Cited by 253Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareMaternal and Perinatal Health Interventions

Depression and anxiety in perinatal period: prevalence and risk factors in an Italian sample

Giardinelli, L., Innocenti, A., Benni, L., Stefanini, M. C., Lino, G., Lunardi, C., Svelto, V., Afshar, S. +3 more·2012·Archives of Women s Mental Health

Abstract

Accumulating evidence suggests that pregnancy does not protect women from mental illness. The aim of this study was to assess the prevalence, sociodemographic correlates, and the risks factors for perinatal depression and anxiety. Five hundred ninety women between 28th and the 32nd gestational weeks were recruited and submitted to a sociodemographic, obstetric, and psychological interview. The Edinburgh Postnatal Depression Scale (EPDS) and the state-trait anxiety inventory (STAI-Y) were also administered in antenatal period and 3 months postnatally. The Structured Clinical Interview for DSM-IV (SCID-I) was used to diagnose mood and anxiety disorders. Three months after delivery, EPDS was administered by telephone interview. Women with an EPDS score ≥10 were 129 in antenatal period (21.9%) and 78 in postnatal period (13.2%). During pregnancy 121 women (20.5%) were positive for STAI-Y state and 149 women (25.3%) for STAI-Y trait. The most important risk factors for antenatal depression are: foreign nationality, conflictual relationship with family and partner, and lifetime psychiatric disorders. The principal risk factors for postnatal depression are: psychiatric disorders during pregnancy and artificial reproductive techniques. Psychiatric disorders, during and preceding pregnancy, are the strongest risk factors for antenatal state and trait anxiety. Antenatal depressive and anxiety symptoms appear to be as common as postnatal symptoms. These results provide clinical direction suggesting that early identification and treatment of perinatal affective disorders is particularly relevant to avoid more serious consequences for mothers and child.

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Crossref · 10.1007/s00737-011-0249-8

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  • In the general obstetric population, reported antenatal depression prevalence is 12-18% and antenatal anxiety prevalence is 13-21%.

    “In the general obstetric population, between 12% and 18% of women are reported to experience antenatal depression and 13 to 21% experience antenatal anxiety, though estimates vary widely and are higher in certain groups of women with additional risk factors, such as women with obstetric complications9–12.”

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Authors
Giardinelli, L., Innocenti, A., Benni, L., Stefanini, M. C., Lino, G., Lunardi, C., Svelto, V., Afshar, S., Bovani, R., Castellini, G., & Faravelli, C.
Affiliations
University of Florence (IT)
Corresponding author
Giardinelli, L.
Venue
Archives of Women s Mental Health
Published
2011-12-29
Volume
15
Issue
1
Pages
21-30
ISSN
  • 1434-1816 (ISSN-L)
  • 1435-1102
OpenAlex
W2097816165
Cited by
253
References
76
Citations by year
2026: 10 · 2025: 14 · 2024: 25 · 2023: 21 · 2022: 23 · 2021: 24 · 2020: 26 · 2019: 25 · 2018: 20 · 2017: 14 · 2016: 12 · 2015: 17 · 2014: 15 · 2013: 3 · 2012: 3
FWCI
6.60
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Women s Mental Health (publishedVersion)
  • PubMed (publishedVersion)
  • Florence Research (University of Florence) (submittedVersion)
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
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
perinatal depression, perinatal anxiety, antenatal depression, postpartum depression, pregnancy, risk factors, prevalence, sociodemographic correlates, foreign nationality, family conflict, lifetime psychiatric disorders, artificial reproductive techniques, Edinburgh Postnatal Depression Scale, State-Trait Anxiety Inventory
MeSH terms
Adult, Anxiety Disorders, Depressive Disorder, Female, Humans, Interviews as Topic, Italy, Pregnancy, Pregnancy Complications, Psychiatric Status Rating Scales, Risk Factors, Comorbidity, Prevalence, Perinatal Care, Young Adult

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