{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T17:56:35Z","timestamp":1783619795014,"version":"3.55.0"},"reference-count":59,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T00:00:00Z","timestamp":1717459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>The role of anxiety is unknown in relation to postpartum bonding, unlike the well-known detrimental effect that postpartum depression has on the relationship between a mother and child. This study investigates how anxiety affects mother\u2013infant bonding after childbirth, comparing the Italian version of the Postpartum Specific Anxiety Scale (PSAS-IT) with generalized measures of anxiety. Examining 324 non-randomly-selected participants responding to various scales, including the Edinburgh postnatal depression scale (EPDS), generalized anxiety disorder (GAD), postpartum-specific anxiety scale (PSAS-IT), postpartum bonding questionnaire (PBQ), and baby care questionnaire (BCQ-2), initial results suggest a link between certain postpartum anxiety symptoms and attachment problems. Surprisingly, anxiety measured with the PSAS has no direct influence on attachment; however, it is a strong predictor of bonding, even when maternal age, general anxiety, and depression are taken into account, explaining 3% of the variance in scores (\u03b2 = 0.26, p &lt; 0.001). This emphasizes the importance of early identification and intervention of postpartum anxiety in promoting bonding between mother and child.<\/jats:p>","DOI":"10.3390\/ejihpe14060107","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T03:49:28Z","timestamp":1717559368000},"page":"1614-1626","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Postpartum-Specific Anxiety and Maternal\u2013Infant Bonding: A Predictive Validity Study amongst Italian Women"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0163-3841","authenticated-orcid":false,"given":"Chiara","family":"Ionio","sequence":"first","affiliation":[{"name":"CRIdee, Unit\u00e0 di Ricerca sul Trauma, Dipartimento di Psicologia, Facolt\u00e0 di Psicologia, Universit\u00e0 Cattolica del Sacro Cuore, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4031-0890","authenticated-orcid":false,"given":"Giulia","family":"Ciuffo","sequence":"additional","affiliation":[{"name":"CRIdee, Unit\u00e0 di Ricerca sul Trauma, Dipartimento di Psicologia, Facolt\u00e0 di Psicologia, Universit\u00e0 Cattolica del Sacro Cuore, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Christiansen","sequence":"additional","affiliation":[{"name":"Department of Psychology, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool L69 3GF, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3573-6451","authenticated-orcid":false,"given":"Anna Maria","family":"Della Vedova","sequence":"additional","affiliation":[{"name":"Dipartimento di Scienze Cliniche e Sperimentali, Facolt\u00e0 di Medicina e Chirurgia, Universit\u00e0 Degli Studi di Brescia, 25123 Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Fallon","sequence":"additional","affiliation":[{"name":"Department of Psychology, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool L69 3GF, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Francesca","family":"Figlino","sequence":"additional","affiliation":[{"name":"Dipartimento di Psicologia, Facolt\u00e0 di Psicologia, Universit\u00e0 Cattolica del Sacro Cuore, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0082-1565","authenticated-orcid":false,"given":"Marta","family":"Landoni","sequence":"additional","affiliation":[{"name":"CRIdee, Dipartimento di Psicologia, Facolt\u00e0 di Psicologia, Universit\u00e0 Cattolica del Sacro Cuore, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7177-3471","authenticated-orcid":false,"given":"Sergio A.","family":"Silverio","sequence":"additional","affiliation":[{"name":"Department of Psychology, Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool L69 3GF, UK"},{"name":"Department of Women & Children\u2019s Health, School of Life Course & Population Sciences, Faculty of Life Sciences & Medicine, King\u2019s College London, London WC2R 2LS, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5867-9859","authenticated-orcid":false,"given":"Martina","family":"Smorti","sequence":"additional","affiliation":[{"name":"Dipartimento di Patologia Chirurgica, Medica, Molecolare e dell\u2019Area Critica, Universit\u00e0 di Pisa, 56126 Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Bramante","sequence":"additional","affiliation":[{"name":"Policentro Donna, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,4]]},"reference":[{"key":"ref_1","unstructured":"Bremner, G., and Fogel, A. (2001). Mother-infant interaction. Blackwell Handbook of Infant Development, Blackwell Publishing."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1111\/j.1469-7610.2006.01701.x","article-title":"Parent-infant synchrony and the construction of shared timing; Physiological precursors, developmental outcomes, and risk conditions","volume":"48","author":"Feldman","year":"2007","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Reck, C., Tietz, A., Muller, M., Seibold, K., and Tronick, E. (2018). The impact of maternal anxiety disorder on mother-infant interaction in the postpartum period. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0194763"},{"key":"ref_4","first-page":"36","article-title":"The relationship with prenatal attachment of psychosocial health status of pregnant women","volume":"5","author":"Ozkanb","year":"2017","journal-title":"Int. J. Health Sci."},{"key":"ref_5","unstructured":"Klaus, M., and Kennell, J. (1976). Maternal-Infant Bonding, The C.V Mosby Company."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Walsh, J., Hepper, E.G., and Marshall, B.J. (2014). Investigating attachment, caregiving, and mental health: A model of maternal-fetal relationships. BMC Pregnancy Childbirth, 14.","DOI":"10.1186\/s12884-014-0383-1"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"121","DOI":"10.15452\/cejnm.2020.11.0022","article-title":"Mother-infant bonding in the postpartum period and its predictors","volume":"11","year":"2020","journal-title":"Cent. Eur. J. Nurs. Midwifery"},{"key":"ref_8","unstructured":"Mayer, C.-H., and Vanderheiden, E. (2021). When a mother\u2019s love is not enough: A cross-cultural critical review of anxiety attachment maternal ambivalence abandonment infanticide. International Handbook of Love: Transcultural and Transdisciplinary Perspectives, Springer."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"290","DOI":"10.4103\/0019-5545.166621","article-title":"The establishment of a mother-baby inpatient psychiatry unit in India: Adaptation of a Western model to meet local cultural and resource needs","volume":"57","author":"Chandra","year":"2015","journal-title":"Indian J. Psychiatry"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Lutkiewicz, K., Bieleninik, \u0141., Cie\u015blak, M., and Bidzan, M. (2020). Maternal-Infant Bonding and Its Relationships with Maternal Depressive Symptoms, Stress and Anxiety in the Early Postpartum Period in a Polish Sample. Int. J. Env. Res. Public Health, 17.","DOI":"10.3390\/ijerph17155427"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/s00737-011-0249-8","article-title":"Depression and anxiety in perinatal period: Prevalence and risk factors in an Italian sample","volume":"15","author":"Giardinelli","year":"2012","journal-title":"Arch. Women\u2019s Ment. Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1097\/01.AOG.0000183597.31630.db","article-title":"Perinatal depression: A systematic review of prevalence and incidence","volume":"106","author":"Gavin","year":"2005","journal-title":"Obs. Gynecol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"737666","DOI":"10.3389\/fpsyt.2021.737666","article-title":"Prevalence of Maternal Postnatal Anxiety and Its Association With Demographic and Socioeconomic Factors: A Multicentre Study in Italy","volume":"12","author":"Cena","year":"2021","journal-title":"Front. Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1208613","DOI":"10.3389\/fpsyt.2023.1208613","article-title":"The Italian language postpartum specific anxiety scale [PSAS-IT]: Translation, psychometric evaluation, and validation","volume":"14","author":"Ionio","year":"2023","journal-title":"Front. Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.infbeh.2018.02.005","article-title":"Postnatal anxiety prevalence, predictors and effects on development: A narrative review","volume":"51","author":"Field","year":"2018","journal-title":"Infant Behav. Dev."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"368","DOI":"10.2307\/2137104","article-title":"The factor structure of the pregnancy anxiety scale","volume":"32","author":"Levin","year":"1991","journal-title":"J. Health Soc. Behav."},{"key":"ref_17","first-page":"119","article-title":"The influence of maternal emotions during pregnancy on fetal and neonatal behavior","volume":"5","year":"1990","journal-title":"J. Prenat. Perinat. Psychol. Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.earlhumdev.2004.04.014","article-title":"Is pregnancy anxiety a distinctive syndrome?","volume":"79","author":"Huizink","year":"2004","journal-title":"Early Hum. Dev."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1016\/0002-9378(93)90016-C","article-title":"The association between prenatal stress infant birth weight gestational age at birth: A prospective investigation","volume":"169","author":"Wadhwa","year":"1993","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1007\/s00737-016-0658-9","article-title":"The Postpartum Specific Anxiety Scale: Development and preliminary validation","volume":"19","author":"Fallon","year":"2016","journal-title":"Arch. Womens Ment. Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1097\/CHI.0b013e3181b21651","article-title":"Maternal Depression and Anxiety Across the Postpartum Year and Infant Social Engagement, Fear Regulation, and Stress Reactivity","volume":"48","author":"Feldman","year":"2009","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1097\/01.CHI.0000046872.56865.02","article-title":"Maternal panic disorder: Infant temperament, neurophysiology, and parenting behaviors","volume":"42","author":"Warren","year":"2003","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/j.1469-7610.2006.01657.x","article-title":"The effects of maternal social phobia on mother-infant interactions and infant social responsiveness","volume":"48","author":"Murray","year":"2007","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/S0163-6383(97)90018-7","article-title":"Change in mother\u2013infant interactive behavior: Relations to change in the mother, the infant, and the social context","volume":"20","author":"Feldman","year":"1997","journal-title":"Infant Behav. Dev."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.infbeh.2006.08.005","article-title":"Interactions between mothers and newborns: Impact of maternal anxiety","volume":"30","author":"Harvey","year":"2007","journal-title":"Infant Behav. Dev."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1002\/imhj.20274","article-title":"Maternal anxiety symptoms and mother-infant self- and interactive contingency","volume":"32","author":"Beebe","year":"2011","journal-title":"Infant Ment. Health J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1016\/j.cpr.2005.08.001","article-title":"Family issues in child anxiety: Attachment, family functioning, parental rearing and beliefs","volume":"26","year":"2006","journal-title":"Clin. Psychol. Rev."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1111\/j.1469-7610.2008.01898.x","article-title":"Research review: The relation between child and parent anxiety and parental control: A meta-analytic review","volume":"49","author":"Stams","year":"2008","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1037\/a0029516","article-title":"Cognitive, affective, and behavioral characteristics of mothers with anxiety disorders in the context of child anxiety disorder","volume":"122","author":"Creswell","year":"2013","journal-title":"J. Abnorm. Psychol."},{"key":"ref_30","unstructured":"American Psychiatric Association (2000). Diagnostic and Statistical Manual, American Psychiatric Association. [4th ed.]. Text Revision (DSM-IV-TR)."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1111\/j.1469-7610.2011.02473.x","article-title":"Parenting by anxious mothers: Effects of disorder subtype, context and child characteristics","volume":"53","author":"Murray","year":"2012","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1016\/j.jad.2021.01.023","article-title":"Maternal-infant bonding and perceptions of infant temperament: The mediating role of maternal mental health","volume":"282","author":"Davies","year":"2021","journal-title":"J. Affect Disord"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1080\/02646838.2019.1680960","article-title":"Postpartum-specific anxiety and maternal bonding: Further evidence to support the use of childbearing-specific tools","volume":"39","author":"Fallon","year":"2021","journal-title":"J. Reprod Infant Psychol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale","volume":"150","author":"Cox","year":"1987","journal-title":"Br. J. Psychiatry"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/S0165-0327(98)00102-5","article-title":"The Edinburgh Postnatal Depression Scale: Validation for an Italian sample","volume":"53","author":"Benvenuti","year":"1999","journal-title":"J. Affect. Disord."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"280","DOI":"10.3109\/01674829709080700","article-title":"Validation of the Edinburgh postnatal depression scale in Italy","volume":"18","author":"Carpiniello","year":"1997","journal-title":"J. Psychosom. Obs. Gynaecol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Worrall, S., Christiansen, P., Khalil, A., Silverio, S.A., and Fallon, V. (2024). Measurement invariance analysis of the Postpartum Specific Anxiety Scale\u2014Research Short Form in mothers of premature and term newborns. BMC Res. Notes, 17.","DOI":"10.1186\/s13104-024-06746-3"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Mashayekh-Amiri, S., Jafarabadi, M.A., Davies, S.M., Silverio, S.A., Fallon, V., Montazeri, M., and Mirghafourvand, M. (2023). Psychometric evaluation of the postpartum specific anxiety scale\u2014Research short-form among iranian women (PSAS-IR-RSF). BMC Pregnancy Childbirth, 23, Erratum in BMC Pregnancy Childbirth 2023, 23, 565.","DOI":"10.1186\/s12884-023-05855-4"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1111\/ppc.12808","article-title":"Postpartum specific anxiety in a French population: Validation of the French version of the Postpartum Specific Anxiety Scale [PSAS-FR]","volume":"58","author":"Silverio","year":"2022","journal-title":"Perspect. Psychiatr. Care"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.genhosppsych.2023.04.011","article-title":"Psychometric evaluation and validation of the Postpartum Specific Anxiety Scale for the Spanish-speaking population: PSAS-ES","volume":"83","author":"Silverio","year":"2023","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_42","first-page":"554","article-title":"Revision and reliability and validity evaluation of the Chinese version of the postpartum specific anxiety scale","volume":"29","author":"Xu","year":"2021","journal-title":"Chin. J. Clin. Psych."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Hasanzadeh, R., Jafarabadi, M.A., Hasanpour, S., Fallon, V., Silverio, S.A., Montazeri, R., and Mirghafourvand, M. (2021). Psychometric evaluation of the postpartum specific anxiety scale in an Iranian population (PSAS-IR). BMC Pregnancy Childbirth., 21.","DOI":"10.1186\/s12884-021-04085-w"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1007\/s007370170010","article-title":"A screening questionnaire for mother\u2013 infant bonding disorders","volume":"3","author":"Brockington","year":"2001","journal-title":"Arch. Womens Ment. Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1016\/j.infbeh.2013.08.004","article-title":"The Baby Care Questionnaire: A measure of parenting principles and practices during infancy","volume":"36","author":"Winstanley","year":"2013","journal-title":"Infant Behav. Dev."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.infbeh.2010.05.001","article-title":"Maternal sensitivity moderates the impact of prenatal anxiety disorder on infant responses to the still-face procedure","volume":"33","author":"Grant","year":"2010","journal-title":"Infant Behav. Dev."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1002\/imhj.20193","article-title":"Effects of maternal depression and panic disorder on mother\u2013infant interactive behavior in the Face-to- Face Still-Face paradigm","volume":"29","author":"Weinberg","year":"2008","journal-title":"Infant Ment. Health J."},{"key":"ref_48","first-page":"53","article-title":"The impact of maternal psychiatric illness on infant development","volume":"59","author":"Weinberg","year":"1998","journal-title":"J. Clin. Psychiatry"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.infbeh.2009.12.003","article-title":"Maternal anxiety, mother\u2013infant interactions, and infants\u2019 response to challenge","volume":"33","author":"Kaitz","year":"2010","journal-title":"Infant Behav. Dev."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"102148","DOI":"10.1016\/j.janxdis.2019.102148","article-title":"The association between prenatal maternal anxiety disorders and postpartum perceived and observed mother-infant relationship quality","volume":"68","author":"Nath","year":"2019","journal-title":"J. Anxiety Disord"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1111\/j.1365-2648.2006.03943.x","article-title":"Predictors of maternal sensitivity during the early postpartum period","volume":"55","author":"Shin","year":"2006","journal-title":"J. Adv. Nurs."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1007\/s00737-014-0423-x","article-title":"Maternal bonding in mothers with postpartum anxiety disorder: The crucial role of subclinical depressive symptoms and maternal avoidance behaviour","volume":"17","author":"Tietz","year":"2014","journal-title":"Arch. Women\u2019s Ment. Health"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1037\/0022-006X.67.6.826","article-title":"Characterizing interactions between anxious mothers and their children","volume":"67","author":"Whaley","year":"1999","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_54","first-page":"1","article-title":"Maternal age and parenting strategies","volume":"69","author":"Meggiolaro","year":"2013","journal-title":"Genus"},{"key":"ref_55","unstructured":"Ciuffo, G., Landoni, M., Smorti, M., Bianchi, S., Ionio, C., and Silverio, S.A. (2024). The diminishing polyads of parenting: Exploring cultural perspectives of \u2018good parenting\u2019 in Italy using grounded theory analysis. J. Fam. Iusses, in press."},{"key":"ref_56","first-page":"3","article-title":"Parenting Infants","volume":"Volume 1","author":"Borstein","year":"2002","journal-title":"Handbook of Parenting: Children and Parenting"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"411","DOI":"10.2307\/352473","article-title":"Mother\u2019s Age as a Predictor of Observed Maternal Behavior in Three Independent Samples of Families","volume":"46","author":"Conger","year":"1984","journal-title":"J. Marriage Fam."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1037\/0278-6133.18.4.333","article-title":"Psychological adaptation and birth outcomes: The role of personal resources, stress, and sociocultural context in pregnancy","volume":"18","author":"Rini","year":"1999","journal-title":"Health Psychol."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Davies, S.M., Todd-Leonida, B., Fallon, V., and Silverio, S.A. (2022). Exclusive breastfeeding duration and perceptions of infant sleep: The mediating role of postpartum anxiety. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19084494"}],"container-title":["European Journal of Investigation in Health, Psychology and Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2254-9625\/14\/6\/107\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:53:48Z","timestamp":1760108028000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2254-9625\/14\/6\/107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,4]]},"references-count":59,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["ejihpe14060107"],"URL":"https:\/\/doi.org\/10.3390\/ejihpe14060107","relation":{},"ISSN":["2254-9625"],"issn-type":[{"value":"2254-9625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,4]]}}}