Depression and anxiety trajectories among women who undergo an elective cesarean section.

<h4>Background</h4>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 an...

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Autores principales:	Shu-Yu Kuo, Su-Ru Chen, Ya-Ling Tzeng
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a1435f7901f74da9886cf4c3840c16db
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spelling	oai:doaj.org-article:a1435f7901f74da9886cf4c3840c16db2021-11-18T08:36:22ZDepression and anxiety trajectories among women who undergo an elective cesarean section.1932-620310.1371/journal.pone.0086653https://doaj.org/article/a1435f7901f74da9886cf4c3840c16db2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24466190/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Shu-Yu KuoSu-Ru ChenYa-Ling TzengPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e86653 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shu-Yu Kuo Su-Ru Chen Ya-Ling Tzeng Depression and anxiety trajectories among women who undergo an elective cesarean section.
description	<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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	article
author	Shu-Yu Kuo Su-Ru Chen Ya-Ling Tzeng
author_facet	Shu-Yu Kuo Su-Ru Chen Ya-Ling Tzeng
author_sort	Shu-Yu Kuo
title	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_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_sort	depression and anxiety trajectories among women who undergo an elective cesarean section.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/a1435f7901f74da9886cf4c3840c16db
work_keys_str_mv	AT shuyukuo depressionandanxietytrajectoriesamongwomenwhoundergoanelectivecesareansection AT suruchen depressionandanxietytrajectoriesamongwomenwhoundergoanelectivecesareansection AT yalingtzeng depressionandanxietytrajectoriesamongwomenwhoundergoanelectivecesareansection
_version_	1718421578253860864

Depression and anxiety trajectories among women who undergo an elective cesarean section.

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