{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T07:56:27Z","timestamp":1774338987382,"version":"3.50.1"},"reference-count":39,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:00:00Z","timestamp":1735257600000},"content-version":"unspecified","delay-in-days":361,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S0924933824017991_sec1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Postpartum anxiety (PPA) symptoms have harmful effects on child development and mother\u2013infant interactions. Accordingly, in-depth knowledge of associated risk factors is crucial for prevention policies. This study aimed to estimate PPA symptom prevalence at 2\u00a0months and to identify associated risk factors in a representative sample of all women who gave birth in France in 2021, and in two subgroups: women with no postpartum depression (PPD) symptoms, and those with no history of mental health care.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933824017991_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>Among the 12,723 women included in the representative French national perinatal survey 2021ENP, 7,133 completed the Edinburgh Postnatal Depression Scale (EPDS) self-administered questionnaire \u2013 including three anxiety-specific items (EPDS-3A) \u2013 at 2\u00a0months postpartum. We estimated the adjusted prevalence ratios (aPR) of PPA symptoms using Poisson regression models with robust variance.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933824017991_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>PPA symptom prevalence at 2\u00a0months was 27.6% (95% CI [26.5\u201328.8]). Associated risk factors were: age\u00a0\u2264\u00a034\u00a0years (maximum aPR\u00a0=\u00a01.38 [1.22\u20131.58] obtained for persons aged 25\u201329\u00a0years vs. 35\u201339\u00a0years), poorer health literacy (1.15 [1.07\u20131.23]), a history of medical termination of pregnancy (1.32 [1.05\u20131.68]), psychological (1.31 [1.17\u20131.47]) or psychiatric (1.42 [1.24\u20131.63]) care history since adolescence, nulliparity (1.23 [1.12\u20131.35]), no weight gain or loss (1.29 [1.03\u20131.61] vs. 9\u201315\u00a0kg gain) or gain \u226523\u00a0kg (1.20 [1.00\u20131.43]) during pregnancy, \u22653 pregnancy-related emergency consultations (1.16 [1.03\u20131.31] vs. none), poor\/good support during pregnancy, (1.16 [1.00\u20131.34] and 1.15 [1.05\u20131.26], respectively, vs. very good), sadness (1.52 [1.36\u20131.69]), anhedonia (1.48 [1.27\u20131.72]), or both (1.99 [1.79\u20132.21]) during pregnancy, not at all\/not very satisfied with pain management during childbirth (1.16 [1.01\u20131.32] vs. quite\/very satisfied). Similar risk factors were found in the \u2018no PPD symptoms\u2019 and \u2018no history of mental health care\u2019 subgroups.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933824017991_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Estimated PPA symptom prevalence at 2\u00a0months in our study sample was 27.6%. The risk factors we identified may guide future prevention policies.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2024.1799","type":"journal-article","created":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T08:16:17Z","timestamp":1735287377000},"source":"Crossref","is-referenced-by-count":2,"title":["Prevalence of anxiety symptoms and associated factors at 2\u00a0months postpartum, results from a 2021 French national prospective cohort study"],"prefix":"10.1192","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0691-9136","authenticated-orcid":false,"given":"Alexandra","family":"Doncarli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2677-6259","authenticated-orcid":false,"given":"Virginie","family":"Demiguel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0891-1063","authenticated-orcid":false,"given":"Camille","family":"Le Ray","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6561-3321","authenticated-orcid":false,"given":"Catherine","family":"Deneux-Tharaux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2281-2942","authenticated-orcid":false,"given":"Elodie","family":"Lebreton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5185-1479","authenticated-orcid":false,"given":"Gis\u00e8le","family":"Apter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2278-3697","authenticated-orcid":false,"given":"Julie","family":"Boudet-Berquier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8175-188X","authenticated-orcid":false,"given":"Catherine","family":"Crenn-Hebert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-No\u00eblle","family":"Vacheron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0781-1450","authenticated-orcid":false,"given":"Nolwenn","family":"Regnault","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0269-4600","authenticated-orcid":false,"given":"Sarah","family":"Tebeka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Members of the ENP2021 Study Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2024,12,27]]},"reference":[{"key":"S0924933824017991_r30","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m4022"},{"key":"S0924933824017991_r1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2016.02.013"},{"key":"S0924933824017991_r20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2022.102509"},{"key":"S0924933824017991_r17","doi-asserted-by":"publisher","DOI":"10.1192\/S0007125000298371"},{"key":"S0924933824017991_r27","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-658"},{"key":"S0924933824017991_r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.02.013"},{"key":"S0924933824017991_r16","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-011-0249-8"},{"key":"S0924933824017991_r26","doi-asserted-by":"publisher","DOI":"10.1177\/2050312118801250"},{"key":"S0924933824017991_r9","first-page":"97","article-title":"Determinants of anxiety symptoms, depression and peri-traumatic distress in immediate postpartum women\u2019s mental health","volume":"49","author":"Chabbert","year":"2021","journal-title":"Gynecol Obstet Fertil Senol."},{"key":"S0924933824017991_r32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-5823.2006.00002.x"},{"key":"S0924933824017991_r14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.09.033"},{"key":"S0924933824017991_r22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.09.009"},{"key":"S0924933824017991_r6","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.2910"},{"key":"S0924933824017991_r37","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.06.054"},{"key":"S0924933824017991_r38","unstructured":"[38] PATH Project. 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