{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:18:56Z","timestamp":1788221936953,"version":"build-2803163510"},"reference-count":42,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["NSTC 113-2635-B-227-001"],"award-info":[{"award-number":["NSTC 113-2635-B-227-001"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Midwifery"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.midw.2026.104952","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T23:18:34Z","timestamp":1786576714000},"page":"104952","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Antenatal depressive symptoms in relation to a refined high-calorie dietary pattern: A comparative study"],"prefix":"10.1016","volume":"162","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0235-8159","authenticated-orcid":false,"given":"Tzu-Ling","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia-Sui","family":"Weng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0478-1046","authenticated-orcid":false,"given":"Su-Fen","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7053-3668","authenticated-orcid":false,"given":"Ya-Ling","family":"Tzeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.midw.2026.104952_bib0001","article-title":"Methods for estimating the due date. Committee Opinion No. 700","volume":"129","year":"2017","journal-title":"Obstet. Gynecol."},{"issue":"5","key":"10.1016\/j.midw.2026.104952_bib0002","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.wombi.2016.03.001","article-title":"Australian midwives and provision of nutrition education during pregnancy: a cross sectional survey of nutrition knowledge, attitudes, and confidence","volume":"29","author":"Arrish","year":"2016","journal-title":"Women Birth"},{"issue":"2","key":"10.1016\/j.midw.2026.104952_bib0003","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0297355","article-title":"The least sample size essential for detecting changes in clustering solutions of streaming datasets","volume":"19","author":"Atif","year":"2024","journal-title":"PLoS ONE"},{"issue":"10","key":"10.1016\/j.midw.2026.104952_bib0004","first-page":"33","article-title":"Eating behaviors in relation to gestational weight gain and postpartum weight retention","volume":"21","author":"Bijlholt","year":"2022","journal-title":"Postpartum Lifestyle Weight Body Composit."},{"issue":"1","key":"10.1016\/j.midw.2026.104952_bib0005","doi-asserted-by":"crossref","DOI":"10.1111\/mcn.13561","article-title":"Perinatal dietary patterns and symptomatic depression: a prospective cohort study","volume":"20","author":"Chan","year":"2024","journal-title":"Matern. Child Nutr."},{"issue":"7","key":"10.1016\/j.midw.2026.104952_bib0006","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1007\/s10995-016-1949-5","article-title":"Fast food intake in relation to employment status, stress, depression, and dietary behaviors in low-income overweight and obese pregnant women","volume":"20","author":"Chang","year":"2016","journal-title":"Matern. Child Health J."},{"issue":"16","key":"10.1016\/j.midw.2026.104952_bib0007","doi-asserted-by":"crossref","first-page":"3429","DOI":"10.3390\/nu14163429","article-title":"Processed dietary patterns during pregnancy are associated with low birth weight at term among women of advanced and non-advanced age","volume":"14","author":"Chen","year":"2022","journal-title":"Nutrients"},{"issue":"1","key":"10.1016\/j.midw.2026.104952_bib0008","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/s12884-025-07222-x","article-title":"Gestational weight gain patterns as predictors of cesarean deliveries in women diagnosed with gestational diabetes mellitus","volume":"25","author":"Chen","year":"2025","journal-title":"BMC Pregnancy ChildBirth"},{"key":"10.1016\/j.midw.2026.104952_bib0009","doi-asserted-by":"crossref","DOI":"10.1016\/j.midw.2025.104613","article-title":"Development and preliminary testing of a scenario-based instrument to measure nutrition literacy of pregnant women","volume":"150","author":"Chen","year":"2025","journal-title":"Midwifery"},{"issue":"12","key":"10.1016\/j.midw.2026.104952_bib0010","doi-asserted-by":"crossref","first-page":"2749","DOI":"10.3390\/nu15122749","article-title":"Global impacts of western diet and its effects on metabolism and health: a narrative review","volume":"15","author":"Clemente-Su\u00e1rez","year":"2023","journal-title":"Nutrients"},{"issue":"5","key":"10.1016\/j.midw.2026.104952_bib0011","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1111\/j.1600-0447.2009.01363.x","article-title":"A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women","volume":"119","author":"Gibson","year":"2009","journal-title":"Acta Psychiatr. Scand."},{"issue":"1","key":"10.1016\/j.midw.2026.104952_bib0012","first-page":"808","article-title":"Study on the optimal critical value of the Edinburgh Postnatal Depression Scale in the screening of antenatal depression","volume":"44","author":"Guo","year":"2009","journal-title":"Chin. J. Nurs."},{"issue":"5","key":"10.1016\/j.midw.2026.104952_bib0013","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1080\/13557858.2017.1281384","article-title":"Immigrant women\u2019s food choices in pregnancy: perspectives from women of Chinese origin in Canada","volume":"23","author":"Higginbottom","year":"2018","journal-title":"Ethn. Health"},{"key":"10.1016\/j.midw.2026.104952_bib0014","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.midw.2017.01.014","article-title":"Women's dietary changes before and during pregnancy: a systematic review","volume":"49","author":"Hillier","year":"2017","journal-title":"Midwifery"},{"issue":"5","key":"10.1016\/j.midw.2026.104952_bib0015","doi-asserted-by":"crossref","first-page":"3485","DOI":"10.1016\/j.clnu.2020.11.038","article-title":"Maternal dietary patterns and depressive symptoms during pregnancy: the born in Guangzhou Cohort Study","volume":"40","author":"Huang","year":"2021","journal-title":"Clin. Nutr."},{"key":"10.1016\/j.midw.2026.104952_bib0016","first-page":"1","article-title":"Neurophysiological features in women with antenatal depressive symptoms: a resting-state quantitative electroencephalography study","author":"Kim","year":"2025","journal-title":"Eur. Arch. Psychiatry Clin. Neurosci."},{"issue":"10","key":"10.1016\/j.midw.2026.104952_bib0017","doi-asserted-by":"crossref","first-page":"3451","DOI":"10.3390\/nu13103451","article-title":"Nutrition literacy mediates the relationships between multi-level factors and college students\u2019 healthy eating behavior: evidence from a cross-sectional study","volume":"13","author":"Lai","year":"2021","journal-title":"Nutrients"},{"issue":"10","key":"10.1016\/j.midw.2026.104952_bib0018","doi-asserted-by":"crossref","first-page":"2179","DOI":"10.1007\/s10995-016-2071-4","article-title":"What do pregnant women know about the healthy eating guidelines for pregnancy? A web-based questionnaire","volume":"20","author":"Lee","year":"2016","journal-title":"Matern. Child Health J."},{"key":"10.1016\/j.midw.2026.104952_bib0019","doi-asserted-by":"crossref","DOI":"10.1093\/cdn\/nzaa118","article-title":"Tracking of maternal diet from pregnancy to postpregnancy: a systematic review of observational studies","volume":"4","author":"Lee","year":"2020","journal-title":"Curr. Dev. Nutr."},{"issue":"4","key":"10.1016\/j.midw.2026.104952_bib0020","doi-asserted-by":"crossref","first-page":"872","DOI":"10.3390\/foods12040872","article-title":"Emotions and food consumption: emotional eating behavior in a European population","volume":"12","author":"Ljubi\u010di\u0107","year":"2023","journal-title":"Foods"},{"key":"10.1016\/j.midw.2026.104952_bib0021","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.midw.2017.12.005","article-title":"Online nutrition information seeking among Australian primigravid women","volume":"58","author":"Maher","year":"2018","journal-title":"Midwifery"},{"key":"10.1016\/j.midw.2026.104952_bib0022","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1016\/j.jad.2017.08.073","article-title":"Dietary patterns and depressive symptoms during pregnancy in Japan: baseline data from the Kyushu Okinawa Maternal and Child Health Study","volume":"225","author":"Miyake","year":"2018","journal-title":"J. Affect. Disord."},{"issue":"5","key":"10.1016\/j.midw.2026.104952_bib0023","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1001\/jamapsychiatry.2023.0069","article-title":"Prevalence of perinatal depression in low-and middle-income countries: a systematic review and meta-analysis","volume":"80","author":"Mitchell","year":"2023","journal-title":"JAMA Psychiatry"},{"key":"10.1016\/j.midw.2026.104952_bib0024","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.jad.2024.02.025","article-title":"Exploration of the psychometric properties of the EPDS-US, a validation study","volume":"352","author":"Moyer","year":"2024","journal-title":"J. Affect. Disord."},{"issue":"1","key":"10.1016\/j.midw.2026.104952_bib0025","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1186\/s12966-021-01233-5","article-title":"Exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the READI cohort study","volume":"18","author":"Opie","year":"2021","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"issue":"3","key":"10.1016\/j.midw.2026.104952_bib0026","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1080\/15528014.2024.2310380","article-title":"From diversity to uniformity: comparing nutritional transition of food consumption in four regions in Senegal","volume":"28","author":"Owolodun","year":"2025","journal-title":"Food Cult. Soc."},{"key":"10.1016\/j.midw.2026.104952_bib0027","doi-asserted-by":"crossref","DOI":"10.1177\/08901171251336931","article-title":"The relationship between diet quality, nutrition self-efficacy and sources of nutrition information in Australian pregnant women: a cross-sectional analysis","volume":"39","author":"Phillips","year":"2025","journal-title":"Am. J. Health Promot."},{"issue":"1","key":"10.1016\/j.midw.2026.104952_bib0028","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1186\/s12884-019-2367-7","article-title":"Systematic review of the association between dietary patterns and perinatal anxiety and depression","volume":"19","author":"Silva","year":"2019","journal-title":"BMC Pregnancy ChildBirth"},{"issue":"1","key":"10.1016\/j.midw.2026.104952_bib0029","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1186\/s12884-020-03065-w","article-title":"A mixed-methods investigation of women\u2019s experiences seeking pregnancy-related online nutrition information","volume":"20","author":"Snyder","year":"2020","journal-title":"BMC Pregnancy ChildBirth"},{"issue":"12","key":"10.1016\/j.midw.2026.104952_bib0030","doi-asserted-by":"crossref","first-page":"2077","DOI":"10.1007\/s10995-023-03781-7","article-title":"Maternal dietary patterns and risk of postpartum depression: a systematic review","volume":"27","author":"Sun","year":"2023","journal-title":"Matern. Child Health J."},{"issue":"2","key":"10.1016\/j.midw.2026.104952_bib0031","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1017\/S0007114524001028","article-title":"Maternal pre-pregnancy diet and prenatal depression: the mediating role of pre-pregnancy weight status and prenatal inflammation","volume":"132","author":"Vaghef-Mehrabani","year":"2024","journal-title":"Br. J. Nutr."},{"issue":"4","key":"10.1016\/j.midw.2026.104952_bib0032","first-page":"40","article-title":"Faking it: social desirability response bias in self-report research","volume":"25","author":"Van de Mortel","year":"2008","journal-title":"Austral. J. Adv. Nurs."},{"key":"10.1016\/j.midw.2026.104952_bib0033","doi-asserted-by":"crossref","DOI":"10.1016\/j.appet.2021.105135","article-title":"Healthy eating beliefs and the meaning of food in populations with a low socioeconomic position: a scoping review","volume":"161","author":"van der Heijden","year":"2021","journal-title":"Appetite"},{"key":"10.1016\/j.midw.2026.104952_bib0034","doi-asserted-by":"crossref","DOI":"10.1016\/j.ypmed.2024.108086","article-title":"Contribution of greenness, air pollution, and residential food environment to excess gestational weight gain: a cross-sectional study in Wuhan, China","volume":"186","author":"Wang","year":"2024","journal-title":"Prev. Med."},{"issue":"2","key":"10.1016\/j.midw.2026.104952_bib0035","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/0031-3203(84)90062-1","article-title":"An analysis of the effects of sample size on classification performance of a histogram based cluster analysis procedure","volume":"17","author":"Wharton","year":"1984","journal-title":"Pattern Recognit."},{"key":"10.1016\/j.midw.2026.104952_bib0036","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.jad.2017.05.003","article-title":"A systematic review and meta-regression of the prevalence and incidence of perinatal depression","volume":"219","author":"Woody","year":"2017","journal-title":"J. Affect. Disord."},{"issue":"2","key":"10.1016\/j.midw.2026.104952_bib0037","doi-asserted-by":"crossref","DOI":"10.1111\/mcn.12912","article-title":"A maternal \u201cmixed, high sugar\u201d dietary pattern is associated with fetal growth","volume":"16","author":"Wrottesley","year":"2020","journal-title":"Matern. Child Nutr."},{"issue":"1","key":"10.1016\/j.midw.2026.104952_bib0038","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1186\/s12937-020-00607-y","article-title":"Dietary patterns of Chinese women of childbearing age during pregnancy and their relationship to the neonatal birth weight","volume":"19","author":"Yan","year":"2020","journal-title":"Nutr. J."},{"key":"10.1016\/j.midw.2026.104952_bib0039","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/j.jad.2022.04.028","article-title":"Longitudinal association of maternal dietary patterns with antenatal depression: evidence from the Chinese pregnant Women Cohort Study","volume":"308","author":"Zhan","year":"2022","journal-title":"J. Affect. Disord."},{"issue":"1","key":"10.1016\/j.midw.2026.104952_bib0040","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1186\/s12888-025-06557-1","article-title":"The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model","volume":"25","author":"Zhang","year":"2025","journal-title":"BMC Psychiatry"},{"issue":"1","key":"10.1016\/j.midw.2026.104952_bib0041","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s12937-021-00692-7","article-title":"A review of statistical methods for dietary pattern analysis","volume":"20","author":"Zhao","year":"2021","journal-title":"Nutr. J."},{"key":"10.1016\/j.midw.2026.104952_bib0042","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1007\/s10995-022-03440-3","article-title":"Experiences of food-insecure pregnant women and factors influencing their food choices","volume":"26","author":"Zinga","year":"2022","journal-title":"Matern. Child Health J."}],"container-title":["Midwifery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613826002561?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613826002561?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:09:45Z","timestamp":1788221385000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0266613826002561"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":42,"alternative-id":["S0266613826002561"],"URL":"https:\/\/doi.org\/10.1016\/j.midw.2026.104952","relation":{},"ISSN":["0266-6138"],"issn-type":[{"value":"0266-6138","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Antenatal depressive symptoms in relation to a refined high-calorie dietary pattern: A comparative study","name":"articletitle","label":"Article Title"},{"value":"Midwifery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.midw.2026.104952","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"104952"}}