{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:49:42Z","timestamp":1793396982340,"version":"4.5.0"},"reference-count":87,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Body image is an individual\u2019s internal representation of physical appearance. Perinatal depression, a psychological condition with severe implications, is influenced by body dissatisfaction. However, no studies have systematically quantified their association.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the correlation between body image and depressive symptoms in the perinatal period through meta-analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic search was conducted in PubMed, Embase, The Cochrane Library, Medline, CNKI, Wanfang, and VIP databases, and studies assessing body image and perinatal depression were included. Two researchers independently screened, extracted, and assessed study quality. Meta-analysis used Review Manager 5.4, with the correlation coefficient (r) as the effect size, and studies assessing body image and perinatal depression were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty-eight studies involving 7,241 women were included. For pregnancy, the summary r for the reverse and forward scoring groups was 0.34 (95% CI: 0.24, 0.44; <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.01) and \u22120.34 (95% CI: \u22120.37, \u22120.30; <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.01), respectively. The four dimensions of body image (Feeling Fat, Attractiveness, Salience of Weight and Shape, and Strength and Fitness) were 0.34 (95% CI: 0.28, 0.40), \u22120.36 (95% CI: \u22120.42, \u22120.31), 0.31 (95% CI: 0.25, 0.36), and \u22120.32 (95% CI: \u22120.37, \u22120.26), respectively (all <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.01). For postpartum, the summary <jats:italic>r<\/jats:italic>\u202f=\u202f0.35 (95% CI: 0.26, 0.43; <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.01) (reverse scoring group), and for the four dimensions: 0.30 (95% CI: 0.23, 0.38), \u22120.41 (95% CI: \u22120.46, \u22120.36), 0.27 (95% CI: 0.20, 0.35), and \u22120.34 (95% CI: \u22120.39, \u22120.28), respectively (all <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.01). The results for all subgroups were robust, with no significant publication bias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Body dissatisfaction is consistently and moderately associated with perinatal depression. Early identification and interventions may help prevent depression and improve maternal\u2013infant health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Systematic review registration<\/jats:title><jats:p>PROSPERO, identifier CRD42025639158, <jats:ext-link>https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD42025639158<\/jats:ext-link>.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1655639","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T04:16:59Z","timestamp":1759897019000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["The association between body image and depressive symptoms in pregnant and postpartum women: a meta-analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Jingbo","family":"He","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biru","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s00737-022-01204-0","article-title":"Emotion regulation during pregnancy: a call to action for increased research, screening, and intervention","volume":"25","author":"Penner","year":"2022","journal-title":"Arch Womens Ment Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e266","DOI":"10.1016\/j.wombi.2019.05.009","article-title":"Yummy mummy - the ideal of not looking like a 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