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Title: Anxiety and Depressed Mood in Obese Pregnant Women: A Prospective Controlled Cohort Study
Authors: Bogaerts, Annick
Devlieger, Roland
NUYTS, Erik 
Witters, Ingrid
GYSELAERS, Wilfried 
Guelinckx, Isabelle
Van den Bergh, Bea R. H.
Issue Date: 2013
Publisher: KARGER
Source: OBESITY FACTS, 6 (2), p. 152-164
Abstract: 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. Copyright (C) 2013 S. Karger GmbH, Freiburg
Notes: Limburg Catholic Univ Coll, PHL Univ Coll, KHLim, Dpt PHL Healthcare Res, Hasselt, Belgium. Univ Hosp, Dept Obstet & Gynaecol, Div Mother & Child, Louvain, Belgium. PHL Univ Coll, Dpt PHL Healthcare Res, Hasselt, Belgium. Prenatal Diag East Limburg Hosp Genk, Genk, Belgium. Univ Hosp Leuven, Ctr Human Genet, Louvain, Belgium. Maastricht Univ, GROW Sch Oncol & Dev Biol, Med Ctr, Maastricht, Netherlands. East Limburg Hosp, Dept Obstet, Genk, Belgium. Hasselt Univ, Dept Physiol, Diepenbeek, Belgium. Catholic Univ Louvain, Dept Publ Hlth Nutr, B-3000 Louvain, Belgium. Tilburg Univ, Dept Psychol, NL-5000 LE Tilburg, Netherlands. Catholic Univ Louvain, Dept Psychol, B-3000 Louvain, Belgium. Flemish Govt, Dept Welf Publ Hlth & Family, Brussels, Belgium.
Keywords: Endocrinology & Metabolism; Nutrition & Dietetics;Obesity; Pregnancy; Body mass index; Anxiety; Depressed mood; Psychological aspects; Obesity management
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ISSN: 1662-4025
e-ISSN: 1662-4033
DOI: 10.1159/000346315
ISI #: 000318478500006
Category: A1
Type: Journal Contribution
Validations: ecoom 2014
Appears in Collections:Research publications

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