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Background Public health efforts to promote breastfeeding have resulted in many women expecting to exclusively breastfeed their infants. Women who plan to exclusively breastfeed but are not able to do so may experience psychological distress, including poor body image and symptoms of depression. Aim We sought to investigate discrepancies between desired and actual breastfeeding behaviors, appreciation of the functionality of one's body, and self-compassion, in relation to symptoms of depression. Methods A convenience sample of women (N