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Depression and anxiety through pregnancy and the early postpartum: An examination of prospective relationships
Abstract
Background The aim of this study was to explore the prospective relationship between depressive symptoms and anxiety across pregnancy and the early postpartum.Methods Participants (N=207) completed the State-Trait Anxiety Inventory Trait subscale, Beck Depression Inventory, and social support and sleep quality measures at two time points during pregnancy and once in the early postpartum period.Results After accounting for the relative stability of anxiety and depression over time, depressive symptoms earlier in pregnancy predicted higher levels of anxiety in late pregnancy and anxiety in late pregnancy predicted higher depressive symptomatology in the early postpartum. A bi-directional model of depression and anxiety in pregnancy was supported.Limitations Data were based on self-reports and participating women were predominantly tertiary educated with high family incomes.Conclusion Our findings suggest that depressive symptoms precede the development of higher levels of anxiety and that anxiety, even at non-clinical levels, can predict higher depressive symptoms. Clinicians are advised to screen for anxiety and depression concurrently during pregnancy.
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“This is of particular interest as stress and anxiety experienced during this period are likely to affect the mother’s mental health [1–3] and impact on the relationship between the mother and her infant [4, 5].”
From Effects of an antenatal mindfulness-based childbirth and parenting programme on the postpartum experiences of mothers: a qualitative interview study. (2017) · cites this paper as [2]
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Metadata
- Authors
- Skouteris, H., Wertheim, E. H., Rallis, S., Milgrom, J., & Paxton, S. J.
- Affiliations
- Deakin University (AU)
- La Trobe University (AU)
- The University of Melbourne (AU)
- Corresponding author
- Skouteris, Helen
- Wertheim, Eleanor H.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 113
- Issue
- 3
- Pages
- 303-308
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W1979836028
- Cited by
- 226
- References
- 29
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 9 · 2023: 9 · 2022: 16 · 2021: 14 · 2020: 14 · 2019: 12 · 2018: 12 · 2017: 15 · 2016: 9 · 2015: 24 · 2014: 25 · 2013: 13 · 2012: 9
- FWCI
- 10.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Australian Research Council
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
- Keywords
- depression, anxiety, pregnancy, postpartum period, depressive symptoms, anxiety symptoms, bidirectional relationship, social support, sleep quality, prenatal screening, maternal mental health
- MeSH terms
- Adolescent, Anxiety Disorders, Depressive Disorder, Female, Humans, Disorders of Excessive Somnolence, Pregnancy, Prenatal Diagnosis, Prospective Studies, Surveys and Questionnaires, Severity of Illness Index, Social Support, Prevalence, Postpartum Period, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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