Background
Methods
Procedures
Participants
Total sample
n = 741 | Normal weight
n = 531 | Underweight
n = 40 | Overweight
n = 114 | Obesity
n = 56 | Test statistic |
p-value | |
---|---|---|---|---|---|---|---|
Demographic characteristics
| |||||||
Age, M (SD) | 30.58 (4.49) | 30.73 (4.42) | 29.65 (4.26) | 30.79 (4.56) | 29.34 (4.98) | 2.30a
| 0.076 |
Nationality other than German, n (%) | 36 (4.9) | 29 (5.5) | 0 (0.0) | 5 (4.5) | 2 (3.6) | 2.70b
| 0.440 |
Married/cohabiting, n (%) | 588 (79.6) | 432 (81.7) | 27 (67.5) | 88 (77.2) | 41 (73.2) | 6.80 b
| 0.079 |
Multipara, n (%) | 296 (40.2) | 204 (38.6) | 14 (35.0) | 51 (45.1) | 27 (48.2) | 3.63b
| 0.305 |
Low education, n (%) | 22 (3.0) | 11 (2.1) | 0 (0.0) | 7 (6.1) | 4 (7.3) |
10.12
b
|
0.018
|
Maternal postpartum mental health
| |||||||
Depression (BDI-II ≥ 19), n (%) | 47 (6.4) | 30 (5.6) | 2 (5.0) | 7 (6.2) | 8 (14.3) | 6.49b
| 0.090 |
Anxiety (SCL-90-R anxiety subscale >2, highest quartile), n (%) | 152 (20.5) | 108 (20.3) | 8 (20.0) | 27 (23.7) | 9 (16.1) | 1.40b
| 0.706 |
Measures
Data analysis
Results
Prevalence of pre-pregnancy BMI status and childhood maltreatment
Childhood maltreatment and pre-pregnancy BMI status
Underweight | Overweight | Obesity | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Model 1 a
| Model 2 b
| Model 1 a
| Model 2 b
| Model 1 a
| Model 2 b
| |||||||
adj. OR | 95% CI | adj. OR | 95% CI | adj. OR | 95% CI | adj. OR | 95% CI | adj. OR | 95% CI | adj. OR | 95% CI | |
Sexual abuse
| ||||||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||||
Slight | 1.19 | 0.27-5.34 | 1.30 | 0.28-6.04 | 0.53 | 0.16-1.81 | 0.55 | 0.16-1.89 | 1.15 | 0.33-4.03 | 1.10 | 0.30-4.02 |
Moderate | 1.79 | 0.50-6.40 | 1.61 | 0.39-6.62 | 0.46 | 0.13-1.60 | 0.35 | 0.15-1.95 | 0.33 | 0.04-2.59 | 0.23 | 0.03-1.88 |
Severe | 0.68 | 0.08-5.48 | 0.80 | 0.10-6.74 | 0.77 | 0.22-2.74 | 0.91 | 0.25-3.37 | 0.92 | 0.20-4.28 | 0.65 | 0.13-3.19 |
Physical abuse
| ||||||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||||
Slight | 1.32 | 0.29-5.97 | 1.80 | 0.37-8.74 | 0.58 | 0.17-1.98 | 0.63 | 0.18-2.24 | 1.45 | 0.41-5.13 | 1.75 | 0.46-6.67 |
Moderate | 4.26 | 0.82-22.17 | 5.42 | 0.82-35.87 | 0.51 | 0.10-2.66 | 0.60 | 0.12-3.35 | 2.53 | 0.59-10.87 | 3.45 | 0.70-17.05 |
Severe | – | – | – | – | 0.40 | 0.05-3.23 | 0.44 | 0.05-3.93 |
3.86
|
1.10-13.58
|
5.24
|
1.15-23.75
|
Emotional abuse
| ||||||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||||
Slight | 1.10 | 0.41-2.95 | 0.73 | 0.24-2.24 | 0.73 | 0.36-1.47 | 0.76 | 0.36-1.61 | 0.45 | 1.16-12.94 | 0.48 | 0.12-1.62 |
Moderate | 1.27 | 0.16-10.25 | 1.15 | 0.12-11.03 | 1.13 | 0.31-4.16 | 1.36 | 0.33-5.59 |
3.88
|
1.16-12.94
|
4.20
|
0.99-17.86
|
Severe | 0.57 | 0.07-4.42 | 0.45 | 0.04-4.80 | 0.48 | 0.14-1.67 | 0.71 | 0.16-3.25 | 2.08 | 0.78-5.56 | 1.90 | 0.43-8.44 |
Physical neglect
| ||||||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||||
Slight | 0.15 | 0.02-1.08 |
0.13
|
0.02-0.94
| 1.11 | 0.63-1.95 | 1.13 | 0.63-2.45 | 0.79 | 0.32-1.94 | 0.77 | 0.31-1.92 |
Moderate | 0.33 | 0.04-2.51 | 0.19 | 0.01-1.62 | 0.75 | 0.29-1.90 | 0.89 | 0.33-2.45 | 1.04 | 0.34-3.18 | 0.87 | 0.24-3.09 |
Severe | 1.45 | 0.17-12.58 | 0.76 | 0.07-7.89 | 1.02 | 0.25-4.12 | 1.45 | 0.33-6.31 |
4.43
|
1.32-14.91
| 3.58 | 0.88-14.62 |
Emotional neglect
| ||||||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||||
Slight | 1.72 | 0.82-3.61 | 2.05 | 0.91-4.63 | 1.02 | 0.60-1.73 | 1.16 | 0.67-2.01 | 0.82 | 0.37-1.82 | 0.89 | 0.38-2.08 |
Moderate | – | – | – | – | 1.18 | 0.38-3.66 | 2.19 | 0.60-8.03 | 0.55 | 0.07-4.35 | 0.70 | 0.07-6.73 |
Severe | 0.75 | 0.09-5.94 | 1.68 | 0.13-22.21 | 0.91 | 0.3-2.64 | 2.34 | 0.58-9.40 |
3.33
|
1.29-8.61
|
4.07
|
0.91-18.35
|
Childhood maltreatment and maternal postpartum mental health
Depression (BDI-II ≥ 19) | Anxiety (SCL-90-R anxiety subscale >2, highest quartile) | |||||||
---|---|---|---|---|---|---|---|---|
Model 1 a
| Model 2 b
| Model 1 a
| Model 2 b
| |||||
adj. OR | 95% CI | adj. OR | 95% CI | adj. OR | 95% CI | adj. OR | 95% CI | |
Sexual abuse
| ||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||
Slight | 1.03 | 0.23-4.55 | 0.53 | 0.10-2.73 | 1.42 | 0.61-3.26 | 1.01 | 0.41-2.78 |
Moderate | – | – | – | – | 1.87 | 0.83-4.20 | 0.79 | 0.33-1.93 |
Severe |
9.46
|
3.62-24.69
|
3.81
|
1.28-11.30
|
6.72
|
2.75-16.41
|
3.70
|
1.42-9.61
|
Physical abuse
| ||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||
Slight |
6.24
|
2.45-15.89
|
3.43
|
1.21-9.77
|
2.63
|
1.23-5.65
| 1.44 | 0.63-3.31 |
Moderate |
14.93
|
4.75-46.94
|
5.56
|
1.52-20.42
|
4.15
|
1.46-11.79
| 1.50 | 0.49-4.58 |
Severe |
8.63
|
2.49-29.90
| 2.74 | 0.68-11.00 |
3.63
|
1.22-10.83
| 1.12 | 0.34-3.67 |
Emotional abuse
| ||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||
Slight |
3.13
|
1.33-7.39
| 2.12 | 0.81-5.45 |
3.09
|
1.85-5.16
|
2.46
|
1.42-4.30
|
Moderate |
9.32
|
3.03-28.67
|
4.96
|
1.30-18.99
|
7.65
|
2.97-19.70
|
5.12
|
1.81-14.46
|
Severe |
17.36
|
7.47-40.38
|
8.28
|
2.28-30.04
|
6.23
|
2.99-12.97
|
3.81
|
1.43-10.16
|
Physical neglect
| ||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||
Slight | 1.80 | 0.82-3.95 | 1.06 | 0.43-2.57 | 1.01 | 0.60-1.72 | 0.76 | 0.43-1.34 |
Moderate | 1.33 | 0.38-4.68 | 0.24 | 0.06-1.0 |
2.16
|
1.07-4.34
| 0.81 | 0.36-1.82 |
Severe |
7.36
|
2.40-22.60
| 1.27 | 0.31-5.16 |
4.89
|
1.80-13.28
| 1.88 | 0.61-5.83 |
Emotional neglect
| ||||||||
None |
Ref.
|
Ref.
|
Ref.
|
Ref.
| ||||
Slight |
3.47
|
1.66-7.24
|
2.68
|
1.20-5.98
|
2.27
|
1.48-3.51
|
1.73
|
1.08-2.76
|
Moderate |
10.06
|
3.28-30.84
|
4.85
|
1.21-19.39
|
5.02
|
2.05-12.30
| 2.01 | 0.72-5.58 |
Severe |
14.27
|
5.70-35.77
|
5.59
|
1.39-22.57
|
4.49
|
2.09-9.94
| 1.46 | 0.52-4.10 |
Associations between pre-pregnancy BMI status and childhood maltreatment with maternal postpartum mental health
Depression (BDI-II ≥ 19) | Anxiety (SCL-90-R > 2, highest quartile) | |||
---|---|---|---|---|
adj. OR a
| 95% CI | adj. OR a
| 95% CI | |
Pre-pregnancy BMI
| ||||
Normal weight |
Ref.
|
Ref.
| ||
Underweight | 0.90 | 0.21-3.96 | 1.07 | 0.48-2.41 |
Overweight | 1.02 | 0.43-2.40 | 1.22 | 0.75-1.99 |
Obesity |
2.55
|
1.08-6.00
| 0.77 | 0.36-1.64 |
Depression (BDI-II ≥ 19) | ||||
---|---|---|---|---|
Model 1a
| Model 2b
| |||
Adj. OR | 95% CI | Adj. OR | 95% CI | |
Pre-pregnancy BMI and sexual abuse
| ||||
BMI
c
| ||||
Underweight | 1.01 | 0.22-4.57 | 0.48 | 0.09-2.65 |
Overweight | 1.06 | 0.44-2.54 | 1.35 | 0.53-3.41 |
Obesity |
2.61
|
1.08-6.33
| 1.85 | 0.65-5.25 |
Sexual abuse
d
| ||||
Slight | 0.99 | 0.22-4.46 | 0.55 | 0.11-2.88 |
Moderate | – | – | – | – |
Severe |
9.72
|
3.69-25.90
|
4.01
|
1.35-11.90
|
Pre-pregnancy BMI and physical abuse
| ||||
BMI
c
| ||||
Underweight | 0.69 | 0.14-3.35 | 0.59 | 0.12-3.00 |
Overweight | 1.24 | 0.51-3.06 | 1.36 | 0.54-3.39 |
Obesity | 2.05 | 0.81-5.22 | 2.08 | 0.78-5.59 |
Physical abuse
d
| ||||
Slight |
6.28
|
2.45-16.10
|
3.53
|
1.23-10.13
|
Moderate |
15.57
|
4.79-50-70
|
5.92
|
1.55-22.61
|
Severe |
7.59
|
2.11-27.31
| 2.44 | 0.59-10.18 |
Pre-pregnancy BMI and emotional abuse
| ||||
BMI
c
| ||||
Underweight | 0.99 | 0.21-4.62 | 0.73 | 0.15-3.52 |
Overweight | 1.27 | 0.52-3.12 | 1.35 | 0.54-3.37 |
Obesity | 2.00 | 0.75-5.30 | 1.87 | 0.68-5.13 |
Emotional abuse
d
| ||||
Slight |
3.27
|
1.38-7.75
| 2.22 | 0.85-5.75 |
Moderate |
8.47
|
2.70-26.55
|
4.52
|
1.15-17.79
|
Severe |
16.92
|
7.18-39.85
|
8.10
|
2.22-29.51
|
Pre-pregnancy BMI and physical neglect
| ||||
BMI
c
| ||||
Underweight | 0.96 | 0.21-4.31 | 0.58 | 0.12-2.90 |
Overweight | 1.02 | 0.43-2.43 | 1.41 | 0.57-3.47 |
Obesity | 2.21 | 0.90-5.42 | 1.92 | 0.68-5.37 |
Physical neglect
d
| ||||
Slight | 1.83 | 0.83-4.02 | 0.99 | 0.40-2.44 |
Moderate | 1.33 | 0.38-4.67 |
0.27
|
0.05-0.87
|
Severe |
6.37
|
2.01-20.14
| 1.05 | 0.25-4.52 |
Pre-pregnancy BMI and emotional neglect
| ||||
BMI
c
| ||||
Underweight | 0.94 | 0.20-4.32 | 0.70 | 0.14-3.41 |
Overweight | 1.05 | 0.43-2.56 | 1.29 | 0.52-3.25 |
Obesity | 2.10 | 0.81-5.39 | 1.96 | 0.73-5.32 |
Emotional neglect
d
| ||||
Slight |
3.51
|
1.67-7.36
|
2.76
|
1.22-6.10
|
Moderate |
10.52
|
3.40-32.57
|
4.80
|
1.20-19.22
|
Severe |
12.66
|
4.96-32.34
|
4.96
|
1.21-20.30
|