{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T02:04:48Z","timestamp":1791079488404,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":1766,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background.<\/jats:italic> The influence of psychosocial factors such as stress, anxiety, depression, and self\u2010esteem on birth weight is controversial. A prospective study was conducted to evaluate the relationship between pregnancy outcomes, psychosocial profile, and maternal health practices. <jats:italic>Methods.<\/jats:italic> 3,149 low\u2010income, predominantly African\u2010American pregnant women participated in this study. A 28\u2010item psychosocial scale measured the constructs of negative and positive affect, self esteem, mastery, worry, and stress. Maternal health practices were assessed with 11 questions dealing with diet, exercise, and the use of preventive medical and dental services. <jats:italic>Results.<\/jats:italic> A low score on either scale indicated \u201cpoor\u201d psychosocial or health practices status. Low birth weight, preterm delivery, and intrauterine growth retardation occurred in 10.9, 10.1 and 7.3% of the pregnant women respectively. In women with low psychosocial scores, the risk of both low birth weight and preterm delivery was 40% higher and the mean birth weight of infants was 51 g (<jats:italic>p<\/jats:italic>=0.02) lower as compared to women with high scores. Negative affect (a measure of depression) was the only factor significantly associated with both infant birth weight (<jats:italic>\u03b2<\/jats:italic>= \u2212 71.2, <jats:italic>p<\/jats:italic>=0.001) and low birth weight (AOR = 1.4, 95% CI = 1.1\u20131.7). When data were stratified by body mass index, the adverse effect of negative affect scores on birth weight and low birth weight was present only in thin women. Health practice scores were not associated with any of the pregnancy outcomes. <jats:italic>Conclusion.<\/jats:italic> Thin women with a poor psychosocial profile and who are depressed during pregnancy are at increased risk of giving birth to low birth weight and preterm infants.<\/jats:p>","DOI":"10.1080\/00016340600566121","type":"journal-article","created":{"date-parts":[[2009,12,8]],"date-time":"2009-12-08T17:34:49Z","timestamp":1260293689000},"page":"277-285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":150,"title":["The relationship between psychosocial profile, health practices, and pregnancy outcomes"],"prefix":"10.1111","volume":"85","author":[{"given":"YASMIN","family":"NEGGERS","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ROBERT","family":"GOLDENBERG","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SUZANNE","family":"CLIVER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JOHN","family":"HAUTH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwf176"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/155.4.293"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2000.tb03344.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwf131"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-199607000-00001"},{"key":"e_1_2_7_7_2","first-page":"14","article-title":"Psychosocial factors and small for gestational age infants among parous Scandinavian women","volume":"165","author":"Jacobsen G","year":"1997","journal-title":"Acta Obstet Gynecol Scand"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199905000-00002"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2004.00458.x"},{"key":"e_1_2_7_10_2","first-page":"19","article-title":"Abbreviated scale for assessment of psychosocial status in pregnancy: development and evaluation","volume":"76","author":"Goldenberg RL","year":"1997","journal-title":"Acta Obstet Gynaecol Scand; Suppl"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70042-X"},{"issue":"1","key":"e_1_2_7_12_2","first-page":"34","article-title":"Relationship between nutritional and psychological status of pregnant adolescents and non\u2010adolescents in Brazil","volume":"22","author":"Rondo PHC","year":"2004","journal-title":"J Health Popul Nutr"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016349609033280"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.86.3.347"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1993.tb14228.x"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(90)90132-9"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(87)90130-4"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.307.6898.234"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90149-H"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh122"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02014-8"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.19.6.535"},{"key":"e_1_2_7_23_2","unstructured":"TitlebaumMA BourdonK LockeBZ.Relationship between depressive symptomology and birth outcomes in respondents to the National Maternal and Infant health Survey.Abstract. 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