Mangialavori Sonia, Fontana Andrea, Terrone Grazia, Topino Eleonora, Trani Lucrezia, Trincia Valeria, Lisi Giulia, Ducci Giuseppe, Cacioppo Marco
Department of Pathophysiology and Transplantation, University of Milano, 20122 Milan, Italy.
Department of Human Science, Libera Università Maria Santissima Assunta, LUMSA, 00193 Rome, Italy.
Behav Sci (Basel). 2024 Sep 2;14(9):773. doi: 10.3390/bs14090773.
Prenatal attachment refers to the affective investment that parents develop towards their unborn baby during pregnancy. Studies have identified depressive symptoms, affect dysregulation, and poor marital adjustment as potential risk factors for poor prenatal attachment. However, no research has concurrently examined these factors. This study aims to explore the simultaneous impact of depressive symptomatology, alexithymia, and couple functioning on prenatal attachment to develop a more comprehensive understanding of the factors shaping the emotional bond between expectant mothers and their fetuses.
This cross-sectional study involved 344 women (mean age = 34.1, SD = 4.6) in their last trimester of pregnancy recruited from the National Health System. The participants completed the Edinburgh Postnatal Depression Scale, the Twenty-Item Toronto Alexithymia Scale, the Dyadic Adjustment Scale, and the Maternal Antenatal Attachment Scale.
Regression analyses indicated that perinatal depression and alexithymia negatively affected the Quality of Prenatal Attachment, while Dyadic Cohesion served as a protective factor.
The results emphasize the need for early identification of perinatal depression and alexithymia, along with targeted interventions aimed at supporting Dyadic Cohesion during pregnancy. These efforts are crucial for fostering positive prenatal attachment and enhancing maternal mental health.
产前依恋是指父母在孕期对未出生胎儿产生的情感投入。研究已确定抑郁症状、情感失调和婚姻关系调适不良是产前依恋不佳的潜在风险因素。然而，尚无研究同时考察这些因素。本研究旨在探讨抑郁症状、述情障碍和夫妻功能对产前依恋的同时影响，以更全面地理解塑造准妈妈与其胎儿之间情感纽带的因素。
这项横断面研究纳入了从国家卫生系统招募的344名处于妊娠晚期的女性（平均年龄=34.1，标准差=4.6）。参与者完成了爱丁堡产后抑郁量表、多伦多述情障碍20项量表、二元调适量表和母亲产前依恋量表。
回归分析表明，围产期抑郁和述情障碍对产前依恋质量有负面影响，而二元凝聚力起到保护作用。
研究结果强调了早期识别围产期抑郁和述情障碍的必要性，以及在孕期针对支持二元凝聚力的有针对性干预措施。这些努力对于促进积极的产前依恋和改善孕产妇心理健康至关重要。
