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Cited by 405Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareAttachment and Relationship Dynamics

Relationships among maternal–fetal attachment, prenatal depression, and health practices in pregnancy

Lindgren, Kelly·2001·Research in Nursing & Health
DOI 10.1002/nur.1023
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Abstract

The purpose of this study was to investigate a conceptual model in which depression was proposed to have direct negative effects on positive health practices as well as indirect negative effects through maternal-fetal attachment (MFA). Participants were 252 adult pregnant women, between 20 and 40 weeks postgestation, who were recruited from five prenatal care sites. Data were collected using mailed self-report instruments measuring MFA, depression, health practices, and demographic and pregnancy information. Hierarchical regression was used to examine direct and indirect effects of depression, person characteristics (maternal age, pregnancy risk status, parity, ethnicity, education, income, marital status), and MFA on health practices. Results of the study supported the conceptual model. Higher education, lower parity, and being partnered predicted more positive health practices (p <05). After controlling for person characteristics, depression was found to be a significant predictor of MFA. Both depression and MFA were significant predictors of positive health practices but in opposite directions. Depression had a negative relationship and MFA a positive relationship with positive health practices.

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Crossref · 10.1002/nur.1023

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  • A second team reported that the level of self-reported depression in healthy pregnant women accounted for only 3% of the variance in prenatal attachment.

    “A second team reported that the level of self-reported depression in healthy pregnant women accounted for only 3% of the variance in prenatal attachment.36”

    From Prenatal Depression in Women Hospitalized for Obstetric Risk (2008) · cites this paper as [36]

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Authors
Lindgren, K.
Affiliations
University of Wisconsin–Madison (US)
Corresponding author
Lindgren, Kelly
Venue
Research in Nursing & Health
Publisher
Wiley
Published
2001-06
Volume
24
Issue
3
Pages
203-217
ISSN
  • 0160-6891 (ISSN-L)
  • 1098-240X
DOI
10.1002/nur.1023
OpenAlex
W1965850400
Cited by
405
References
68
Citations by year
2026: 7 · 2025: 12 · 2024: 16 · 2023: 21 · 2022: 27 · 2021: 25 · 2020: 31 · 2019: 25 · 2018: 17 · 2017: 23 · 2016: 22 · 2015: 24 · 2014: 24 · 2013: 17 · 2012: 18
FWCI
4.24
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 47 d)
Locations
  • Research in Nursing & Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Keywords
maternal-fetal attachment, antenatal depression, pregnant women, maternal mental health, parity, marital status, maternal education
MeSH terms
Adult, Cross-Sectional Studies, Depression, Female, Humans, Models, Psychological, Mother-Child Relations, Object Attachment, Pregnancy, Regression Analysis, Risk, Socioeconomic Factors, Midwestern United States, Health Behavior

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