The anxious aspects of insecure attachment styles are associated with depression either in pregnancy or in the postpartu

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PRIMARY RESEARCH

Annals of General Psychiatry Open Access

The anxious aspects of insecure attachment styles are associated with depression either in pregnancy or in the postpartum period Emanuela Bianciardi1*  , Cristina Vito1, Sophia Betrò1, Alberto De Stefano2, Alberto Siracusano1 and Cinzia Niolu1

Abstract  Background:  Perinatal depression (PND) is a major complication of pregnancy and many risk factors have been associated with its development both during pregnancy and postpartum. The transition to motherhood activates the attachment system. The aim of our study was to investigate the relationship between women’s attachment style (AS) and PND in pregnancy, and 1 month after childbirth, in a large cohort of women. We hypothesized that different patterns of AS were associated with either antenatal or postnatal depression. We, further, explored the role of other possible risk factors such as life-stress events. Methods:  A final sample of 572 women was enrolled. At the third trimester of pregnancy, clinical data sheet and selfreport questionnaires (ASQ, PSS, LTE-Q, and EPDS) were administered. One month after delivery, EPDS was administered by telephone interview. Results:  We found 10.1% of the women with depression during pregnancy and 11.1% in the postpartum period. The first logistic regression showed that ASQ-CONF subscale (OR = 0.876, p