BACKGROUND: The psychological health in obese women during pregnancy has been poorly studied. OBJECTIVE: To compare levels of anxiety and depressed mood during pregnancy in obese versus normal-weight women. METHODS: 63 obese pregnant women and 156 normal-weight controls were included prospectively before 15 weeks of gestation. Levels of state and trait anxiety and depressed mood were measured during the first, second and third trimester of pregnancy. A linear mixed-effect model with repeated measures was used to evaluate group differences. RESULTS: The levels of state anxiety significantly increased from trimester 1 to trimester 3 in obese pregnant women (beta = 3.70; p = 0.007), while this parameter remained constant throughout pregnancy in normal-weight women. Levels of trait anxiety and depressed mood significantly decreased from trimester 1 to trimester 2 in controls, but not in obese pregnant women. Variables such as maternal education, ethnicity, marital state, psychological history and miscarriages, parity and smoking behaviour had significant effects on anxiety and/or depressed moods during pregnancy. Obese pregnant women show higher levels of anxiety and depressive symptomatology compared to normal-weight pregnant women. CONCLUSION: Interventional programmes aiming at preventing the deleterious influence of maternal obesity on perinatal outcomes should include a psycho-educational program specifically tailored to this high-risk group.
BACKGROUND: The psychological health in obesewomen during pregnancy has been poorly studied. OBJECTIVE: To compare levels of anxiety and depressed mood during pregnancy in obese versus normal-weight women. METHODS: 63 obese pregnant women and 156 normal-weight controls were included prospectively before 15 weeks of gestation. Levels of state and trait anxiety and depressed mood were measured during the first, second and third trimester of pregnancy. A linear mixed-effect model with repeated measures was used to evaluate group differences. RESULTS: The levels of state anxiety significantly increased from trimester 1 to trimester 3 in obese pregnant women (beta = 3.70; p = 0.007), while this parameter remained constant throughout pregnancy in normal-weight women. Levels of trait anxiety and depressed mood significantly decreased from trimester 1 to trimester 2 in controls, but not in obese pregnant women. Variables such as maternal education, ethnicity, marital state, psychological history and miscarriages, parity and smoking behaviour had significant effects on anxiety and/or depressed moods during pregnancy. Obese pregnant women show higher levels of anxiety and depressive symptomatology compared to normal-weight pregnant women. CONCLUSION: Interventional programmes aiming at preventing the deleterious influence of maternal obesity on perinatal outcomes should include a psycho-educational program specifically tailored to this high-risk group.
Authors: Katherine B Rosenberg; Catherine Monk; Julie S Glickstein; Stephanie M Levasseur; Lynn L Simpson; Charles S Kleinman; Ismee A Williams Journal: J Psychosom Obstet Gynaecol Date: 2010-06 Impact factor: 2.949
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Authors: Pernille Pedersen; Jennifer L Baker; Tine B Henriksen; Lauren Lissner; Berit L Heitmann; Thorkild I A Sørensen; Ellen A Nohr Journal: Obesity (Silver Spring) Date: 2010-08-12 Impact factor: 5.002
Authors: Goele Jans; Christophe Matthys; Sarah Bel; Lieveke Ameye; Matthias Lannoo; Bart Van der Schueren; Bruno Dillemans; Luc Lemmens; Jean-Pierre Saey; Yves van Nieuwenhove; Pascale Grandjean; Ben De Becker; Hilde Logghe; Marc Coppens; Kristien Roelens; Anne Loccufier; Johan Verhaeghe; Roland Devlieger Journal: BMC Pregnancy Childbirth Date: 2016-07-29 Impact factor: 3.007
Authors: Meireluci Costa Ribeiro; Mary Uchiyama Nakamura; Maria Regina Torloni; Marco de Tubino Scanavino; Flávia Burin Scomparini; Rosiane Mattar Journal: PLoS One Date: 2014-04-15 Impact factor: 3.240