Anxiety and Depressed Mood in Obese Pregnant Women: A Prospective Controlled Cohort Study

作者：Bogaerts Annick F L; Devlieger Roland; Nuyts Erik; Witters Ingrid; Gyselaers Wilfried; Guelinckx Isabelle; Van den Bergh Bea R H^*

来源：Obesity Facts, 2013, 6(2): 152-164.

DOI：10.1159/000346315

• Obesity
• Pregnancy
• Body mass index
• Anxiety
• Depressed mood
• Psychological aspects
• Obesity management

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.

• 出版日期2013-4