The interrelationship between pregnancy-specific anxiety and general anxiety across pregnancy: a longitudinal study

Huizink, Anja C.; Menting, Barbara; Oosterman, Mirjam; Verhage, Marije L.; Kunseler, F.C.; Schuengel, Carlo

doi:10.3109/0167482x.2014.944498

Cited by 57 publications

(45 citation statements)

References 31 publications

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“…() found that maternal anxiety showed one of the strongest associations with antenatal depressive symptoms. Indeed, maladaptive personality traits, such as chronic anxiety, has been proven to be a relevant risk factor for antenatal depression (Bunevicius et al., ; Da Costa, Larouche, Dritsa, & Brender, ; Kleanthi, ; Moss, Skouteris, Wertheim, Paxton, & Milgrom, ) and to predict pregnancy‐specific anxiety across pregnancy itself (Huizink et al., ). In addition to maternal anxiety, Lancaster et al.…”

Section: Introductionsupporting

confidence: 78%

Role of psychosocial risk factors in predicting maternal and paternal depressive symptomatology during pregnancy

Tambelli

Trentini

Trovato

et al. 2019

Infant Mental Health Journal

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The aim of the present study was to investigate the role of several psychosocial risk factors in predicting depressive symptomatology during pregnancy in mothers and fathers, respectively. A total of 146 primiparous mothers and 105 primiparous fathers reporting a psychosocial risk condition were recruited independently from maternity and child health services, during the second trimester of pregnancy. All parents were evaluated for depressive symptomatology, anxiety, and perceived social support. Two hierarchical multiple regression analyses were performed to determine the role of psychosocial factors in predicting depressive symptomatology during pregnancy, in mothers and fathers. Marital dissatisfaction, personal history of depression, and personal trait anxiety were identified as significant predictors of depressive symptomatology during pregnancy, both in mothers and in fathers. Family history of substance abuse, conflictual relationship with the parents in the past year, and bereavement in the past year were identified as significant factors contributing to elevated depressive symptoms during pregnancy in mothers, but not fathers. In this study, several psychosocial risk factors were consistently related to an increase in maternal and paternal depressive symptoms during pregnancy; some of these factors seem to be specifically related to maternal depressive mood.

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Section: Introductionsupporting

confidence: 78%

Role of psychosocial risk factors in predicting maternal and paternal depressive symptomatology during pregnancy

Tambelli

Trentini

Trovato

et al. 2019

Infant Mental Health Journal

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“…Another limitation of the EQ6D is that this anxiety/depression dimension has not been validated in a pregnant population [55]. Moreover, although the PRAQ-R has been shown to have good content and construct validity of pregnancy specific anxiety in nulliparous and parous women [47, 53], a measure specifically assessing fear of childbirth such as the Wijma-Delivery Expectancy Scale (W-DEQ) might have given a deeper understanding of which aspects of fear of childbirth particularly relate to planned place of birth [43, 64]. …”

Section: Discussionmentioning

confidence: 99%

“…Also, more general anxiety such as trait anxiety, has been found to predict fear of childbirth [43] and should be differentiated from pregnancy related anxiety [44]. Furthermore, antenatal depression and anxiety, as well as fear of childbirth, have been found to be associated with adverse perinatal outcomes such as pre-term birth [45–47]. …”

Section: Introductionmentioning

confidence: 99%

“…We hypothesized that low risk women who plan a hospital birth will have higher levels of pregnancy related anxiety such as fear of childbirth, than women who plan a home birth. Pregnancy related anxiety and general anxiety are not the same [44] and pregnancy related anxiety also tends to influence general anxiety over the course of pregnancy [47]. We therefore expected general anxiety, to be related to planned place of birth as well.…”

Section: Introductionmentioning

confidence: 99%

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Pregnancy related anxiety and general anxious or depressed mood and the choice for birth setting: a secondary data-analysis of the DELIVER study

Witteveen

Cock

Huizink

et al. 2016

BMC Pregnancy Childbirth

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BackgroundIn several developed countries women with a low risk of complications during pregnancy and childbirth can make choices regarding place of birth. In the Netherlands, these women receive midwife-led care and can choose between a home or hospital birth. The declining rate of midwife-led home births alongside the recent debate on safety of home births in the Netherlands, however, suggest an association of choice of birth place with psychological factors related to safety and risk perception. In this study associations of pregnancy related anxiety and general anxious or depressed mood with (changes in) planned place of birth were explored in low risk women in midwife-led care until the start of labour.MethodsData (n = 2854 low risk women in midwife-led care at the onset of labour) were selected from the prospective multicenter DELIVER study. Women completed the Pregnancy Related Anxiety Questionnaire-Revised (PRAQ-R) to assess pregnancy related anxiety and the EuroQol-6D (EQ-6D) for an anxious and/or depressed mood.ResultsA high PRAQ-R score was associated with planned hospital birth in nulliparous (aOR 1.92; 95% CI 1.32–2.81) and parous women (aOR 2.08; 95% CI 1.55–2.80). An anxious or depressed mood was associated with planned hospital birth (aOR 1.58; 95% CI 1.20–2.08) and with being undecided (aOR 1.99; 95% CI 1.23–2.99) in parous women only. The majority of women did not change their planned place of birth. Changing from an initially planned home birth to a hospital birth later in pregnancy was, however, associated with becoming anxious or depressed after 35 weeks gestation in nulliparous women (aOR 4.17; 95% CI 1.35–12.89) and with pregnancy related anxiety at 20 weeks gestation in parous women (aOR 3.91; 95% CI 1.32–11.61).ConclusionLow risk women who planned hospital birth (or who were undecided) more often reported pregnancy related anxiety or an anxious or depressed mood. Women who changed from home to hospital birth during pregnancy more often reported pregnancy related anxiety or an anxious or depressed mood in late pregnancy. Anxiety should be adequately addressed in the process of informed decision-making regarding planned place of birth in low risk women.

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“…With respect to the trajectories of pregnancy-related anxiety, Blair et al [15] reported a decrease in pregnancy-specific anxiety during the second and third trimesters of pregnancy, while others have found that pregnancy-related anxiety is stable throughout pregnancy [16,17]. However, specific aspects, such as fear of giving birth, might increase [16] or decrease [17] as pregnancy progresses. Since both sleep and pregnancy-related anxiety can change during the course of pregnancy, it is of interest to examine whether and how the two are related.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal associations between sleep and anxiety during pregnancy, and the moderating effect of resilience, using parallel process latent growth curve models

et al. 2017

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The interrelationship between pregnancy-specific anxiety and general anxiety across pregnancy: a longitudinal study

Abstract: We conclude that pregnancy-specific anxiety and general anxiety appear to influence each other over time, resulting in heightened anxiety for some soon-to-be mothers.

Cited by 57 publications

References 31 publications

Role of psychosocial risk factors in predicting maternal and paternal depressive symptomatology during pregnancy

Role of psychosocial risk factors in predicting maternal and paternal depressive symptomatology during pregnancy

Pregnancy related anxiety and general anxious or depressed mood and the choice for birth setting: a secondary data-analysis of the DELIVER study

Longitudinal associations between sleep and anxiety during pregnancy, and the moderating effect of resilience, using parallel process latent growth curve models

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