Please use this identifier to cite or link to this item: https://repository.cihe.edu.hk/jspui/handle/cihe/35
Title: Associations of body dissatisfaction with anxiety and depression in the pregnancy and postpartum periods: A longitudinal study
Author(s): Chan, Ayu Chui Yi 
Author(s): Lee, A. M.
Koh, Y. W.
Lam, S. K.
Lee, C. P.
Leung, K. Y.
Tang, C. S. K.
Issue Date: 2020
Publisher: International Society for Affective Disorders
Journal: Journal of Affective Disorders 
Volume: 263
Start page: 582
End page: 592
Abstract: 
Background
Pregnancy is a time of increasing vulnerability to the development of body dissatisfaction, anxiety, and depression. The present study aims to examine associations of body dissatisfaction with anxiety and depression at the following points: 6 months before pregnancy (retrospective report); in the first, second, and third trimesters of pregnancy; and up to 6 weeks postpartum.

Methods
A prospective longitudinal design with a quantitative approach was adopted. A consecutive sample of 1,371 Chinese pregnant women in Hong Kong was assessed using standardized instruments at four time points.

Results
A mixed-effects model with repeated measures revealed that body dissatisfaction and depression symptoms changed across different stages of pregnancy. Hierarchical multiple regressions showed that, after adjusting for the identified risk factors, body dissatisfaction before and during pregnancy were positively associated with antenatal anxiety and depression symptoms. Concurrent body dissatisfaction was positively associated with postpartum depression symptoms.

Limitations
There was a high attrition rate in the follow-up assessments. Antenatal anxiety symptoms were assessed using the scale for general anxiety, which may not adequately capture the experience of anxiety among pregnant women.

Conclusions
Primary healthcare practitioners should be made aware of body dissatisfaction among pregnant women in order to facilitate early intervention for anxiety and depression, because untreated psychological disturbance during pregnancy may persist into the postpartum period.
URI: https://repository.cihe.edu.hk/jspui/handle/cihe/35
DOI: 10.1016/j.jad.2019.11.032
CIHE Affiliated Publication: Yes
Appears in Collections:SS Publication

Files in This Item:
File Description SizeFormat
View Online128 BHTMLView/Open
SFX Query Show full item record

Google ScholarTM

Check

Altmetric

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.