Cargando…
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,...
Autores principales: | , , |
---|---|
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 |
_version_ | 1782300552321826816 |
---|---|
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. |
format | Online Article Text |
id | pubmed-3899292 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT kuoshuyu depressionandanxietytrajectoriesamongwomenwhoundergoanelectivecesareansection AT chensuru depressionandanxietytrajectoriesamongwomenwhoundergoanelectivecesareansection AT tzengyaling depressionandanxietytrajectoriesamongwomenwhoundergoanelectivecesareansection |