{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:54:25Z","timestamp":1777553665541,"version":"3.51.4"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T00:00:00Z","timestamp":1697500800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003The aim of this research was to study the ways in which problems of adaptation to pregnancy influence the development of symptoms of perinatal depression via the presence of brooding and low maternal-fetal bonding, in addition to other risk factors previously established in the literature.<\/jats:p><jats:p>\n          Study Design\u2003Representative sample of pregnant women in the third trimester of gestation (N\u2009=\u2009594) completed an online survey that included sociodemographic data and measures of perinatal depression, adjustment to pregnancy, bonding, and brooding. Other risk factors were also assessed as covariates, such as previous history of depression, generalized anxiety, perceived social support, and experience of stressful life events. Descriptive and correlational analyses were performed on the scores obtained by the subjects with the different instruments. A path model was formulated to establish the pathways through which adjustment influences perinatal depression symptomatology. On the one hand, the presence of brooding (worst adjustment to pregnancy \u2192 high brooding \u2192 perinatal depression symptomatology), and on the other hand, the quality of maternal-fetal bonding (worst adjustment to pregnancy \u2192 poor quality fetal-maternal bonding \u2192 perinatal depression symptomatology) would act as a mediator.<\/jats:p><jats:p>\n          Results\u2003The factors proposed by the literature were predictive of perinatal depressive symptomatology and the quality of adjustment to pregnancy. Problems adjusting to changes during pregnancy and experiencing it unsatisfactorily may predict individual differences in perinatal depressive symptoms. Significantly, this relationship was mediated by two key factors, the presence of brooding and low quality of the maternal-fetal bond.<\/jats:p><jats:p>\n          Conclusion\u2003Our results provide evidence in favor of the existence of multiple paths through which difficulties in adapting to pregnancy can favor the occurrence of higher levels of perinatal depressive symptoms and identify new avenues for developing research in this area and preventive interventions empirically informed.<\/jats:p>","DOI":"10.1055\/s-0043-1776062","type":"journal-article","created":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T23:00:10Z","timestamp":1697583610000},"page":"e2870-e2877","source":"Crossref","is-referenced-by-count":2,"special_numbering":"S","title":["Difficulties in Pregnancy Adjustment as Predictors of Perinatal Depression: Indirect Effects through the Role of Brooding Rumination and Maternal\u2013Fetal Bonding"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0852-6264","authenticated-orcid":false,"given":"Maria","family":"Vega-Sanz","sequence":"additional","affiliation":[{"name":"University Institute of Family Studies, Comillas Pontifical University, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6739-2035","authenticated-orcid":false,"given":"Ricardo","family":"Rey-S\u00e1ez","sequence":"additional","affiliation":[{"name":"Department of Personality, Evaluation and Psychological Treatments, Complutense University of Madrid, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8554-1791","authenticated-orcid":false,"given":"Ana","family":"Ber\u00e1stegui","sequence":"additional","affiliation":[{"name":"University Institute of Family Studies, Comillas Pontifical University, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2815-7803","authenticated-orcid":false,"given":"\u00c1lvaro","family":"S\u00e1nchez-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Personality, Evaluation and Psychological Treatments, Complutense University of Madrid, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,17]]},"reference":[{"issue":"01","key":"ref1","first-page":"93","article-title":"La vinculaci\u00f3n afectiva prenatal y la ansiedad durante los \u00faltimos tres meses del embarazo en las madres y padres tempranos. 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