Status and influencing factors of anxiety and depression in pregnant women with hypertensive disorders of pregnancy

doi:10.5498/wjp.117399

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World Journal of Psychiatry

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2220-3206

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Psychiatry. Jul 19, 2026; 16(7): 117399
Published online Jul 19, 2026. doi: 10.5498/wjp.117399

Status and influencing factors of anxiety and depression in pregnant women with hypertensive disorders of pregnancy

Ning Yang, Ya-Hong Chen, Li-Xia Li, Xiao-Lu Lai

Ning Yang, Ya-Hong Chen, Xiao-Lu Lai, Department of Obstetrics, The Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, Fujian Province, China

Li-Xia Li, Department of Psychiatry, The Third Hospital of Quanzhou, Quanzhou 362000, Fujian Province, China

Co-first authors: Ning Yang and Ya-Hong Chen.

Author contributions: Yang N and Chen YH contributed to the study’s conceptualization, methodology, data analysis, and original draft writing, and they contributed equally to this manuscript and are co-first authors; Li LX was responsible for data curation; Lai XL contributed to the study’s conceptualization, methodology, supervision, review, editing, and funding acquisition. All the authors have reviewed and approved the final manuscript.

Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of the Second Affiliated Hospital of Fujian Medical University, No. 2025-606.

Informed consent statement: All study participants or their legal guardians provided written informed consent before study enrollment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.

Data sharing statement: Data supporting the findings of this study are available from the corresponding author upon request.

Corresponding author: Xiao-Lu Lai, Department of Obstetrics, The Second Affiliated Hospital, Fujian Medical University, No. 950 Donghai Street, Fengze District, Quanzhou 362000, Fujian Province, China. xiaolulai0923@163.com

Received: January 23, 2026
Revised: March 4, 2026
Accepted: April 7, 2026
Published online: July 19, 2026
Processing time: 156 Days and 1.9 Hours

Core Tip

Core Tip: The prevalence of anxiety and depressive symptoms in patients with hypertensive disorders of pregnancy was relatively high (41.91%). This study identified low education levels, postpartum separation of the mother and child, insufficient family support, and sleep disorders as significant risk factors. The decision tree demonstrating the degree of family care as the root node had good predictive performance (area under the curve = 0.826). This model provides an effective tool for the early identification of individuals with hypertensive disorders of pregnancy at high risk of anxiety and depression.