Carter A S, Baker C W, Brownell K D
Department of Psychology, University of Massachusetts Boston, USA.
Psychosom Med. 2000 Mar-Apr;62(2):264-70. doi: 10.1097/00006842-200003000-00019.
This report describes associations between body mass index (BMI; kg/m2), eating attitudes, and affective symptoms across pregnancy and the postpartum period in a sample of 64 women.
As part of a larger study, women were recruited during pregnancy and followed prospectively to 14 months postpartum. Measures included self-reported prepregnancy and 4-month postpartum BMI as well as pregnancy, 4-month, and 14-month postpartum eating attitudes (EAT), depressive symptoms (CES-D), and anxiety symptoms (STAI).
During pregnancy, symptoms of depression or anxiety were not significantly correlated with concurrent eating attitudes or measures of BMI. However, at 14 months postpartum, measures of eating attitudes and both depression and anxiety symptoms were associated. Measures of BMI were associated with depressive and anxiety symptoms at both 4 and 14 months postpartum. Four-month eating attitudes and BMI predicted 14-month postpartum depressive symptoms, beyond pregnancy, and 4-month postpartum measures of affective symptoms. Results suggested that overweight women were at risk for elevated anxiety at 4 months and depressive symptoms at both 4 and 14 months postpartum.
These results provide evidence for a significant, albeit moderate, relationship between BMI, eating attitudes, and symptoms of depression and anxiety in the postpartum period that are not present during pregnancy.
本报告描述了64名女性样本在孕期及产后期间体重指数（BMI；千克/平方米）、饮食态度和情感症状之间的关联。
作为一项更大规模研究的一部分，女性在孕期被招募，并前瞻性随访至产后14个月。测量指标包括自我报告的孕前及产后4个月的BMI，以及孕期、产后4个月和产后14个月的饮食态度（EAT）、抑郁症状（CES-D）和焦虑症状（STAI）。
在孕期，抑郁或焦虑症状与同时期的饮食态度或BMI测量值无显著相关性。然而，在产后14个月，饮食态度测量值与抑郁和焦虑症状均有关联。BMI测量值在产后4个月和14个月均与抑郁和焦虑症状有关。产后4个月的饮食态度和BMI可预测产后14个月的抑郁症状，超出孕期及产后4个月情感症状的测量值。结果表明，超重女性在产后4个月有焦虑加剧的风险，在产后4个月和14个月有抑郁症状的风险。
这些结果为产后期间BMI、饮食态度与抑郁和焦虑症状之间存在显著（尽管是中等程度）的关系提供了证据，而这种关系在孕期并不存在。
