{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:11:33Z","timestamp":1782475893630,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72274072"],"award-info":[{"award-number":["72274072"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR2024QG068"],"award-info":[{"award-number":["ZR2024QG068"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The development patterns of depressive symptoms throughout the first year postpartum among Chinese women remain unclear. This study aimed to identify the trajectories of postpartum depressive symptoms over this period and explore factors associated with different trajectories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A longitudinal study was conducted at two women's and children's hospitals in China. Postpartum depressive symptoms were assessed at 1, 3, 6, and 12\u2009months after childbirth. Participants who completed at least three follow\u2010up assessments were included in the final analysis. A group\u2010based trajectory model was used to identify trajectories of postpartum depressive symptoms, and multivariable logistic regression was performed to explore factors associated with trajectory groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three trajectories were identified: \u201clow\u2010stable\u201d (35.0%), \u201cmoderate\u2010stable\u201d (51.3%), and \u201chigh\u2010stable\u201d (13.7%), characterised by low, moderate, and high symptom levels at all waves, respectively. Employment status, antenatal depressive symptoms, postpartum complications, family function, and parenting sense of competence were associated with both the \u201cmoderate\u2010stable\u201d and \u201chigh\u2010stable\u201d trajectories. Additionally, feeding patterns and negative life events were related to \u201cmoderate\u2010stable\u201d and \u201chigh\u2010stable\u201d trajectories, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings demonstrate remarkable stability of depressive symptom trajectories throughout the first postpartum year. It is suggested to conduct depressive symptoms screening and intervention according to relevant risk factors for women in the early postpartum period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tmi.70077","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T12:14:17Z","timestamp":1767701657000},"page":"354-362","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Trajectories of Depressive Symptoms in the First Year Postpartum and Their Associated Factors Among Chinese Women"],"prefix":"10.1111","volume":"31","author":[{"given":"Na","family":"Sun","sequence":"first","affiliation":[{"name":"Women and Children's Hospital Qingdao University  Qingdao Shandong PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxv","family":"Yin","sequence":"additional","affiliation":[{"name":"School of Public Health, Tongji Medical College Huazhong University of Science and Technology  Wuhan Hubei PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Qiu","sequence":"additional","affiliation":[{"name":"School of Public Health Hainan Medical University  Haikou Hainan PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7838-1996","authenticated-orcid":false,"given":"Yanhong","family":"Gong","sequence":"additional","affiliation":[{"name":"School of Public Health, Tongji Medical College Huazhong University of Science and Technology  Wuhan Hubei PR 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