Anxiety, prenatal attachment, and depressive symptoms in women with diabetes in pregnancy

Angela Napoli, Dorian A. Lamis, Isabella Berardelli, Valeria Canzonetta, Salvatore Sarubbi, Elena Rogante, Pietro Luca Napoli, Gianluca Serafini, Denise Erbuto, Renata Tambelli, Mario Amore, Maurizio Pompili

Research output: Contribution to journalArticlepeer-review


The purpose of this study was to evaluate the relationship between anxiety, prenatal attachment, and depressive symptoms among women with diabetes in pregnancy. Participants were 131 consecutive pregnant women between the ages of 20 and 45 with a diagnosis of gestational or pregestational type 1 or type 2 diabetes. Data on previous psychiatric symptoms were obtained from the Anamnestic and Social Questionnaire and the Mini‐International Neuropsychiatric Interview (MINI). Information on prenatal attachment was collected using The Prenatal Attachment Inventory (PAI), and The Edinburgh Postnatal Depression Scale (EPDS) assessed depressive symptoms in the third trimester of pregnancy (at a mean of 25 weeks). Results demonstrated that in women affected by diabetes in pregnancy, two facets of prenatal attachment (anticipation, interaction) were negatively correlated with depressive symptoms, and a history of anxiety, assessed with the MINI, moderated the relation between the prenatal attachment interaction factor and depressive symptoms during pregnancy.

Original languageEnglish
Article number425
JournalInternational Journal of Environmental Research and Public Health
Issue number2
Publication statusPublished - Jan 2 2020


  • Anxiety
  • Depressive symptoms
  • Diabetes in pregnancy
  • Prenatal attachment

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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