Effects of maternal psychological distress and perception of COVID-19 on prenatal attachment in a large sample of Italian pregnant women

JOURNAL OF AFFECTIVE DISORDERS

卷:295

Article

Craig, Francesco¹  Gioia, Maria Cecilia^2,3  Muggeo, Vito⁴  Cajiao, Juanita^5,9  Aloi, Alessia³  Martino, Iolanda⁶  Tenuta, Flaviana¹  Cerasa, Antonio^7,8  Costabile, Angela¹ 

[1] Univ Calabria, Dept Cultures Educ & Soc, Cosenza, Italy

[2] iGreco Osped Riuniti, Sacro Cuore, Corso Italia 50, I-87100 Cosenza, CS, Italy

[3] Assoc Volontariato Mammachemamme, Cosenza, Italy

[4] Univ Palermo, Dept Econ Business & Stat, Palermo, Italy

[5] Univ Barcelona, Fac Med, Barcelona, Spain

[6] Magna Graecia Univ Catanzaro, Inst Neurol, Dept Med & Surg Sci, Catanzaro, Italy

[7] Natl Res Council IRIB CNR, Inst Biomed Res & Innovat, I-98164 Messina, Italy

[8] SAnna Inst, I-88900 Crotone, Italy

[9] Fdn Univ CAFAM, Grp Invest Salud, Bogota, Colombia

关键词: Prenatal attachment;    COVID-19 risk perception;    Psychological distress;    Maternal-fetal attachment;   

DOI  :  10.1016/j.jad.2021.08.102

来源: Elsevier

【 摘 要 】

Background: Evidence concerning the impact of COVID-19-related stress exposure on prenatal attachment in pregnant women is unknown. In this study we sought to assess the effect of psychological distress and risk perception of COVID-19 on prenatal attachment in a Italian sample of pregnant women. Methods: 1179 pregnant women completed an anonymous online survey and self-report questionnaires measuring socio-demographic and obstetric characteristics, psychological distress (STAI Form Y-1-2 and BDI-II), prenatal attachment (PAI) and risk perception of COVID-19. Data were collected from March 2020 to April 2020 referring to the national lockdown period. Results: After adjusting for the socio-demographic and obstetric factors in the multivariable analysis, we found out the state anxiety was shown to be a significant predictor (p < 0001) of prenatal attachment. Moreover, the COVID-19-risk perception positively moderate the relationship between trait anxiety and prenatal attachment (p=0008), indicating that when COVID-19-risk perception is high, the effects of trait anxiety on prenatal attachment is attenuated. The synergistic effect between STAI Form Y-1 and COVID-19-risk perception index on PAI is partially mediated by STAI Form Y-2 score. Conclusions: Findings from this study showed that state anxiety related to COVID-19 outbreak in pregnant women may affect the prenatal attachment process of the expectant mother negatively. However, an adequate and functional perception of COVID-19 could enhance prenatal attachment. These results underline the importance of monitoring the prenatal attachment process and the mother's mental health during pandemics, to safeguard maternal and infant mental health.

【 授权许可】

Free