Article

The Relationship between Depression and Body Dissatisfaction across Pregnancy and the Postpartum A Prospective Study

School of Psychological Science, La Trobe University, Australia.
Journal of Health Psychology (Impact Factor: 1.22). 02/2009; 14(1):27-35. DOI: 10.1177/1359105308097940
Source: PubMed

ABSTRACT

The overall aim of this study was to examine the relationship between depression and body dissatisfaction across pregnancy and the first 12 months postpartum. During pregnancy, women's (N = 116) perceived attractiveness and strength/fitness remained stable, while feeling fat and salience of weight/shape decreased in late pregnancy. During the postpartum, feeling fat and salience of weight/shape increased. Depression and body dissatisfaction scores were correlated with each other concurrently and across multiple time points. However, in baseline-controlled prospective analyses, only a model of greater depression late in pregnancy predicting body dissatisfaction at six weeks postpartum and feeling fat throughout the postpartum was supported.

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    • "Snowball sampling; Two towns, clinic and community N = 14 couples 24 Caucasian, 1 Asian, 2 Hispanic; Middle class 22-39 Married N = 14 primiparas Separate SSI 28 – 36 weeks gestation, and 2-6 weeks pp; Hermaneutic approach Interactionist/ dramaturgical B Carter (2010) US [24] Concept of control body/self in pregnancy and childbirth Theoretical and snowball sampling; Birth centres N = 18 3 Hispanic, 1 African American, 10 White; n = 13 upper/middle, n = 5 lower middle/ working class NS NS n = 15 primi(n = 1 with adopted child) and n = 3 multiparas SSI at 6-18 months pp; Narrative analysis Social constructionism B Clark et al. (2009) "
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    ABSTRACT: Background Pregnancy-related physical changes can have a significant impact on a woman’s body image. There is no synthesis of existing literature to describe the intricacies of women’s experiences of their body, and relevant clinical implications. Methods Four electronic databases were searched in February 2014 using predefined search terms. English-language, qualitative studies published between January 1992 and December 2013 exploring pregnancy and postpartum body image were included. Following quality appraisal, 17 papers were synthesised using the interpretive thematic synthesis approach within a social constructionist framework. Results Three themes were highlighted: “Public Event: ‘Fatness’ vs. Pregnancy”, “Control: Nature vs. Self”, and “Role: Woman vs. Mother”. Women perceived the pregnant body to be out of their control and as transgressing the socially constructed ideal, against which they tried to protect their body image satisfaction. Women perceived the physical manifestation of the mothering role as incongruent to their other roles as a wife or partner, or working woman. Body dissatisfaction dominated the postpartum period. Conclusions Women’s perception of their pregnancy body image is varied and depends on the strategies they use to protect against social constructions of female beauty. Women have unrealistic expectations for their postpartum body, highlighting this as an area where women need better support. Attending to women’s narratives about their pregnant body may identify at-risk women and provide an opportunity for health professionals to provide support to either address or accept body image dissatisfaction. Clinical communication training may enable health professionals to explore body image concerns with women and guide them in identifying ways of accepting or reducing any dissatisfaction.
    Full-text · Article · Sep 2014 · BMC Pregnancy and Childbirth
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    • "In addition, restrained eating post-pregnancy might influence feeding behaviour of infants. For example, a positive association was found between mothers who restrain their own eating and restrictive feeding of their newborn (Clark et al., 2009). In other words, having given birth, mothers' eating behaviours and well-being impact both themselves and also affect their infants. "
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    ABSTRACT: Maternal body mass index (BMI) is associated with negative body image and restrained eating which are experienced differently across cultures. The present study aimed to: 1) examine if self-esteem, eating behaviours and body satisfaction changed from early pregnancy to 2-6m after giving birth; 2) explore changes according to country (Israel vs. UK) and BMI; and 3) determine any relationship between these measurements and infant feeding. Participants completed questionnaires assessing self-esteem, body image and eating /feeding behaviours. Multilevel linear modelling was used to account for change and to assess the independent impact of BMI on outcomes. 73 women and infants participated in the study in early pregnancy and again 16(9) weeks following birth. Women gained 1.5 kg (range -12+23) and UK mothers reported significantly greater body dissatisfaction, but self-esteem and eating behaviours remained stable. BMI was the main predictor of self-esteem, eating behaviours and body satisfaction. Mothers' perceptions of infant's eating did not vary according to BMI or country, however heavier mothers reported feeding their infant according to a schedule. The first months after giving birth are a key time to assess adjustment to motherhood but later assessments are necessary in order to track changes beyond the early period post-pregnancy.
    Full-text · Article · Jun 2014 · Appetite
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    • "In addition, restrained eating post-pregnancy might influence feeding behaviour of infants. For example, a positive association was found between mothers who restrain their own eating and restrictive feeding of their newborn (Clark et al., 2009). In other words, having given birth, mothers' eating behaviours and well-being impact both themselves and also affect their infants. "
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    ABSTRACT: This study examined the relationship between self-esteem, restrained eating, body image and body mass index during pregnancy. A total of 110 pregnant Israeli and UK women completed the Rosenberg Self-Esteem Questionnaire, the Dutch Eating Behaviour Questionnaire, scales to assess body image and demographics. Body mass index was calculated from antenatal records. Regression modelling determined the relationship between variables, countries and body mass index categories. High correlations were found between body image and body mass index with significantly higher body dissatisfaction for Israeli women. Self-esteem scores for pregnant women were similar to those reported for non-pregnant women. Poorer body image and higher prevalence of restrained eating were found in healthy weight Israeli women.
    Full-text · Article · Oct 2013 · Journal of Health Psychology
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