Evidence map›Paper›PMID 40082919›Full record

ArticleBMC psychology2025

The relationship between maternal psychopathology and maternal-fetal attachment: a cross-sectional study from the Czech Republic.

Hana Němcová, Marie Kuklová, Kristýna Hrdličková, Anna Horáková, Antonin Sebela

Abstract read
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Maternal Stress and Child Development: The Moderating Role of Interactive Shared Reading.International journal of environmental research and public health · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hana NěmcováNational Institute of Mental Health, Klecany, Czech Republic.ORCID http://orcid.org/0000-0001-6114-6191
Marie KuklováNational Institute of Mental Health, Klecany, Czech Republic.ORCID http://orcid.org/0000-0003-4561-9571
Kristýna HrdličkováNational Institute of Mental Health, Klecany, Czech Republic.ORCID http://orcid.org/0000-0002-8039-290X
Anna HorákováNational Institute of Mental Health, Klecany, Czech Republic.ORCID http://orcid.org/0000-0001-9582-9900
Antonin SebelaNational Institute of Mental Health, Klecany, Czech Republic. antonin.sebela@nudz.cz.ORCID http://orcid.org/0000-0002-1063-7772

Funding

The EEA and Norway Grants ZD-ZDOVA1-018
6 · The paper itself

Abstract

backgroundMaternal-fetal attachment might be associated with maternal mental health issues, but previous results have been inconsistent, particularly regarding prenatal anxiety. We compared maternal-fetal attachment between pregnant women with and without symptoms of antenatal depression and anxiety. Additionally, we examined the relationships between prenatal depressive and anxiety symptoms, psychosocial stress, and maternal-fetal attachment.

methodsWe conducted a cross-sectional study involving a sample of 2,233 pregnant women. The data were collected between March 2021 and March 2023 at outpatient clinics in the Czech Republic. We used self-report questionnaires to assess symptoms of prenatal depression (Edinburgh Postnatal Depression Scale, EPDS), anxiety (Perinatal Anxiety Screening Scale, PASS), psychosocial stress (Prenatal Psychosocial Profile, PPP), and maternal-fetal attachment (Prenatal Attachment Inventory - Revised, PAI-R).

resultsWomen without symptoms of antenatal depression had higher total scores on the PAI-R (U = 336,357; p = .013) and on the PAI-R Interaction subscale (U = 322,913; p < .001), suggesting a higher quality of maternal-fetal attachment than women with symptoms. No other significant associations were found between antenatal depression, anxiety and the PAI-R subscales scores.

conclusionsOur results suggest that women experiencing increased depressive, but not anxiety, symptoms in pregnancy, have a poorer quality of attachment to their child, although the effect size is small. Consequently, treating prenatal depression in women could have a positive effect on maternal-fetal attachment.

Indexed as

AnxietyDepressionMaternal-Fetal RelationsObject AttachmentPregnancy ComplicationsStress, PsychologicalAdultCross-Sectional StudiesCzech RepublicFemaleHumansPregnancyYoung AdultAntenatal anxietyAntenatal depressionMaternal-fetal attachmentPregnancy

Identifiers

PMID40082919
PMCPMC11908020

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.