoms of both depression and anxiety were the most common joint trajectory. Depression trajectories were significantly related to anxiety trajectories (p<0.001). Predictors of the joint trajectory included the pre-pregnant body mass index (odds ratio (OR): 2.42, 95% confidence interval (CI): 1.1∼6.3) and a poor sleep score (OR: 3.2, 95% CI: 1.4∼7.3) in the third trimester. CONCLUSIONS: Distinctive trajectories and co-occurrence patterns of depressive and anxiety symptoms were identified. Our findings suggest a need for greater attention to continuous assessment of psychological well-being among women who undergo an elective CS. Public Library of Science 2014-01-22 /pmc/articles/PMC3899292/ /pubmed/24466190 http://dx.doi.org/10.1371/journal.pone.0086653 Text en © 2014 Kuo et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Kuo, Shu-Yu
Chen, Su-Ru
Tzeng, Ya-Ling
Depression and Anxiety Trajectories among Women Who Undergo an Elective Cesarean Section
title Depression and Anxiety Trajectories among Women Who Undergo an Elective Cesarean Section
title_full Depression and Anxiety Trajectories among Women Who Undergo an Elective Cesarean Section
title_fullStr Depression and Anxiety Trajectories among Women Who Undergo an Elective Cesarean Section
title_full_unstemmed Depression and Anxiety Trajectories among Women Who Undergo an Elective Cesarean Section
title_short Depression and Anxiety Trajectories among Women Who Undergo an Elective Cesarean Section
title_sort depression and anxiety trajectories among women who undergo an elective cesarean section
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3899292/
https://www.ncbi.nlm.nih.gov/pubmed/24466190
http://dx.doi.org/10.1371/journal.pone.0086653
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