title: [Perinatal depression and affective bonds: experience in close relationship during pregnancy].
abstract: OBJECTIVE
  This study aims to investigate the influence of the "romantic attachment" style, stressful life events, social factors on the risk of developing a depression during pregnancy and on the severity of depressive symptoms.
  
  
  METHODS
  The study started with a screening on a sample of 453 women, during their third trimester of pregnancy, to which has been administered a survey data form, the Edinburgh Postnatal Depression Scale (EPDS) and the Experience in Close Relationship (ECR). Based on the results at EPDS, a clinical group of pre-natal depression (D=89) was selected and compared with a control group (C=89), in regards to psychopathological and social variables, exposure to stressful life events and attachment patterns. Analysis of correlation were performed to evaluate the influence of these factors on depressive symptoms severity.
  
  
  RESULTS
  In D group, 52.8% of subjects reported previous psychiatric disorders and 49.4% a familiarity; 29.2% of these women complains of conflicts with their family of origin and 32.6% with partner. The ECR showed a prevalence of "fearful-avoidant" attachment style in clinical group (29.2% vs 1.1%, p=0.000); besides, ECR dimensions ("Avoidance", "Anxiety"), correlate with the severity of depressive symptoms.
  
  
  CONCLUSIONS
  Positive family history for psychiatric disorders and an insecure romantic attachment might influence the development and the severity of perinatal depression.
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Franca
authors.initials: F
authors.lastname: Aceti
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Nicoletta
authors.initials: N
authors.lastname: Giacchetti
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Valentina
authors.initials: V
authors.lastname: Meuti
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Giuseppe Mattia
authors.initials: GM
authors.lastname: Carluccio
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Michela
authors.initials: M
authors.lastname: Zaccagni
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Isabella
authors.initials: I
authors.lastname: Marini
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Flavia
authors.initials: F
authors.lastname: Di Lorenzo
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Grillo
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Guido
authors.initials: G
authors.lastname: Mancini
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Valentina
authors.initials: V
authors.lastname: Serio
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Giordana
authors.initials: G
authors.lastname: Rocchi
authors.affiliation: Dipartimento di Scienze Sociali, Facoltà di Scienze Politiche, Sociologia, Comunicazione, Sapienza Università di Roma.
authors.forename: Orazio
authors.initials: O
authors.lastname: Giancola
authors.affiliation: UOS Igiene Mentale delle Relazioni Affettive e del Post Partum, UOC Psichiatria e Psicofarmacologia, DAI Neurologia e Psichiatria, Policlinico Umberto I, Sapienza Università di Roma.
authors.forename: Massimo
authors.initials: M
authors.lastname: Biondi
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D003863:Depression / Q000523:psychology*; D019052:Depression, Postpartum / Q000523:psychology; D003866:Depressive Disorder / Q000523:psychology; D005195:Family Relations; D005260:Female; D006306:Health Surveys; D006801:Humans; D008016:Life Change Events; D008875:Middle Aged; D009769:Object Attachment; D010298:Parity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology*; D011263:Pregnancy Trimester, Third; D012008:Recurrence; D012306:Risk; D012959:Socioeconomic Factors; D055815:Young Adult