ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Trajectories of depressive symptoms over 2 years postpartum among overweight or obese women.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Exploring Heterogeneity in perinatal depression: a comprehensive review.BMC psychiatry · 2023Pooled it
- A systematic review of growth curve mixture modelling literature investigating trajectories of perinatal depressive symptoms and associated risk factors.Journal of affective disorders · 2017Pooled it
- Perinatal depressive symptoms among low-income South African women at risk of depression: trajectories and predictors.BMC pregnancy and childbirth · 2019Trial
- Trajectories of perinatal depressive symptoms in women with overweight and obesity.Journal of behavioral medicine · 2026Article
- Maternal depressive symptom trajectories and associations with child feeding.BMC public health · 2024Article
- Food insecurity and common mental disorders in perinatal women living in low socio-economic settings in Cape Town, South Africa during the COVID-19 pandemic: a cohort study.Global mental health (Cambridge, England) · 2022Article
- Psychosocial Factors Affecting the Association between a Healthy Lifestyle Behavior Intervention and Depressive Symptoms in Low-Income Overweight or Obese Mothers with Young Children: A Mediational Analysis.Journal of pediatrics, perinatology and child health · 2022Article
- Refining our understanding of depressive states and state transitions in response to cognitive behavioural therapy using latent Markov modelling.Psychological medicine · 2022Article
- The relationship between common mental disorders (CMDs), food insecurity and domestic violence in pregnant women during the COVID-19 lockdown in Cape Town, South Africa.Social psychiatry and psychiatric epidemiology · 2022Article
- Trajectories of Maternal Postpartum Depressive Symptoms.Pediatrics · 2020Article
- Identifying long-term psychological distress from single measures: evidence from a nationally representative longitudinal survey of the Australian population.BMC medical research methodology · 2020Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundAlthough depressive symptoms are common postpartum, few studies have followed women beyond 12 months postpartum to investigate changes in the number and severity of these symptoms over time, especially in overweight and obese women. Using two complementary analytical methods, this study aims to identify trajectories of depressive symptoms over 2 years postpartum among overweight or obese mothers, and assess the demographic, socioeconomic, and health covariates for these trajectories.
methodsUsing longitudinal data from two behavioral intervention studies (Kids and Adults Now!-Defeat Obesity [KAN-DO] and Active Mothers Postpartum (AMP); n = 844), we used latent growth modeling to identify the overall trajectory of depressive symptoms and how it was related to key covariates. Next, we used latent class growth analysis to assess the heterogeneity in the depressive symptom trajectories over time, and thereby, identify subgroups of women with distinct trajectories.
findingsThe overall trajectory of depressive symptoms over 2 years postpartum was relatively stable in our sample. However, the presence of three distinct latent class trajectories (stable-low [82.5%], decreasing symptoms [7.3%], and increasing symptoms [10.2%]), identified based on trajectory shape and mean depressive symptom score, supported heterogeneity in depressive symptom trajectories over time. Lower maternal education was related to a higher symptom score, and poorer subjective health status at baseline predicted inclusion in the increasing symptoms trajectory.
conclusionsIn some overweight or obese mothers, postpartum depressive symptoms do not resolve quickly. Practitioners should be aware of this phenomenon and continue to screen for depression for longer periods of time postpartum.
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