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Cited by 33Maternal Mental Health During Pregnancy and PostpartumRacial and Ethnic Identity ResearchMigration, Health and Trauma

Acculturative stress is associated with trajectory of anxiety symptoms during pregnancy in Mexican-American women

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Preciado, Andrea, D’Anna-Hernandez, Kimberly·2017·Journal of Anxiety Disorders
DOI 10.1016/j.janxdis.2016.10.005PMC PMC5737703
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Abstract

Over half of pregnant women report anxiety symptoms and these symptoms may be precipitated by stressful experiences. Anxiety rates may be higher in Mexican-American women who experience sociocultural stressors, such as acculturation, acculturative stress and discrimination. However, the role of such stressors on the trajectory of anxiety symptoms across pregnancy is not yet known. Mexican-American women (n=151) completed surveys across pregnancy about acculturation, acculturative stress, perceived discrimination, and state anxiety. Multilevel modeling found that acculturation (Anglo orientation, b=0.050, SE=0.379, t (137.561)=0.134, p=0.894; Mexican orientation, b=0.775, SE=0.692, t (133.424)=1.121, p=0.264) and perceived discrimination (b=-1.259, SE=0.921, t (137.489)=-1.367, p=0.174) were not associated with the trajectory of anxiety symptoms. However, acculturative stress, even while controlling for perceived stress, was associated with high levels of anxiety symptoms that were elevated early in pregnancy (b=-0.045, SE=0.022, t (135.749)=-2, p=0.047). This work highlights the unique role of acculturative stress in risk for prenatal anxiety in early pregnancy.

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  • Acculturative stress and perceived stress together elevate depressive symptoms in Latina women, particularly those who have assimilated into U.S. culture, thereby increasing their risk of PTB.

    “This is problematic as acculturative stress and perceived stress together are known to elevate depressive symptoms in Latina women [13, 14], particularly those who have assimilated into U.S. culture, thereby increasing their risk of PTB [15].”

    From The mastery lifestyle intervention to reduce biopsychosocial risks for pregnant Latinas and African Americans and their infants: protocol for a randomized controlled trial (2022) · cites this paper as [15]

    The Introduction (page unavailable) says that acculturative stress and general life stress have both been associated with increased depressive-symptom risk in pregnant Mexican-American women. It does not establish that the two stresses act together or that the association is stronger among women assimilated into U.S. culture. The Discussion (page unavailable) reports this study’s finding for anxiety, not depression; the separate PTB claim is attached to citation [15], not this source. (LLM, conf=0.84)

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Authors
Preciado, A., & D’Anna-Hernandez, K.
Affiliations
California State University, San Marcos (US)
Corresponding author
Preciado, Andrea
Venue
Journal of Anxiety Disorders
Publisher
Elsevier BV
Published
2017-05
Volume
48
Pages
28-35
ISSN
0887-6185 (ISSN-L)
DOI
10.1016/j.janxdis.2016.10.005
PMC
PMC5737703
OpenAlex
W2531325466
Cited by
33
References
92
Citations by year
2026: 1 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 6 · 2021: 6 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 1
FWCI
2.64
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Anxiety Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
Brain and Behavior Foundation NARSAD Young Investigator
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
acculturative stress, acculturation, prenatal anxiety, Mexican American women, perceived discrimination, sociocultural stressors, early pregnancy, state anxiety
MeSH terms
Acculturation, Adult, Anxiety Disorders, Female, Humans, Longitudinal Studies, Pregnancy, Surveys and Questionnaires, Stress, Psychological, Mexican Americans, Emigrants and Immigrants, Young Adult

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