{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T23:29:27Z","timestamp":1786577367258,"version":"build-2736575974"},"reference-count":64,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Government of the Sultanate of Oman"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Maternal depression during pregnancy is a major global health concern that affects both mothers and infants. However, limited studies have examined maternal depression across pregnancy stages in Arabic-speaking populations, where fertility rates are high.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aims to evaluate the relationship between antenatal depression and anxiety symptoms during the early (8-12 weeks) and later stages (24-28 weeks) of pregnancy and their effects on maternal and neonatal outcomes among Omani women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort design was used, involving 302 pregnant Omani women receiving antenatal care at Al Buraimi Hospital. Eligible participants were aged 18\u201345 years, between 8\u201312 weeks of gestation and expected to continue care at the same clinic. Depression and anxiety were measured at both stages using the Arabic version of the Edinburgh Postnatal Depression Scale (EPDS) and the EPDS-3A subscale. Statistical analyses, including chi-square tests and logistic regression, were used to examine associations between anxiety, depression, and pregnancy outcomes. Multiple regression analyses controlled for maternal age, marital status, parity, pre-pregnancy BMI, and household income.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>High levels of depressive and anxiety symptoms were identified, particularly as pregnancy advanced. Among 302 pregnant Omani women, the prevalence of depressive symptoms was 29.8% and anxiety symptoms was 24.8% in early pregnancy. Women with elevated EPDS scores had higher risks of caesarean delivery, low birth weight, and preterm birth. Elevated anxiety was associated with greater maternal distress and poorer neonatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings highlight the importance of integrating mental health screening into routine antenatal care in Oman. Early identification and management of depression and anxiety may reduce adverse outcomes for mothers and infants. Further research should investigate barriers to mental health services for pregnant women and the long-term developmental effects of antenatal depression on children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261476574","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T20:59:02Z","timestamp":1786395542000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Depressive and anxiety symptoms, their predictors, and pregnancy outcomes among Omani pregnant women: A prospective cohort study"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0011-6153","authenticated-orcid":false,"given":"Mohammed","family":"Al Sinani","sequence":"first","affiliation":[{"name":"Ministry of Health"},{"name":"Imperial College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Al-Adawi","sequence":"additional","affiliation":[{"name":"Sultan Qaboos University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2023-5627","authenticated-orcid":false,"given":"Mohammed","family":"Al Meqbaali","sequence":"additional","affiliation":[{"name":"Nursing, Fatima College of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61276-9"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.091850"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2010.10.008"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0169907"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.11r07499"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000116689.75396.5f"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.01.027"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-015-0165-5"},{"issue":"5","key":"e_1_3_8_10_2","first-page":"439","article-title":"Postnatal depression among Bahraini women: prevalence of symptoms and psychosocial risk factors","volume":"18","author":"Al Dallal FH","year":"2012","unstructured":"Al Dallal FH, Grant IN. Postnatal depression among Bahraini women: prevalence of symptoms and psychosocial risk factors. East. Mediterr. Health J. Rev. Sante Mediterr. Orient. Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit 2012; 18(5): 439\u2013445.","journal-title":"East. Mediterr. Health J. Rev. Sante Mediterr. Orient. Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/13548500600678164"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-010-0189-8"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-018-0880-8"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.2190\/PM.43.4.c"},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2014.49"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.18295\/squmj.2016.16.01.007"},{"key":"e_1_3_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.11.023"},{"key":"e_1_3_8_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-135"},{"key":"e_1_3_8_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.05.023"},{"key":"e_1_3_8_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f60b0a"},{"key":"e_1_3_8_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.07.007"},{"key":"e_1_3_8_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-015-0617-6"},{"key":"e_1_3_8_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2005.08.006"},{"issue":"3","key":"e_1_3_8_24_2","first-page":"181","article-title":"Antepartum and postpartum depression: healthy mom, healthy baby","volume":"59","author":"Moses-Kolko EL","year":"2004","unstructured":"Moses-Kolko EL, Roth EK. Antepartum and postpartum depression: healthy mom, healthy baby. J. Am. Med. Womens Assoc. 1972 2004; 59(3): 181\u2013191.","journal-title":"J. Am. Med. Womens Assoc. 1972"},{"key":"e_1_3_8_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-2011.2010.00002.x"},{"key":"e_1_3_8_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000136087.46864.e4"},{"key":"e_1_3_8_27_2","volume-title":"Applied Power Analysis for the Behavioral Sciences","author":"Aberson CL","unstructured":"Aberson CL. Applied Power Analysis for the Behavioral Sciences. 2nd ed. Routledge, 2019.","edition":"2"},{"key":"e_1_3_8_28_2","volume-title":"Annual Health Report","author":"Moh O","year":"2019","unstructured":"Moh O. Annual Health Report. Department of Information & Statistics, Directorate General of Planning, 2019."},{"key":"e_1_3_8_29_2","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_724_19"},{"key":"e_1_3_8_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-015-0593-1"},{"key":"e_1_3_8_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.12.017"},{"issue":"12","key":"e_1_3_8_32_2","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","unstructured":"Gulseren L, Erol A, Gulseren S, et al. From antepartum to postpartum: a prospective study on the prevalence of peripartum depression in a semiurban Turkish community. J. Reprod. Med 2006; 51(12): 955\u2013960.","journal-title":"J. Reprod. Med"},{"key":"e_1_3_8_33_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03793-7"},{"key":"e_1_3_8_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1598-x"},{"key":"e_1_3_8_35_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155125"},{"key":"e_1_3_8_36_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-015-0225-y"},{"key":"e_1_3_8_37_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00108"},{"issue":"15","key":"e_1_3_8_38_2","first-page":"1","article-title":"Prevalence and predictors of antenatal depressive symptoms among Chinese women in their third trimester: a cross-sectional survey","volume":"1","author":"Zeng Y","year":"2015","unstructured":"Zeng Y, Cui Y, Li J. Prevalence and predictors of antenatal depressive symptoms among Chinese women in their third trimester: a cross-sectional survey. BMC Psychiatry 2015; 1(15): 1\u20137. https:\/\/doi.org\/10.1186\/s12888-015-0452-7","journal-title":"BMC Psychiatry"},{"key":"e_1_3_8_39_2","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/1788167"},{"key":"e_1_3_8_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.02.037"},{"key":"e_1_3_8_41_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.187179"},{"key":"e_1_3_8_42_2","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12343"},{"key":"e_1_3_8_43_2","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2021-0181"},{"key":"e_1_3_8_44_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17051729"},{"key":"e_1_3_8_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.07.126"},{"key":"e_1_3_8_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.09.063"},{"key":"e_1_3_8_47_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02326.x"},{"key":"e_1_3_8_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.04.066"},{"key":"e_1_3_8_49_2","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.2016.35.4.322"},{"key":"e_1_3_8_50_2","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v67n0818"},{"key":"e_1_3_8_51_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.yco.0000179498.46182.8b"},{"key":"e_1_3_8_52_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12125"},{"key":"e_1_3_8_53_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716002087"},{"issue":"3","key":"e_1_3_8_54_2","first-page":"241","article-title":"The mental health of women 6 months after they give birth to an unwanted baby: a longitudinal study","volume":"32","author":"Najman JM","year":"1991","unstructured":"Najman JM, Morrison J, Williams G, et al. The mental health of women 6 months after they give birth to an unwanted baby: a longitudinal study. Soc. Sci. Med. 1982 1991; 32(3): 241\u2013247. https:\/\/doi.org\/10.1016\/0277-9536(91)90100-q","journal-title":"Soc. Sci. Med. 1982"},{"key":"e_1_3_8_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.107826"},{"key":"e_1_3_8_56_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14170"},{"issue":"1","key":"e_1_3_8_57_2","first-page":"285","article-title":"Does depression increase the risk of gestational diabetes mellitus? A systematic review and meta-analysis","volume":"39","author":"Zhang C","year":"2023","unstructured":"Zhang C, Jing L, Wang J. Does depression increase the risk of gestational diabetes mellitus? A systematic review and meta-analysis. Pak. J. Med. Sci. [Internet] 2023. 39(1), 285\u2013292. https:\/\/doi.org\/10.12669\/pjms.39.1.6845. Available from. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9843022\/","journal-title":"Pak. J. Med. Sci. [Internet]"},{"key":"e_1_3_8_58_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-015-0347-4"},{"key":"e_1_3_8_59_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2522"},{"key":"e_1_3_8_60_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(15)00134-5"},{"key":"e_1_3_8_61_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0119018"},{"key":"e_1_3_8_62_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005125"},{"key":"e_1_3_8_63_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2016.0934"},{"key":"e_1_3_8_64_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.00975.x"},{"key":"e_1_3_8_65_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0070917"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261476574","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057261476574","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261476574","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T23:19:05Z","timestamp":1786576745000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057261476574"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":64,"alternative-id":["10.1177\/17455057261476574"],"URL":"https:\/\/doi.org\/10.1177\/17455057261476574","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"article-number":"17455057261476574"}}