{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T08:14:17Z","timestamp":1771316057736,"version":"3.50.1"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T00:00:00Z","timestamp":1751673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T00:00:00Z","timestamp":1751673600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100018557","name":"Science and Technology Project of Nantong City","doi-asserted-by":"publisher","award":["QN2023043"],"award-info":[{"award-number":["QN2023043"]}],"id":[{"id":"10.13039\/501100018557","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the changes in depression, anxiety, and comorbid anxiety and depression, which are common during the perinatal period, and to explore the influencing factors of these conditions among perinatal women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This prospective study recruited pregnant women from three tertiary hospitals in Nantong City, China. Overall, 635 participants completed self\u2010reported measurements during the third trimester and at 6\u2009weeks postpartum. The main postpartum outcome measures were depression, anxiety, and comorbid anxiety and depression. Statistical data were expressed using percentages;\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      test and a disordered multiple classification logistic regression model were required.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The incidence of postpartum depression, anxiety, and comorbidity were lower 6\u2009weeks postpartum than during the third trimester. Postpartum women were divided into four groups according to their depression and anxiety levels. The three most important factors affecting the four postpartum groups' classification were postpartum stress, resilience, and prenatal anxiety. Compared with women without postpartum depression, anxiety, and comorbidity, stress, sleep quality, and resilience were found to be influencing factors of depression, anxiety, and comorbidity. Age, prenatal anxiety, and comorbidity influenced postpartum anxiety and comorbidity. Marital satisfaction affected postpartum comorbidity, and breast pain affected postpartum anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Postpartum women's negative emotions are affected by prenatal negative emotions and postpartum\u2010related factors. Given the identified risk factors for postpartum depression, anxiety, and comorbid conditions, future research should focus on testing proactive, targeted, early\u2010intervention strategies during pregnancy to determine their effectiveness in reducing women's negative postpartum emotions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70364","type":"journal-article","created":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T03:40:52Z","timestamp":1751686852000},"page":"500-509","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Influencing factors of postpartum depression, anxiety, and comorbid conditions among Chinese women: A prospective study"],"prefix":"10.1002","volume":"172","author":[{"given":"Yanchi","family":"Wang","sequence":"first","affiliation":[{"name":"Nantong University  Nantong Jiangsu China"},{"name":"Affiliated Nantong Hospital of Shanghai University (The Sixth People's Hospital of Nantong)  Nantong Jiangsu China"},{"name":"Affiliated Hospital of Nantong University  Nantong Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiuhua","family":"Cai","sequence":"additional","affiliation":[{"name":"Nantong University  Nantong Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xujuan","family":"Xu","sequence":"additional","affiliation":[{"name":"Nantong University  Nantong Jiangsu China"},{"name":"Affiliated Hospital of Nantong University  Nantong Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3520-2513","authenticated-orcid":false,"given":"Jian","family":"Gu","sequence":"additional","affiliation":[{"name":"Nantong University  Nantong Jiangsu China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)15390-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/0167482X.2023.2291634"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-023-02697-w"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41398-021-01663-6"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.187179"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2022.11.075"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.03.010"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2013.4438"},{"issue":"1","key":"e_1_2_9_10_1","first-page":"58","article-title":"Analysis on depression state outcomes and influencing factors of persistent depression in pregnant and perinatal women in China","volume":"43","author":"Yang YH","year":"2022","journal-title":"Zhonghua Liu Xing Bing Xue Za Zhi"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/psychiatry.IndianJPsychiatry_230_17"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.01.009"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2024.39.e31"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijmr.IJMR_3489_20"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12232"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04392-w"},{"key":"e_1_2_9_17_1","article-title":"Post\u2010partum depression, anxiety and marital satisfaction: a perspective from southeastern Nigeria","volume":"24","author":"Odinka JI","year":"2018","journal-title":"S Afr J Psychiatry"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000001234"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-023-01295-3"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-023-01043-3"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1091042"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.12.036"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191119887449"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.782"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.10113"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-01114-2"},{"issue":"9","key":"e_1_2_9_28_1","first-page":"505","article-title":"Stressors associated with pregnancy as perceived by pregnant women during three trimesters","volume":"5","author":"Chen CH","year":"1989","journal-title":"Gaoxiong Yi Xue Ke Xue Za Zhi"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2021.1940897"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.02.056"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.07.126"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2017.08.005"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0200594"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-8624.00164"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.07.009"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2010.08.002"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717000617"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2011.607053"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2004.01.003"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-015-1074-3"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102533"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1590\/1516-4446-2012-0821"},{"issue":"3","key":"e_1_2_9_43_1","first-page":"323","article-title":"The effectiveness of psychosocial assessment in the detection and management of postpartum depression: a systematic review","volume":"70","author":"Felice E","year":"2018","journal-title":"Minerva Ginecol"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70364","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70364","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T07:40:38Z","timestamp":1771314038000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,5]]},"references-count":42,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ijgo.70364"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70364","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,5]]},"assertion":[{"value":"2024-07-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}