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CN 34-1304/RISSN 1674-3679

Volume 26 Issue 9
Sep.  2022
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YAN Pan-pan, LIU Xiao-yu, XU Ji-hong. The trajectory of depression in Chinese women from early to late pregnancy[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(9): 1017-1022. doi: 10.16462/j.cnki.zhjbkz.2022.09.006
Citation: YAN Pan-pan, LIU Xiao-yu, XU Ji-hong. The trajectory of depression in Chinese women from early to late pregnancy[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(9): 1017-1022. doi: 10.16462/j.cnki.zhjbkz.2022.09.006

The trajectory of depression in Chinese women from early to late pregnancy

doi: 10.16462/j.cnki.zhjbkz.2022.09.006
Funds:

Special Fund of the Chinese Central Government for Basic Scientific Research Operations 2019GJZ06

More Information
  • Corresponding author: XU Ji-hong, E-mail: gracexjh@163.com
  • Received Date: 2021-09-23
  • Rev Recd Date: 2022-03-10
  • Available Online: 2022-09-17
  • Publish Date: 2022-09-10
  •   Objective  To explore the developmental trajectory of depressive symptoms in Chinese women from early to late pregnancy.  Methods  From 21 August 2019 to 28 June 2020, 2 485 pregnant women from several hospitals in China were conducted the follow-up survey of depressive symptoms in early pregnancy (T1, < 13 weeks), mid pregnancy (T2, 20 to 28 weeks) and late pregnancy (T3, 32 to 36 weeks) through a self-administered maternal mental health online survey system using the self-administered basic information questionnaire and the Edinburgh postnatal depression scale. Besides, the data was analyzed using Mplus 8.3 for both latent variable growth curve model and growth mixture model.  Results  A total of 531 pregnant women completed the measurement at three time points during pregnancy. The detection rates of depression were 31.64% in early pregnancy, 23.92% in mid-pregnancy and 25.61% in late pregnancy. The results of the model showed an overall gradual decrease in depressive symptoms during pregnancy from early to late pregnancy, with three potential categories of normal remission group (C1, 67.42%), depression risk group (C2, 28.44%) and depression high risk group (C3, 4.14%). Among of them, the C1 group showed a gradual decrease from early to late pregnancy (xβ=-1.15, P < 0.001); the C2 group showed a steady increase (xβ=0.86, P < 0.001); and the C3 group showed a significant increase (xβ=1.57, P < 0.001).  Conclusion  Depressive symptoms during pregnancy show a linear trajectory of progressive decline from early to late pregnancy as a whole, and there are three potential categories with distinct group heterogeneity.
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