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

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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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10.1037/0022-006X.63.3.445 · DOI
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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 › Medicine › Pediatrics, Perinatology and Child Health › 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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Relationships among maternal–fetal attachment, prenatal depression, and health practices in pregnancy

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