ArticleMaternal and child health journal2023
Anxiety and Depression Symptoms in At-Risk Pregnancy: Influence on Maternal-Fetal Attachment in Tunisia.
Article in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Prenatal attachment interventions: a comprehensive systematic review and meta-analysis.Archives of women's mental health · 2025Pooled it
- Psychosocial Predictors of Maternal-Fetal Attachment in Anxious Pregnancies: A Study Among Women With Prior Miscarriages.Health science reports · 2026Article
- The mediating role of pregnancy-related anxiety between fetal movement self-monitoring adherence and maternal-fetal attachment in the third trimester.Frontiers in global women's health · 2026Article
- Separation anxiety disorder in pregnancy: The relationship between attachment styles, childhood trauma, and prenatal attachment.Frontiers in psychiatry · 2026Article
- Comparative Analysis of the Occurrence of Depression, Stress, and Anxiety in Pregnant Women Requiring Hospitalization and Those Not Hospitalized.Journal of clinical medicine · 2025Article
- Prenatal Attachment, Personality, and Depression in High-Risk Pregnancies During Pandemic Emergencies.Healthcare (Basel, Switzerland) · 2024Article
- Mistreatment in healthcare: peripartum experience in a Tunisian maternity.AJOG global reports · 2024Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate maternal prenatal anxiety and depression in high-risk pregnancies and examine their influence on maternal-fetal attachment.
methodsWe included 95 hospitalized high-risk pregnant women. The Hospital Anxiety and Depression Scale (HADS) and the Prenatal Attachment Inventory (PAI) were used to assess the primary objective. Internal consistency and construct validity of the PAI were investigated.
resultsThe average age was 31 years and gestational age ranged from 26 to 41 weeks. Prevalence of depressive symptoms was 20% and anxiety symptoms 39%. Cronbach alpha coefficient of the PAI Tunisian version was 0.8 and the construct validity in favour of one factor model. PAI scores correlated negatively and significatively with the HADS total score (r = - 0.218, p = 0.034) and was attributed to the depression dimension only (r = - 0.205, p = 0.046). CONCLUSIONS FOR PRACTICE: Emotional wellbeing of pregnant women especially in high-risk pregnancies should be explored in order to prevent consequences on women, their growing fetus, and prenatal attachment.
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