Precursors of Prenatal Attachment and Anxiety during Pregnancy in Women Who Procreate Naturally and Pregnant Women following Assisted Reproduction Technology
Abstract
:1. Introduction
2. Prenatal Attachment and Maternal–Fetal Representation during Vitro Fertilization Path
3. Research Goals and Hypothesis
4. Research Method
4.1. Participants and Procedures
- (a)
- Fifty pregnant women (control group), who conceived naturally, selected between the twenty-fourth and the thirty-seventh pregnancy week (M = 31.20; S.D. = 5.10), aged between 18 and 41 years (M = 29.94; S.D. = 5.92);
- (b)
- Forty-five pregnant women (experimental group) who were receiving an assisted reproduction treatment, aged between 21 and 42 years (M = 31.27; S.D. = 4.88), selected between the twenty-third to the thirty-seventh pregnancy week (M = 28.56; S.D. = 3.60).
4.2. Instruments
- (a)
- Differentiation from Self is represented by items showing the woman’s joy at thought of “another from herself” and the attribution of her child’s name (example: “I like to watch my belly move while the child is kicking”).
- (b)
- Interaction with the fetus, that underlines the woman’s intention to talk to her fetus and refer to him/her by a nickname (example: “I talk about the child using nicknames o terms of Endearment”).
- (c)
- Attributing characteristics and intentions, that highlights the woman’s recurring thoughts about what she may be feeling and process the fetus inside the own belly, or on the possible personality characteristics of fetus based on movements (example: “I can almost imagine what personality mine will have my child by how it moves”).
- (d)
- Giving of Self is represented by actions that show the woman’s willingness to commit herself during pregnancy in order to prevent potential harm to the fetus (example: “I eat healthy so that my child can benefit from a healthy diet”).
- (e)
- Role Taking is represented by items that highlight the woman’s ability to imagine oneself as a mother in the future and therefore thoughts related to maternal roles in feeding and caring for her child (example: “I imagine taking care of the child”).
- A.
- State anxiety represents a constellation of nervousness, fear, and discomfort induced by situations that are perceived as dangerous during a precise moment. Therefore, it is a measure of the level of contingent anxiety, i.e., related to feelings of insecurity and helplessness, which could lead to a consequent behavior of escape and avoidance from the dangerous situation.
- B.
- Trait anxiety represents a constellation of feelings of stress and daily discomfort; therefore, it can be considered the tendency to perceive stressful situations as dangerous with a consequent tendency to respond to situations with varying intensity.
5. Data Analysis
6. Preliminary Analysis
7. Results
- (a)
- Indirect effect 1 (a1 ∗ b1): MFA →fear →anxiety; a1 (−0.0031) ∗ b1 (2.706) = −0.0084 (LLCI = −0.0356, ULCI = 0.0121). Because zero falls between the lower and upper bound of the 95% confidence interval, we infer that the indirect effect of MFA (X) through fear (MV1) on anxiety (Y) was not statistically significant.
- (b)
- Indirect effect 2 (a2 ∗ b2): MFA → risk → anxiety; a2 (−0.0019) ∗ b2 (−7.543) = 0.0144 (LLCI = −0.0462, ULCI = 0.0887). Because zero (the null) falls between the lower and upper bound of the 95% confidence interval, we assume that the indirect effect of MFA (X) through risk (MV2) on anxiety (Y) was also not significantly different from zero.
8. Discussion
9. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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N | Min. | Max. | Mean | Std. Dev. | |
---|---|---|---|---|---|
Gestational age | 50 | 24 | 37 | 31.20 | 3.94 |
Waiting period | 50 | 0 | 24 | 2.86 | 5.10 |
Fear of not being pregnant | 50 | 0 | 1 | 0.46 | 0.50 |
Perception of a high-risk pregnancy | 49 | 0 | 1 | 0.20 | 0.41 |
Presence of other children | 50 | 0 | 1 | 0.38 | 0.49 |
N | Min. | Max. | Mean | Std. Devi. | |
---|---|---|---|---|---|
Gestational age | 45 | 23 | 37 | 28.56 | 3.60 |
Waiting period | 45 | 12 | 96 | 26.22 | 14.48 |
Fear of not being pregnant | 45 | 0 | 1 | 0.84 | 0.37 |
Perception of a high-risk pregnancy | 45 | 0 | 1 | 0.31 | 0.47 |
Assisted fertilization attempts | 45 | 1 | 6 | 2.40 | 1.286 |
Presence of other children | 45 | 0 | 1 | 0.07 | 0.252 |
Variables | A. | B. | C. | D. | E. | F. |
---|---|---|---|---|---|---|
A. Gestational age | - | |||||
B. Age | 0.15 | - | ||||
C. Waiting period | 0.06 | −0.04 | - | |||
D. Fear of not being pregnant | 0.31 * | 0.18 | 0.06 | - | ||
E. Perception of a high-risk pregnancy | 0.65 ** | 0.18 | 0.04 | 0.34 * | - | |
F. Presence of other children | 0.50 ** | 0.31 * | −0.04 | 0.02 | 0.35 * | - |
G. Total MFAS | 0.05 | −0.24 | −0.19 | −0.01 | −0.06 | 0.11 |
Variables | A. | B. | C. | D. | E. | F. | G. | H. |
---|---|---|---|---|---|---|---|---|
A. Gestational age | - | |||||||
B. Age | −0.13 | - | ||||||
C. Waiting period | 0.512 * | −0.08 | - | |||||
D. Fear of not being pregnant | 0.20 | 0.29 | 0.02 | - | ||||
E. Perception of the high-risk pregnancy | 0.07 | 0.10 | −0.21 | 0.29 | - | |||
F. Fertilization technique | 0.15 | −0.22 | 0.20 | −0.15 | −0.13 | - | ||
G. Assisted fertilization attempts | 0.26 | −0.12 | 0.10 | 0.33 * | −0.02 | 0.05 | - | |
H. Presence of other children | 0.34 * | −0.02 | 0.56 ** | 0.12 | −0.18 | 0.22 | 0.13 | - |
I. Total MFAS | −0.32 * | −0.09 | 0.07 | −0.16 | −0.08 | 0.28 | 0.02 | 0.03 |
Dimensions | Sub-Dimensions | Group | N | M. | S.D | T | p-Value |
---|---|---|---|---|---|---|---|
MFAS | Role Taking | Experimental Group | 45 | 17.00 | 2.11 | 0.76 | |
Control Group | 50 | 16.68 | 2.00 | 0.76 | 0.45 | ||
Differentiation from Self | Experimental Group | 45 | 15.91 | 2.10 | 0.94 | ||
Control Group | 50 | 15.56 | 1.54 | 0.92 | 0.36 | ||
Interaction with the fetus | Experimental Group | 45 | 17.00 | 2.41 | −0.42 | ||
Control Group | 50 | 17.20 | 2.24 | −0.42 | 0.68 | ||
Attributing characteristics and intentions | Experimental Group | 45 | 20.80 | 3.18 | 1.43 | ||
Control Group | 50 | 19.96 | 2.55 | 1.41 | 0.16 | ||
Giving of Self | Experimental Group | 45 | 18.76 | 1.84 | 0.86 | ||
Control Group | 50 | 18.34 | 2.73 | 0.88 | 0.38 | ||
Total MFAS | Experimental Group | 45 | 100.87 | 17.90 | −4.44 | ||
Control Group | 50 | 115.01 | 12.98 | −4.37 | 0.00 | ||
STAI | STAI S (State anxiety) | Experimental Group | 45 | 43.27 | 9.62 | 2.06 | |
Control Group | 50 | 39.28 | 9.24 | 2.06 | 0.04 | ||
STAI T (Trait anxiety) | Experimental Group | 45 | 44.47 | 7.55 | 1.59 | ||
Control Group | 50 | 41.94 | 7.92 | 1.59 | 0.12 |
Variables | A. | B. | C. | D. | E. | F. | G. |
---|---|---|---|---|---|---|---|
A. Role taking | - | ||||||
B. Differentiation from self | 0.37 * | - | |||||
C. Interaction with fetus | 0.33 * | −0.04 | - | ||||
D. Attributing characteristics and intentions | 0.21 | −0.07 | 0.26 | - | |||
E. Giving of self | −0.14 | −0.25 | 0.27 | 0.13 | - | ||
F. Total MFAS | −0.27 | 0.16 | −0.37 * | −0.53 ** | −0.17 | - | |
G. STAI S | 0.13 | 0.23 | 0.12 | 0.26 | 0.01 | −0.38 ** | - |
H. STAI T | −0.04 | 0.09 | 0.05 | 0.28 | −0.21 | −0.44 ** | 0.46 ** |
Total Effect IV- > DV | Direct Effect IV- > DV | Relationship | Indirect Effect | Confidence Interval | t-Student | Conclusion | |
---|---|---|---|---|---|---|---|
Lower Bound Upper Bound | |||||||
−0.206 (0.009) | −0.211 (0.005) | IV Hypothesis IV- > MV1-VD Hp 4VI > MV2- > V | 0.0060; SE = 0.0331 | −0.0592 | 0.0769 | −2.720 | Partial mediation |
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Pellerone, M.; Martinez-Torvisco, J.; Razza, S.G.; Commodari, E.; Miccichè, S. Precursors of Prenatal Attachment and Anxiety during Pregnancy in Women Who Procreate Naturally and Pregnant Women following Assisted Reproduction Technology. Int. J. Environ. Res. Public Health 2023, 20, 6945. https://doi.org/10.3390/ijerph20206945
Pellerone M, Martinez-Torvisco J, Razza SG, Commodari E, Miccichè S. Precursors of Prenatal Attachment and Anxiety during Pregnancy in Women Who Procreate Naturally and Pregnant Women following Assisted Reproduction Technology. International Journal of Environmental Research and Public Health. 2023; 20(20):6945. https://doi.org/10.3390/ijerph20206945
Chicago/Turabian StylePellerone, Monica, Juan Martinez-Torvisco, Stesy Giuseppa Razza, Elena Commodari, and Sandra Miccichè. 2023. "Precursors of Prenatal Attachment and Anxiety during Pregnancy in Women Who Procreate Naturally and Pregnant Women following Assisted Reproduction Technology" International Journal of Environmental Research and Public Health 20, no. 20: 6945. https://doi.org/10.3390/ijerph20206945