Anxiety, Prenatal Attachment, and Depressive Symptoms in Women with Diabetes in Pregnancy

• Type of Material: Article
• Authors: Angela Napoli, Sapienza University Rome; Dorian Lamis, Emory University; Isabella Berardelli, Sapienza University Rome; Valeria Canzonetta, Sapienza University Rome; Salvatore Sarubbi, Sapienza University Rome; Elena Rogante, Sapienza University Rome; Pietro-Luca Napoli, Sapienza University Rome; Gianluca Serafini, University of Genoa; Denise Erbuto, Sapienza University Rome; Renata Tambelli, Sapienza University Rome; Mario Amore, University of Genoa; Maurizio Pompili, Sapienza University Rome
• Language: English
• Date: 2020-01-02
• Publisher: MDPI
• Publication Version: Final Published Version
• Copyright Statement: © 2020 MDPI.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.3390/ijerph17020425
• Title of Journal or Parent Work: International Journal of Environmental Research and Public Health
• Volume: 17
• Issue: 2
• Grant/Funding Information: Supported in part by a grant from Fondazione Internazionale Menarini to the Department of Neurosciences, Mental Health and Sensory Organs (to D.E.).; This research received no external funding.
• Keywords: Postpartum; Disorders; Life Sciences & Biomedicine; Antenatal anxiety; depressive symptoms; Environmental Sciences & Ecology; Environmental Sciences; Public, Environmental & Occupational Health; Postnatal depression; Prevalence; Science & Technology; prenatal attachment; International neuropsychiatric review; Reliability; Validity; Maternal-fetal attachment; Risk-factors; anxiety; diabetes in pregnancy
• Research Categories: Women's Studies; Psychology, Cognitive; Psychology, Behavioral; Health Sciences, Obstetrics and Gynecology; Health Sciences, Occupational Health and Safety

Abstract

The purpose of this study was to evaluate the relationship between anxiety, prenatal attachment, and depressive symptoms among women with diabetes in pregnancy. Participants were 131 consecutive pregnant women between the ages of 20 and 45 with a diagnosis of gestational or pregestational type 1 or type 2 diabetes. Data on previous psychiatric symptoms were obtained from the Anamnestic and Social Questionnaire and the Mini‐International Neuropsychiatric Interview (MINI). Information on prenatal attachment was collected using The Prenatal Attachment Inventory (PAI), and The Edinburgh Postnatal Depression Scale (EPDS) assessed depressive symptoms in the third trimester of pregnancy (at a mean of 25 weeks). Results demonstrated that in women affected by diabetes in pregnancy, two facets of prenatal attachment (anticipation, interaction) were negatively correlated with depressive symptoms, and a history of anxiety, assessed with the MINI, moderated the relation between the prenatal attachment interaction factor and depressive symptoms during pregnancy.