Joint Developmental Trajectories of Perinatal Depression and Anxiety and Their Predictors: A Longitudinal Study.

ow–stable depression and low–stable anxiety group” (I dep = 1.293, p < 0.001, I anx = 1.744, p < 0.001, S dep = 0.029, p = 0.344, S anx = −0.135, p = 0.03); class 3 included 26% of pregnant women (n = 275) with moderate initial levels of depression and anxiety, and a decreasing trend in anxiety and a slightly increasing trend in depression, named “moderate–slightly increasing depression and moderate–decreasing anxiety group” (I dep = 6.925, p < 0.001, I anx = 5.804, p < 0.001, S dep = 0.144, p = 0.375, S anx = −0.769, p < 0.001).

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l depression and anxiety, named “low–stable depression and low–stable anxiety group” (I dep = 1.293, p < 0.001, I anx = 1.744, p < 0.001, S dep = 0.029, p = 0.344, S anx = −0.135, p = 0.03); class 3 included 26% of pregnant women (n = 275) with moderate initial levels of depression and anxiety, and a decreasing trend in anxiety and a slightly increasing trend in depression, named “moderate–slightly increasing depression and moderate–decreasing anxiety group” (I dep = 6.925, p < 0.001, I anx = 5.804, p < 0.001, S dep = 0.144, p = 0.375, S anx = −0.769, p < 0.001).

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Specifically, the trajectories of perinatal depression were classified into the following four classes: class 1 (n = 186) showed an overall moderate level, with an increasing trend in late pregnancy and postpartum, classified as the “moderate risk depression group”; class 2 (n = 204) presented an overall low level, with a slight increase in the postpartum period, classified as the “low risk depression group”; class 3 (n = 596) consistently maintained at a very low level, as the “consistently low depression group”; and class 4 (n = 76) showed an overall high-risk level, as the “high risk depression group” ( Figure 1 a).

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