AI Article Synopsis
- Maternal depression and anxiety can negatively affect both mothers and their children, and this study looked at how probiotics and fish oil can influence these issues during and after pregnancy.
- In a sample of 439 overweight women, various intervention groups were compared using validated scales to assess depressive and anxiety symptoms at different stages of pregnancy and postpartum.
- The results showed that while the interventions had some impact on depressive symptoms during pregnancy, dietary quality and certain perinatal events played a more significant role in influencing mental health outcomes.
Article Abstract
Background: Maternal depression and anxiety may endanger well-being of both mother and child. We investigated the efficacy of probiotics and/or fish oil (FO) in modifying pre- and postnatal depressive and anxiety symptoms. Symptom trajectories were identified and the influence of lifestyle factors on symptoms was evaluated.
Methods: Overweight women (n = 439) were randomized to intervention groups (probiotics+FO, probiotics+placebo, FO+placebo, placebo+placebo) from early pregnancy until six months postpartum, and assessed for depressive and anxiety symptoms with Edinburgh Postnatal Depression Scale (EPDS) and Anxiety subscale of Symptoms Checklist (SCL-90) at early and late pregnancy and three, six and 12 months postpartum. Latent growth mixture modeling was used to model the symptom courses. Dietary quality and physical activity were assessed with validated indices.
Results: Symptom scores were generally low. Statistically significant intervention effect was seen during pregnancy (p = 0.017): EPDS scores increased (by 1.11 points) in the FO+probiotics group and decreased (by 0.85 points) in the FO+placebo group. At 12 months postpartum, FO+placebo group had lower EPDS scores compared to probiotics+placebo group (p = 0.039). No differences in SCL scores were seen in response to the intervention. Irrespective of the intervention, three depressive and two anxiety symptoms trajectories were identified. Dietary quality correlated negatively with depressive symptoms in early pregnancy and six months postpartum and with anxiety symptoms in early pregnancy. Perinatal events including mother-reported colic were related to symptoms.
Limitations: Secondary outcomes of the primary trial.
Conclusions: Intervention had a modest impact on depressive symptoms. Diet and obstetric events were associated with depressive and anxiety symptoms.
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| http://dx.doi.org/10.1016/j.jad.2021.04.006 | DOI Listing |
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