The DOI matches its Crossref record; 76 of the 76 references it cites were found in a registry or an index.
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, 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: A Systematic Review and Meta-analysis (2021) · cites this paper as [10]
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Identifying the women at risk of antenatal anxiety and depression: a systematic review
Biaggi, A., Conroy, S., Pawlby, S., & Pariante, C. M. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.11.014 · Cited by 1,657
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BackgroundResultInfluentialYildiz, P. D., Ayers, S., & Phillips, L. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.10.009 · Cited by 768
Yim, I. S., Tanner Stapleton, L. R., Guardino, C. M., Hahn-Holbrook, J., & Dunkel Schetter, C. (2015) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-101414-020426 · Cited by 749
“…and increased depressive symptoms in medium-to-large adolescent samples (Fagan & Lee 2010) and adult samples (Boyce 2003; Dennis & Ross 2006a,b; Giardinelli et al. 2012), but conflict was no longer predictive in one study after considering www.annualreviews.org • Predictors of Postpartum…”
BackgroundHahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00248 · Cited by 667
Fawcett, E. J., Fairbrother, N., Cox, M. L., White, I. R., & Fawcett, J. M. (2019) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.18r12527 · Cited by 609
Metadata
- 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 › Medicine › Pediatrics, Perinatology and Child Health › 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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