{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T19:24:52Z","timestamp":1790018692229,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,4,19]],"date-time":"2013-04-19T00:00:00Z","timestamp":1366329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asia-Pacific Psychiatry"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The aim of this study was to investigate the psychological state of women and its associated factors in the third trimester of pregnancy and at 8 weeks postpartum and to explore the changes in psychological state between these two time points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This survey study was carried out on 358 pregnant women visiting urban health centers in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>hahroud, northeast <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ran, in 2011. The women were followed at 8 weeks postpartum. In the third trimester of pregnancy, the participants completed the 28\u2010item <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>eneral <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire (<jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content>\u201028) and two other questionnaires on sociodemographic characteristics and frequent psychosocial stressors. They also completed the <jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content>\u201028 and an obstetric information form at 8 weeks postpartum. The cutoff score for <jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content>\u201028 in <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ran has been calculated as 24, which denotes probable psychological health problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean total <jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content> score decreased from 23.7 in the third trimester of pregnancy to 18.8 postpartum (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The proportion of women with a <jats:styled-content style=\"fixed-case\">GHQ<\/jats:styled-content>\u201028 score of 24 or higher in the third trimester of pregnancy and postpartum were 42% and 26%, respectively. Multiparity, caring for other family members, financial problems, and anxiety about personal and fetal health were the predictors of psychological health problems in the third trimester of pregnancy. The two predictors for postpartum psychological health problems were psychological health problems in the third trimester of pregnancy and the method of infant feeding at 8 weeks postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The prevalence of psychological symptoms was high among women in the third trimester of pregnancy. Psychological state of women improved after childbirth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/appy.12075","type":"journal-article","created":{"date-parts":[[2013,4,19]],"date-time":"2013-04-19T06:34:42Z","timestamp":1366353282000},"source":"Crossref","is-referenced-by-count":12,"title":["Maternal psychological state during the transition to motherhood: A longitudinal study"],"prefix":"10.1111","volume":"5","author":[{"given":"Forough","family":"Mortazavi","sequence":"first","affiliation":[{"name":"Student Research Committee Shahroud University of Medical Sciences  Shahroud Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Chaman","sequence":"additional","affiliation":[{"name":"School of Medicine Shahroud University of Medical Sciences  Shahroud Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Abbas","family":"Mousavi","sequence":"additional","affiliation":[{"name":"Research Center of Psychiatry Golestan University of 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