{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:55:46Z","timestamp":1773035746807,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:00:00Z","timestamp":1758931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:00:00Z","timestamp":1758931200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2022YFC2705300"],"award-info":[{"award-number":["2022YFC2705300"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the prevalence and trend in depression during antenatal and two\u2010year postpartum periods in the USA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the data from the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2018, 1099 adult pregnant women and women within 24\u2009months postpartum were included. The depression status was defined as having a patient health questionnaire (PHQ\u20109) score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The estimated prevalence of overall and moderate\u2010to\u2010severe depressive symptoms was 29.7% (95% confidence interval [CI]: 26.1%\u201333.3%) and 13.7% (95% CI: 11.1%\u201316.2%), respectively, which did not change apparently from 2007 to 2018. Stratified analyses confirmed a substantial upward trend in the prevalence of moderate\u2010to\u2010severe depressive symptoms among women aged 26\u201335\u2009years, from 7.5% (95% CI: 1.2%\u201313.8%) in 2007\u20132008 to 17.2% (95% CI: 7.7%\u201326.7%) in 2017\u20132018 (\n                      <jats:italic>P<\/jats:italic>\n                      for trend\u2009=\u20090.019), with a 5.7% relative increase (95% CI: 1.5%\u201310.2%) per two\u2010year\u2009cycle. In the whole population, the prevalence of moderate\u2010to\u2010severe depressive symptoms was 10.4% (95% CI: 6.6%\u201314.1%) in pregnancy, 13.9% (95% CI: 9.7\u201318.0) in the first year postpartum, to 16.8% (95% CI: 11.3%\u201322.3%) in the second year postpartum,\n                      <jats:italic>P<\/jats:italic>\n                      for trend\u2009=\u20090.047. In maternal women with depressive symptoms, 36.1% (95% CI: 25.0%\u201347.1%) had moderate\u2010to\u2010severe type in pregnancy, 47.7% (37.2%\u201358.1%) in the first year postpartum, and 53.1% (95% CI: 43.4%\u201362.9%) in the second year postpartum,\n                      <jats:italic>P<\/jats:italic>\n                      for trend\u2009=\u20090.038.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In general, the prevalence of moderate\u2010to\u2010severe depressive symptoms has remained relatively stable during 2007\u20132018, but it still tended to be severe in certain subgroups of the population and deserves more concern.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70551","type":"journal-article","created":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T07:49:58Z","timestamp":1758959398000},"page":"1699-1706","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and trends of moderate\u2010to\u2010severe depression during antenatal and two\u2010year postpartum periods: A secondary data analysis from\n                    <scp>NHANES<\/scp>\n                    2007\u20132018"],"prefix":"10.1002","volume":"172","author":[{"given":"Yan","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Xinhua Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiwen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Xinhua Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peipei","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Xinhua Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luming","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Xinhua Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongjun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Xinhua Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Ministry of Education\u2010Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0030442"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2009.06.368"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8862"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001902"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1516-44462012000200005"},{"issue":"12","key":"e_1_2_10_7_1","first-page":"955","article-title":"From antepartum to postpartum: a prospective study on the prevalence of peripartum depression in a semiurban Turkish community","volume":"51","author":"Gulseren L","year":"2006","journal-title":"J Reprod Med"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6919a2"},{"key":"e_1_2_10_9_1","unstructured":"CDC.About the national health and nutrition examination survey.2017Accessed September 13 2019.https:\/\/www.cdc.gov\/nchs\/nhanes\/about_nhanes.htm"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2174\/1745017901713010049"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.110829"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867418762057"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envpol.2020.116178"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.14545"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.9407"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18179307"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1891\/rtnp.18.2.149.61285"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-012-9573-3"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-022-05764-9"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.7629"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2011.13.1\/smbrody"}],"container-title":["International Journal of Gynecology &amp; 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