Depression and anxiety in perinatal period: prevalence and risk factors in an Italian sample
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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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.”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [10]
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“%) was comparable to the prevalence stated by the Agency of Health care Research and quality (Gaynes et al., 2005), though much lower as the prevalence of 21.9% in T3 found in a recent Italian study (Giardinelli et al., 2012).”
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“This finding is similar to that found by other researchers in studies conducted in Italy(3) and in Australia(18).”
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“The transitional nature of the perinatal period makes it an even more vulnerable time for those who report a history of mental health – referred here as individuals with pre-existing mental health problems - in the absence of other major life stress (Forray et al., 2010; Giardinelli et al., 2012; Heron et al., 2004; J…”
BackgroundVerreault, N., Costa, D. D., Marchand, A., Ireland, K., Dritsa, M., & Khalifé, S. (2014) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/0167482x.2014.947953 · Cited by 179 · see citing works
“Other factors such as younger age [2], foreign citizenship or membership in a specific ethnic/racial group [2,18,20,21], low self-esteem [22], a negative cognitive style [22], a history of abuse [22,23],”
BackgroundInfluentialPrenatal Attachment and Perinatal Depression: A Systematic Review
Rollè, L., Giordano, M., Santoniccolo, F., & Trombetta, T. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17082644 · Cited by 153 · see citing works
“Previous studies highlighted that some of the most prevalent depressive episodes were reported by women [50,138,140,141].”
BackgroundPerinatal psychiatric disorders: an overview
Paschetta, E., Berrisford, G. S., Coccia, F., Whitmore, J., WOOD, A. G., Pretlove, S., & ISMAIL, K. M. K. (2013) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2013.10.009 · Cited by 143 · see citing works
Risk factors of transient and persistent anxiety during pregnancy
Bayrampour, H., McDonald, S., & Tough, S. (2015) · Midwifery · doi:10.1016/j.midw.2015.02.009 · Cited by 141 · see citing works
“The impact of these factors on maternal mental health is well-documented; a past history of mental health problems is a major risk factor for perinatal anxiety and mood disorders (Giardinelli et al., 2012; Goodman and Tyer-Viola, 2010) and the primary reason for referral to mental health services during the perinatal…”
BackgroundDepression and anxiety during the perinatal period
Fairbrother, N., Young, A. H., Janssen, P., Antony, M. M., & Tucker, E. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0526-6 · Cited by 138 · see citing works
“This is surprising, particularly in light of the fact that AD are likely more common among pregnant and postpartum women than is depression [16].”
BackgroundShakeel, N., Eberhard-Gran, M., Sletner, L., Slinning, K., Martinsen, E., Holme, I., & Jenum, A. (2015) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-014-0420-0 · Cited by 117 · see citing works
“5% of participants with a non-Italian background [54].”
BackgroundRisk factors for antenatal depression: A review
Míguez, M. C., & Vázquez, M. B. (2021) · World Journal of Psychiatry · doi:10.5498/wjp.v11.i7.325 · Cited by 135 · see citing works
Ibañez, G. E., Charles, M.-A. A., Forhan, A., Magnin, G., Thiébaugeorges, O., Kaminski, M., & Saurel‐Cubizolles, M. (2012) · Early Human Development · doi:10.1016/j.earlhumdev.2012.01.014 · Cited by 131 · see citing works
Molgora, S., & Accordini, M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.567155 · Cited by 131 · see citing works
Lutkiewicz, K., Bieleninik, Ł., Cieślak, M., & Bidzan, M. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17155427 · Cited by 130 · see citing works
“During pregnancy and the postpartum period, women are more vulnerable to experience psychological difficulties [19] such as an increased level of stress, anxiety and depression [20].”
BackgroundViswasam, K., Eslick, G. D., & Starcevic, V. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.05.016 · Cited by 137 · see citing works
Sufredini, F., Catling, C., Zugai, J. S., & Chang, S. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.09.005 · Cited by 119 · see citing works
Review of the prevalence of postnatal depression across cultures
Arifin, S. R. M., Cheyne, H., & Maxwell, M. (2018) · AIMS Public Health · doi:10.3934/publichealth.2018.3.260 · Cited by 108 · see citing works
Maternal sensitivity and social support protect against childhood atopic dermatitis
The APrON Team, Letourneau, N. L., Kozyrskyj, A. L., Cosic, N., Ntanda, H. N., Anis, L., Hart, M. J., Campbell, T. S., & Giesbrecht, G. F. (2017) · Allergy Asthma and Clinical Immunology · doi:10.1186/s13223-017-0199-4 · Cited by 106 · see citing works
“Moreover, depressive and anxiety symptoms in pregnancy are typically worse than in the postpartum period [98, 99], so significant differences would be expected; however, how these differences may influence maternal–child relationships or onset of children’s AD is unknown.”
BackgroundAgostini, F., Neri, E., Salvatori, P., Dellabartola, S., Bozicevic, L., & Monti, F. (2014) · Maternal and Child Health Journal · doi:10.1007/s10995-014-1613-x · Cited by 97 · see citing works
“With respect to Italy, few studies have investigated antenatal depression correlates [9, 35, 36].”
BackgroundMethodResultInfluentialHetherington, E., McDonald, S., Williamson, T. S., Patten, S. B., & Tough, S. (2018) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2017-210274 · Cited by 95 · see citing works
Vázquez, M. B., & Míguez, M. C. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.12.075 · Cited by 89 · see citing works
Risk factors for antenatal anxiety: A systematic review of the literature
Bayrampour, H., Vinturache, A., Hetherington, E., Lorenzetti, D., & Tough, S. (2018) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2018.1492097 · Cited by 83 · see citing works
Alqahtani, A. H., Al-Khedair, K., Al-Jeheiman, R., Al-Turki, H. A., & Qahtani, N. A. (2018) · International Journal of Women s Health · doi:10.2147/ijwh.s153273 · Cited by 76 · see citing works
Lee, K. W., Ching, S. M., Hoo, F. K., Ramachandran, V., Chong, S. C., Tusimin, M., & Nordin, N. M. (2019) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-019-2519-9 · Cited by 74 · see citing works
Prevalence of Bipolar Disorder in Perinatal Women
Masters, G. A., Hugunin, J., Xu, W., Ulbricht, C. M., Simas, T. A. M., Ko, J. Y., & Byatt, N. (2022) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.21r14045 · Cited by 74 · see citing works
Zhang, Y., Muyiduli, X., Wang, S., Jiang, W., Wu, J., Li, M., Mo, M., Jiang, S. S., Wang, Z., Shao, B., et al. (2018) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2018.1492098 · Cited by 70 · see citing works
“The studies found that therewere higher rates of antenatal anxiety and depression in pregnant women from low- and middle-income countries, (Premji, 2014); similar results were observed in Karachi, Pakistan and rural Bangladesh (Giardinelli et al., 2012).”
BackgroundResultMolina-García, L., Hidalgo-Ruiz, M., Cocera-Ruíz, E. M., Conde-Puertas, E., Delgado‐Rodríguez, M., & Martínez‐Galiano, J. M. (2019) · PLoS ONE · doi:10.1371/journal.pone.0227063 · Cited by 69 · see citing works
“The effect of maternal age on the level of anxiety is not clear in studies to date [26, 27].”
BackgroundUmuziga, P. M., Adejumo, O., & Hynie, M. (2020) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-2747-z · Cited by 67 · see citing works
Virgara, R., Maher, C., & Van Kessel, G. (2018) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-018-1929-4 · Cited by 79 · see citing works
“risk of depression/anxiety in the third trimester [21, 22].”
BackgroundDepression in pregnancy. Prevalence and associated factors
Silva, M. M. D. J., Leite, E. P. R. C., Nogueira, D. A., & Clápis, M. J. (2016) · Investigación y Educación en Enfermería · doi:10.17533/udea.iee.v34n2a14 · Cited by 66 · see citing works
Anxiety and Depression in Women with Polycystic Ovary Syndrome
Dybciak, P., Humeniuk, E., Raczkiewicz, D., Krakowiak, J., Wdowiak, A., & Bojar, I. (2022) · Medicina · doi:10.3390/medicina58070942 · Cited by 63 · see citing works
“In turn, more highly educated people, as the evidence indicates, are more effective at finding help and at coping with stress, which shows education to be a protective factor against anxiety symptoms [64].”
BackgroundGawlik, S., Waldeier, L. M., Müller, M., Szabo, A., Sohn, C., & Reck, C. (2012) · Archives of Women s Mental Health · doi:10.1007/s00737-012-0320-0 · Cited by 63 · see citing works
Lyubenova, A., Neupane, D., Levis, B., Wu, Y., Sun, Y., He, C., Krishnan, A., Bhandari, P. M., Negeri, Z., Imran, M., et al. (2021) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1860 · Cited by 63 · see citing works
Self-citationDepressive symptoms and comorbid problems in pregnancy - results from a population based study
Pampaka, D., Papatheodorou, S. I., AlSeaidan, M., Al Wotayan, R., Wright, R. J., Buring, J. E., Dockery, D. W., & Christophi, C. A. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.06.011 · Cited by 61 · see citing works
Pregnant women's perspectives on severe acute respiratory syndrome coronavirus 2 vaccine
Carbone, L., Mappa, I., Sirico, A., Girolamo, R. D., Saccone, G., Mascio, D. D., Donadono, V., Cuomo, L., Gabrielli, O., Migliorini, S., et al. (2021) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2021.100352 · Cited by 63 · see citing works
Engagement with perinatal mental health services: a cross-sectional questionnaire survey
Ayres, A. C., Chen, R., Mackle, T., Ballard, E. L., Patterson, S., Bruxner, G., & Kothari, A. (2019) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-019-2320-9 · Cited by 61 · see citing works
Cognitive behavioral therapy for perinatal anxiety: A randomized controlled trial
Green, S. M., Donegan, E., McCabe, R. E., Streiner, D. L., Agako, A., & Frey, B. N. (2020) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867419898528 · Cited by 56 · see citing works
“Australian & New Zealand Journal of Psychiatry, 54(4) The perinatal period is a time of vulnerability for mental health problems in women (Dennis et al., 2017; Giardinelli et al., 2012; Wenzel et al., 2005).”
BackgroundSignal, T. L., Paine, S., Sweeney, B., Muller, D., Priston, M., Lee, K. A., Gander, P. H., & Huthwaite, M. (2016) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867415622406 · Cited by 56 · see citing works
“…suggest rates of 3.5–12.7% for diagnosed depression (Bunevicius et al., 2009; Gavin et al., 2005), 10–18.4% for depressive symptoms (Gavin et al., 2005; Giardinelli et al., 2012) and 6.6–24.7% for anxiety disorders during the antenatal period (Andersson et al., 2003; Giardinelli et al., 2012).”
BackgroundInfluentialPrevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications
Toscano, M., Royzer, R., Castillo, D., Li, D., & Poleshuck, E. (2021) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000004335 · Cited by 55 · see citing works
Postpartum depression screening by telephone: a good alternative for public health and research
de Figueiredo, F. P., Parada, A. P., Cardoso, V. C., Batista, R. F. L., da Sílva, A. A. M., Barbieri, M. A., Cavalli, R. D. C., Bettiol, H., & Del‐Ben, C. M. (2014) · Archives of Women s Mental Health · doi:10.1007/s00737-014-0480-1 · Cited by 54 · see citing works
“…prevalence of postpartum depression in different cultures and settings (Zelkowitz et al. 1995; Sebastián Romero et al. 1999; Chaudron et al. 2005; Giakoumaki et al. 2009; Horowitz et al. 2011; Mohammad et al. 2011; Ross et al. 2011; Dennis et al. 2012; Giardinelli et al. 2012; Wisner et al. 2013).”
BackgroundResultKeramat, A., Malary, M., Moosazadeh, M., Afrakoti, N. B., & Rajabi-Shakib, M.-R. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-03575-1 · Cited by 57 · see citing works
Calderani, E., Giardinelli, L., Scannerini, S., Arcabasso, S., Compagno, E., Petraglia, F., & Ricca, V. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.11.012 · Cited by 51 · see citing works
Furtado, M., Van Lieshout, R. J., Van Ameringen, M., Green, S. M., & Frey, B. N. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.02.064 · Cited by 50 · see citing works
Maguire, P. N., Clark, G. I., & Wootton, B. M. (2018) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2018.10.002 · Cited by 50 · see citing works
Kapaya, H., Mercer, E., Boffey, F., Jones, G. L., Mitchell, C. A., & Anumba, D. O. C. (2015) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-015-0753-3 · Cited by 46 · see citing works
“For example, the mean score on the anxiety data for both groups was relatively low compared to scores reported previously by other studies [28].”
ResultAnxiety and depressive symptoms in women and men from early pregnancy to 30 months postpartum
Canário, C., & Figueiredo, B. (2017) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2017.1368464 · Cited by 48 · see citing works
“Multiparous parents presented more anxiety and depression symptoms than primiparous parents at the first pregnancy trimester, also confirmed by previous studies (e.g. Condon & Esuvaranathan, 1990; Giardinelli et al., 2012; Melo et al., 2012).”
BackgroundResultInfluentialHarrison, V., Moore, D., & Lazard, L. (2020) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-02990-0 · Cited by 48 · see citing works
Oddo-Sommerfeld, S., Hain, S., Louwen, F., & Schermelleh-Engel, K. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.11.040 · Cited by 46 · see citing works
“The prevalence of 20% for antepartum depression (APD) appears to be higher than that of PPD (Giardinelli et al., 2011; Hübner-Liebermann et al., 2012; Milgrom et al., 2008).”
BackgroundAntenatal depression: an artefact of sleep disturbance?
Mellor, R., Chua, S. C., & Boyce, P. M. (2014) · Archives of Women s Mental Health · doi:10.1007/s00737-014-0427-6 · Cited by 44 · see citing works
“The factors that had a significant correlation with EPDS score on bivariate analysis were included in the model, along with recent immigration, which has been identified as a risk factor for antenatal depression (Miszkurka et al. 2012; Giardinelli et al. 2012; Lau et al. 2011).”
BackgroundMethodBarone, L., Lionetti, F., & Dellagiulia, A. (2014) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2014.883596 · Cited by 43 · see citing works
“66), higher than that found in previous studies (Giardinelli et al., 2012) on low-risk Italian pregnant women (mean = 10.”
ResultInfluentialDennis, C., Brown, H., & Brennenstuhl, S. (2017) · Midwifery · doi:10.1016/j.midw.2017.07.018 · Cited by 38 · see citing works
Lauš, K. N. (2017) · Acta Clinica Croatica · doi:10.20471/acc.2017.56.04.05 · Cited by 42 · see citing works
Baumel, A., & Schueller, S. M. (2016) · JMIR Mental Health · doi:10.2196/mental.5335 · Cited by 41 · see citing works
“More than 15% of women experience symptoms of depression and anxiety during this period [1-3].”
Zohar, I., Shoham, S., & Weinstock, M. (2015) · European Journal of Neuroscience · doi:10.1111/ejn.13150 · Cited by 40 · see citing works
“The incidence of chronic anxiety disorder and depression is elevated in pregnant women exposed to poverty, crowding, poor social integration and intramarital tension (Giardinelli et al., 2012; Husain et al., 2012; Miszkurka et al., 2012).”
BackgroundChiu, Y.-H. M., Sheffield, P. E., Hsu, H. L., Goldstein, J. M., Curtin, P. C. P., & Wright, R. J. (2017) · Archives of Women s Mental Health · doi:10.1007/s00737-017-0765-2 · Cited by 43 · see citing works
“(Le Strat et al. 2011; Miller et al. 2006), and anxiety might even be more common than depression in some postpartum populations (Giardinelli et al. 2012; Goodman et al. 2016; Matthey 2008; Woolhouse et al. 2009).”
Cena, L., Mirabella, F., Palumbo, G., Gigantesco, A., Trainini, A., & Stefana, A. (2020) · European Psychiatry · doi:10.1192/j.eurpsy.2020.82 · Cited by 40 · see citing works
“Furthermore, consistent with previous studies, our results show that antenatal anxiety is more prevalent in women who have unplanned pregnancies [43,54] and who have living children at the time of the current pregnancy [55].”
ResultThe Public’s views of mental health in pregnant and postpartum women: a population-based study
Kingston, D. E., McDonald, S., Austin, M., Hegadoren, K., Lasiuk, G. C., & Tough, S. (2014) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-14-84 · Cited by 39 · see citing works
“The lack of knowledge about the influence of pre-conception and prenatal anxiety/depression on the risk of poor perinatal mental health [22-24] may reflect errant public belief that the primary causes of perinatal mental health problems are biological in nature –a key observation noted in the Australian study [13].”
BackgroundBen‐Yaakov, O., & Ben‐Ari, O. T. –. (2021) · Psychology and Health · doi:10.1080/08870446.2021.1942875 · Cited by 38 · see citing works
“Parent-infant dysfunctional interactions by gender and infant’s age group. associated with infant’s age (Breitkopf et al., 2006; Don et al., 2014; Giardinelli et al., 2012; Grant et al., 2008).”
BackgroundPrevalence of Antenatal Anxiety in European Women: A Literature Review
Val, A., & Míguez, M. C. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021098 · Cited by 40 · see citing works
“Regarding the studies that have focused on assessing anxiety [40,42,51,59,60,70], the highest rate was found in Italy [60], where figures of 25.”
BackgroundWeinstock, M. (2014) · Advances in neurobiology · doi:10.1007/978-1-4939-1372-5_1 · Cited by 37 · see citing works
“Exposure to such adverse risk factors can also increase the incidence of depression in pregnant women (Giardinelli et al. 2012; Husain et al. 2012; Miszkurka et al. 2012; Qu et al. 2012).”
BackgroundWeiss, S., Simeonova, D. I., Kimmel, M., Battle, C., Maki, P., & Flynn, H. A. (2016) · Archives of Women's Mental Health · doi:10.1007/s00737-015-0575-3 · Cited by 36 · see citing works
Ramakrishna, S., Cooklin, A., & Leach, L. (2019) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2019.1578870 · Cited by 35 · see citing works
Huang, M., Kao, C., Lin, K., Hwang, J., Puthussery, S., & Gau, M. (2019) · BMC Women s Health · doi:10.1186/s12905-019-0801-7 · Cited by 38 · see citing works
Kızılırmak, A., Calpbinici, P., Tabakan, G., & Kartal, B. (2020) · Health Care For Women International · doi:10.1080/07399332.2020.1764562 · Cited by 37 · see citing works
“Researchers investigating PPD risk (Andersson et al., 2006; Giardinelli et al., 2012; Hahn-Holbrook et al., 2018; Khalifa et al., 2015; Park et al., 2015; Yusuff et al., 2015) have revealed differences in terms of cutoff point of the scales, postpartum time and location.”
BackgroundDemographic, maternal, and infant health correlates of post‐partum depression in Jordan
Safadi, R., Abushaikha, L. A., & Ahmad, M. M. (2015) · Nursing and Health Sciences · doi:10.1111/nhs.12268 · Cited by 34 · see citing works
deMontigny, F., Gervais, C., Pierce, T., & Lavigne, G. L. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.578682 · Cited by 37 · see citing works
“The MANOVA indicated that the mothers whose youngest child was 0–24 months of age fared slightly better overall on study variables than those whose youngest child was 25 months or older [F(7,439) = 4.”
BackgroundCharacterizing the nature of worry in a sample of perinatal women with generalized anxiety disorder.
Goldfinger, C., Green, S., Furtado, M., & McCabe, R. (2019) · Clinical Psychology and Psychotherapy · doi:10.1002/cpp.2413 · Cited by 27 · see citing works
Míguez, M. C., & Vázquez, M. B. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18136789 · Cited by 37 · see citing works
“[30] suggested that this relationship may be due to the fact that not working implies having a smaller social support network and some degree of isolation.”
BackgroundResultInfluentialA Longitudinal Study on Motherhood and Well-Being: Developmental and Clinical Implications
Fave, A. D., Pozzo, M., Bassi, M., & Cetin, I. (2013) · Terapia psicológica · doi:10.4067/s0718-48082013000100003 · Cited by 33 · see citing works
“As suggested in recent studies (Giardinelli et al., 2011; Chaudron & Nirodi, 2010), we adopted a cut-off point of 10 in order to grant high sensitivity in the identification of both minor and major depression.”
ResultState anxiety in pregnancies affected by obstetric complications: A systematic review
Fischbein, R. L., Nicholas, L., Kingsbury, D. M., Falletta, L. M., Baughman, K. R., & VanGeest, J. B. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.07.007 · Cited by 35 · see citing works
Cena, L., Palumbo, G., Mirabella, F., Gigantesco, A., Stefana, A., Trainini, A., Tralli, N., & Imbasciati, A. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00365 · Cited by 31 · see citing works
Oh, S. K., Chew-Graham, C. A., Silverwood, V., Shaheen, S. A., Walsh-House, J., Sumathipala, A., & Kingstone, T. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-040731 · Cited by 30 · see citing works
Akinsulore, A., Temidayo, A. M., Oloniniyi, I. O., Olalekan, B. O., & Oladimeji, Y. (2021) · South African Journal of Psychiatry · doi:10.4102/sajpsychiatry.v27i0.1616 · Cited by 29 · see citing works
Predictors of Postpartum Depression among Italian Women: A Longitudinal Study
Molgora, S., Saita, E., Carones, M. B., Ferrazzi, E. M., & Facchin, F. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031553 · Cited by 30 · see citing works
“Based on previous studies on similar cohorts, a cut-off score of 40 or higher was used to identify both state and trait clinical anxiety [15,57].”
MethodVilela, A. A. F., Pinto, T., Rebelo, F. M., Benaim, C., Lepsch, J., Dias-Silva, C. H., de Castro, M. B. T., & Kac, G. (2015) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2015.01.007 · Cited by 33 · see citing works
Molgora, S., Fenaroli, V., & Saita, E. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.10.045 · Cited by 27 · see citing works
Usuda, K., Nishi, D., Makino, M., Tachimori, H., Matsuoka, Y., Sano, Y., Konishi, T., & Takeshima, T. (2016) · BioPsychoSocial Medicine · doi:10.1186/s13030-016-0069-1 · Cited by 27 · see citing works
“2 %, respectively, which are much lower figures than seen in other countries [3, 6–11].”
ResultA meta-synthesis of women’s experiences of online forums for maternal mental illness and stigma
Moore, D., Drey, N., & Ayers, S. (2019) · Archives of Women s Mental Health · doi:10.1007/s00737-019-01002-1 · Cited by 26 · see citing works
“Perinatal mental illness (PMI) is a common health condition with a prevalence of approximately 15% and may be higher in lower income countries (Fisher et al. 2012; Giardinelli et al. 2012; Leung and Kaplan 2009; Ross and McLean 2006).”
BackgroundComparing the prevalence and the risk profile for antenatal depressive symptoms across cultures
Corbani, I. E., Rucci, P., Iapichino, E., Bollani, M. Q., Cauli, G., Ceruti, M. R., Gala, C., & Bassi, M. (2017) · International Journal of Social Psychiatry · doi:10.1177/0020764017725543 · Cited by 25 · see citing works
“Giardinelli et al. (2012) reported that the immigrant status confers a higher risk of depression during pregnancy, and Stewart, Gagnon, Wahoush, and Dougherty (2008) reported that ‘newcomers’, including immigrants, asylum seekers and refugees, were significantly more likely than Canadian-born women…”
BackgroundJimènez-Barragan, M., Falguera-Puig, G., Curto-Garcia, J. J., Monistrol, O., Coll-Navarro, E., Tarragó-Grima, M., Ezquerro-Rodriguez, O., Ruiz, A., Codina-Capella, L., Urquizú, X., et al. (2024) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-024-06695-6 · Cited by 27 · see citing works
“Although anxiety and depression vary considerably depending on the population assessed [8, 9], this is certainly a high percentage, higher than previously reported in other studies [2, 3, 5–7].”
BackgroundResultMaternal Anxiety Related to Prenatal Diagnoses of Fetal Anomalies That Require Surgery
Wilpers, A. B., Kennedy, H. P., Wall, D., Funk, M., & Bahtiyar, M. O. (2017) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2017.02.001 · Cited by 24 · see citing works
Silverwood, V., Nash, A., Chew-Graham, C. A., Walsh-House, J., Sumathipala, A., Bartlam, B., & Kingstone, T. (2019) · British Journal of General Practice · doi:10.3399/bjgp19x706025 · Cited by 26 · see citing works
Psychiatric Risk Factors for Postpartum Depression: A Systematic Review
Tambelli, R., Tosto, S., & Favieri, F. (2025) · Behavioral Sciences · doi:10.3390/bs15020173 · Cited by 22 · see citing works
Mancinelli, E., Bassi, G., Gabrielli, S., & Salcuni, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159549 · Cited by 21 · see citing works
Serum docosahexaenoic acid (DHA) is inversely associated with anxiety disorders in early pregnancy
Verly-Miguel, M., Farias, D. R., Pinto, T., Lepsch, J., Nardi, A. E., & Kac, G. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.12.002 · Cited by 22 · see citing works
Mahini, E., Hakimi, S., Shahrokhi, H., Salahi, B., Baniadam, K. O., & Ranjbar, F. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04823-8 · Cited by 20 · see citing works
Nasreen, H. E., Pasi, H., Aris, M. A., Rahman, J. A., Rus, R. M., & Edhborg, M. (2021) · Archives of Women s Mental Health · doi:10.1007/s00737-021-01165-w · Cited by 20 · see citing works
- 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.
- ORCID
- Castellini, G.
- 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
- Licence
- www.springer.com/tdm (tdm)
- 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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