Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in Italy

AbstractBackground.Maternal antenatal anxiety is very common, and despite its short- and long-term effects on both mothers and fetus outcomes, it has received less attention than it deserves in scientific research and clinical practice. Therefore, we aimed to estimate the prevalence of state anxiety...

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Main Authors: L. Cena, F. Mirabella, G. Palumbo, A. Gigantesco, A. Trainini, A. Stefana
Format: Article
Language:English
Published: Cambridge University Press 2020-01-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933820000826/type/journal_article
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author L. Cena
F. Mirabella
G. Palumbo
A. Gigantesco
A. Trainini
A. Stefana
author_facet L. Cena
F. Mirabella
G. Palumbo
A. Gigantesco
A. Trainini
A. Stefana
author_sort L. Cena
collection DOAJ
description AbstractBackground.Maternal antenatal anxiety is very common, and despite its short- and long-term effects on both mothers and fetus outcomes, it has received less attention than it deserves in scientific research and clinical practice. Therefore, we aimed to estimate the prevalence of state anxiety in the antenatal period, and to analyze its association with demographic and socioeconomic factors.Methods.A total of 1142 pregnant women from nine Italian healthcare centers were assessed through the state scale of the State–Trait Anxiety Inventory and a clinical interview. Demographic and socioeconomic factors were also measured.Results.The prevalence of anxiety was 24.3% among pregnant women. There was a significantly higher risk of anxiety in pregnant women with low level of education (p < 0.01), who are jobless (p < 0.01), and who have economic problems (p < 0.01). Furthermore, pregnant women experience higher level of anxiety when they have not planned the pregnancy (p < 0.01), have a history of abortion (p < 0.05), and have children living at the time of the current pregnancy (p < 0.05).Conclusion.There exists a significant association between maternal antenatal anxiety and economic conditions. Early evaluation of socioeconomic status of pregnant women and their families in order to identify disadvantaged situations might reduce the prevalence of antenatal anxiety and its direct and indirect costs.
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spelling doaj.art-cfca19bd19f544efaec92e484f4fb7a62023-03-09T12:33:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852020-01-016310.1192/j.eurpsy.2020.82Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in ItalyL. Cena0https://orcid.org/0000-0002-3162-9237F. Mirabella1https://orcid.org/0000-0001-8090-9465G. Palumbo2A. Gigantesco3A. Trainini4A. Stefana5https://orcid.org/0000-0002-4807-7184Department of Clinical and Experimental Sciences, Section of Neuroscience, Observatory of Perinatal Clinical Psychology, University of Brescia, viale Europa 11, Brescia25123, ItalyCenter for Behavioural Sciences and Mental Health, National Institute of Health, Viale Regina Elena 299, Rome00161, ItalyCenter for Behavioural Sciences and Mental Health, National Institute of Health, Viale Regina Elena 299, Rome00161, ItalyCenter for Behavioural Sciences and Mental Health, National Institute of Health, Viale Regina Elena 299, Rome00161, ItalyDepartment of Clinical and Experimental Sciences, Section of Neuroscience, Observatory of Perinatal Clinical Psychology, University of Brescia, viale Europa 11, Brescia25123, ItalyDepartment of Clinical and Experimental Sciences, Section of Neuroscience, Observatory of Perinatal Clinical Psychology, University of Brescia, viale Europa 11, Brescia25123, ItalyAbstractBackground.Maternal antenatal anxiety is very common, and despite its short- and long-term effects on both mothers and fetus outcomes, it has received less attention than it deserves in scientific research and clinical practice. Therefore, we aimed to estimate the prevalence of state anxiety in the antenatal period, and to analyze its association with demographic and socioeconomic factors.Methods.A total of 1142 pregnant women from nine Italian healthcare centers were assessed through the state scale of the State–Trait Anxiety Inventory and a clinical interview. Demographic and socioeconomic factors were also measured.Results.The prevalence of anxiety was 24.3% among pregnant women. There was a significantly higher risk of anxiety in pregnant women with low level of education (p < 0.01), who are jobless (p < 0.01), and who have economic problems (p < 0.01). Furthermore, pregnant women experience higher level of anxiety when they have not planned the pregnancy (p < 0.01), have a history of abortion (p < 0.05), and have children living at the time of the current pregnancy (p < 0.05).Conclusion.There exists a significant association between maternal antenatal anxiety and economic conditions. Early evaluation of socioeconomic status of pregnant women and their families in order to identify disadvantaged situations might reduce the prevalence of antenatal anxiety and its direct and indirect costs.https://www.cambridge.org/core/product/identifier/S0924933820000826/type/journal_articleDemographic factorsmaternal antenatal anxietyscreeningsocioeconomic factors
spellingShingle L. Cena
F. Mirabella
G. Palumbo
A. Gigantesco
A. Trainini
A. Stefana
Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in Italy
European Psychiatry
Demographic factors
maternal antenatal anxiety
screening
socioeconomic factors
title Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in Italy
title_full Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in Italy
title_fullStr Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in Italy
title_full_unstemmed Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in Italy
title_short Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in Italy
title_sort prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors a multicentre study in italy
topic Demographic factors
maternal antenatal anxiety
screening
socioeconomic factors
url https://www.cambridge.org/core/product/identifier/S0924933820000826/type/journal_article
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