Mood state and psychological adjustment to pregnancy Original contribution First Online: 10 July 2006 Received: 28 October 2005 Accepted: 06 June 2006 DOI:
10.1007/s00737-006-0141-0 Cite this article as: Hart, R. & McMahon, C. Arch Womens Ment Health (2006) 9: 329. doi:10.1007/s00737-006-0141-0 Summary
The aim of this study was to investigate whether there is an association between antenatal mood state (depression and anxiety) and psychological adjustment to pregnancy. Participants were first-time, low obstetric risk mothers at a Sydney teaching hospital who completed self-report questionnaires measuring depression, anxiety, thoughts about motherhood and self as mother and relationship with the fetus. Higher symptom levels of antenatal anxiety were related to less optimal maternal-fetal quality of attachment, more negative attitudes towards motherhood and the self as mother. Similar trends were found for symptoms of depression, however depression was not significantly related to psychological adjustment to pregnancy variables. The significance of anxiety in the current study highlights the importance of considering anxiety in the psychological adjustment to pregnancy, as well as the in the context of perinatal mental health more generally. Implications of these findings for intervention are also briefly discussed.
Keywords: Antenatal depression; antenatal anxiety; psychological adjustment to pregnancy; self as mother; maternal-fetal attachment. References Altshuler, LL, Hendrick, V, Cohen, LS 1998 Course of mood and anxiety disorders during pregnancy and the postpartum period J Clin Psychiatry 59 29 33 PubMed Google Scholar Anderson, VN, Fleming, AS, Steiner, M 1994 Mood and the transition to motherhood J Reprod Infant Psychol 12 69 77 Google Scholar Armstrong, D, Hutti, M 1997 Pregnancy after perinatal loss: the relationship between anxiety and prenatal attachment J Obstet Gynecol Neonat Nurs 27 183 189 CrossRef Google Scholar Austin, M-P 2003 Perinatal mental health: opportunities and challenges for psychiatry Australas Psychiatry 11 399 403 CrossRef Google Scholar Austin, M-P 2004 Antenatal screening and early intervention for “perinatal” distress, depression and anxiety: where to from here? 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