TY - JOUR
T1 - Determinants of pregnancy and postpartum depression
T2 - Prospective influences of depressive symptoms, body image satisfaction, and exercise behavior
AU - Downs, Danielle Symons
AU - DiNallo, Jennifer M.
AU - Kirner, Tiffany L.
N1 - Funding Information:
Acknowledgment This research was funded by a faculty grant awarded to Dr. Downs from the Social Science Research Institute, The Pennsylvania State University. The authors would like to thank the nurse and OBGYN staff and the participants themselves from Centre Medical and Surgical Associates, P.C., in State College, PA for their assistance with this study.
Copyright:
Copyright 2009 Elsevier B.V., All rights reserved.
PY - 2008/8
Y1 - 2008/8
N2 - Background: Limited research has prospectively examined women's exercise and psychological health behaviors before, during, and after pregnancy. Purpose: The purpose of this study was to examine the associations between and the extent to which depressive symptoms (DS), body image satisfaction (BIS), and exercise behavior (EB) prospectively explained trimester-specific and postpartum depression. Methods: Participants (N=230 pregnant women) completed self-reported measures midway through their first, second, and third trimesters and at 6-weeks postpartum from 2005 to 2007. Women were also classified based on current activity guidelines as active and somewhat active to examine the moderating influence of pre-pregnancy EB on the contributions of the study variables for explaining DS. Results: We found that : (a) DS, BIS, and EB were associated across the three pregnancy time points and postpartum, (b) DS and BIS were main determinants of later depression in pregnancy and postpartum, and (c) the moderating influence of pre-pregnancy EB was evident in early pregnancy. Conclusions: These preliminary findings suggest that DS and BIS are important psychological factors for intervention to improve women's pregnancy and postpartum psychological health and that EB in the pre-pregnancy period may offer women protective effects against DS in early pregnancy.
AB - Background: Limited research has prospectively examined women's exercise and psychological health behaviors before, during, and after pregnancy. Purpose: The purpose of this study was to examine the associations between and the extent to which depressive symptoms (DS), body image satisfaction (BIS), and exercise behavior (EB) prospectively explained trimester-specific and postpartum depression. Methods: Participants (N=230 pregnant women) completed self-reported measures midway through their first, second, and third trimesters and at 6-weeks postpartum from 2005 to 2007. Women were also classified based on current activity guidelines as active and somewhat active to examine the moderating influence of pre-pregnancy EB on the contributions of the study variables for explaining DS. Results: We found that : (a) DS, BIS, and EB were associated across the three pregnancy time points and postpartum, (b) DS and BIS were main determinants of later depression in pregnancy and postpartum, and (c) the moderating influence of pre-pregnancy EB was evident in early pregnancy. Conclusions: These preliminary findings suggest that DS and BIS are important psychological factors for intervention to improve women's pregnancy and postpartum psychological health and that EB in the pre-pregnancy period may offer women protective effects against DS in early pregnancy.
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U2 - 10.1007/s12160-008-9044-9
DO - 10.1007/s12160-008-9044-9
M3 - Article
C2 - 18773252
AN - SCOPUS:53849100644
SN - 0883-6612
VL - 36
SP - 54
EP - 63
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 1
ER -
