{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:34:58Z","timestamp":1791909298547,"version":"4.3.4"},"reference-count":73,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T00:00:00Z","timestamp":1746576000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Prenatal anxiety is a common problem affecting a large number of women. The presence of anxiety during pregnancy is associated with adverse consequences for both the mother and the baby. The main objective of this review was to determine the risk factors associated with anxiety during pregnancy in European women. Specifically, we wanted to know if these factors are the same as those found in other continents and if they are similar to those associated with depression during this stage. Methods: A literature review was carried out on studies that were published in the last 10 years in the PsycInfo, Medline, and SCOPUS databases. Thirteen studies were selected for the purposes of this review. Results: Sociodemographic risk factors associated with a higher level of anxiety during pregnancy included having a lower educational level and socioeconomic status. Obstetric and pregnancy-related risk factors included having had complications during pregnancy. Having a history of mental health problems, low social support, high levels of stress, and being exposed to adverse life events were the most relevant psychological factors for presenting prenatal anxiety. Furthermore, these factors are largely common to those associated with prenatal anxiety in other continents of the world and to those associated with prenatal depression. Conclusions: This review shows that there are multiple factors that contribute to women experiencing prenatal anxiety. Most can be identified at the beginning of pregnancy, and some factors, such as psychological ones, are potentially modifiable. This underlines the importance of carrying out a proper screening for anxiety during pregnancy in order to prevent its onset or treat it appropriately. Furthermore, the fact that risk factors are common for both prenatal anxiety and depression implies that the same intervention could reduce the probability of the onset of both pathologies and the possible consequences associated with them.<\/jats:p>","DOI":"10.3390\/jcm14093248","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T08:20:53Z","timestamp":1746606053000},"page":"3248","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Risk Factors for Prenatal Anxiety in European Women: A Review"],"prefix":"10.3390","volume":"14","author":[{"given":"Alba","family":"Val","sequence":"first","affiliation":[{"name":"Faculty of Psychology, Department of Clinical Psychology and Psychobiology, Institute of Psychology (IPsiUS), University of Santiago de Compostela, Campus Vida, 15782 Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina M.","family":"Posse","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, Department of Clinical Psychology and Psychobiology, Institute of Psychology (IPsiUS), University of Santiago de Compostela, Campus Vida, 15782 Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Carmen","family":"M\u00edguez","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, Department of Clinical Psychology and Psychobiology, Institute of Psychology (IPsiUS), University of Santiago de Compostela, Campus Vida, 15782 Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1146\/annurev.psych.031809.130727","article-title":"Psychological science on pregnancy: Stress processes, biopsychosocial models, and emerging research issues","volume":"62","year":"2011","journal-title":"Annu. Rev. Psychol."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Hadfield, K., Akyirem, S., Sartori, L., Abdul-Latif, A.M., Akaateba, D., Bayrampour, H., Daly, A., Hadfield, K., and Abiiro, G.A. (2022). Measurement of pregnancy-related anxiety worldwide: A systematic review. BMC Pregnancy Childbirth, 22.","DOI":"10.1186\/s12884-022-04661-8"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/s10995-010-0595-6","article-title":"Perinatal depression and birth outcomes in a Healthy Start project","volume":"15","author":"Smith","year":"2011","journal-title":"Matern. Child. Health J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jpsychores.2018.06.011","article-title":"Depressive symptoms and comorbid problems in pregnancy-results from a population based study","volume":"112","author":"Pampaka","year":"2018","journal-title":"J. Psychosom. Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.jad.2019.05.003","article-title":"Influencing factors for prenatal stress, anxiety and depression in early pregnancy among women in Chongqing, China","volume":"253","author":"Tang","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1097\/01.AOG.0000116689.75396.5f","article-title":"Prevalence of depression during pregnancy: Systematic review","volume":"103","author":"Bennett","year":"2004","journal-title":"Obstet. Gynecol."},{"key":"ref_7","first-page":"e15","article-title":"Depression during pregnancy: Rates, risks and consequences","volume":"16","author":"Marcus","year":"2009","journal-title":"J. Popul. Ther. Clin. Pharmacol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1111\/j.1552-6909.2006.00064.x","article-title":"Prevalence of antenatal depression in women enrolled in an outreach program in Canada","volume":"35","author":"Bowen","year":"2006","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/S0165-1781(01)00301-8","article-title":"Symptoms of atypical depression","volume":"104","author":"Posternak","year":"2001","journal-title":"Psychiatry Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1097\/01.AOG.0000287065.59491.70","article-title":"Prevalence, course, and risk factors for antenatal anxiety and depression","volume":"110","author":"Lee","year":"2007","journal-title":"Obstet. Gynecol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/j.jad.2015.11.004","article-title":"Clinical management of perinatal anxiety disorders: A systematic review","volume":"190","author":"Marchesi","year":"2016","journal-title":"J. Affect. Disord."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1017\/S0033291717000617","article-title":"The prevalence of antenatal and postnatal co-morbid anxiety and depression: A meta-analysis","volume":"47","author":"Shiri","year":"2017","journal-title":"Psychol. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1192\/bjp.bp.116.187179","article-title":"Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis","volume":"210","author":"Dennis","year":"2017","journal-title":"Br. J. Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1192\/bjo.2018.75","article-title":"Anxiety scales used in pregnancy: Systematic review","volume":"5","author":"Sinesi","year":"2019","journal-title":"BJPsych Open"},{"key":"ref_15","first-page":"257","article-title":"Incidence, prevalence and risk factors related to anxiety symptoms during pregnancy","volume":"30","author":"Le","year":"2018","journal-title":"Psicothema"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Val, A., and M\u00edguez, M.C. (2023). Prevalence of antenatal anxiety in European women: A literature review. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20021098"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1089\/jwh.2008.1352","article-title":"Detection, treatment, and referral of perinatal depression and anxiety by obstetrical providers","volume":"19","author":"Goodman","year":"2010","journal-title":"J. Womens Health"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Atif, N., Nazir, H., Zafar, S., Chaudhri, R., Atiq, M., Mullany, L.C., Rowther, A.A., Malik, A., Surkan, P.J., and Rahman, A. (2020). Development of a Psychological Intervention to Address Anxiety During Pregnancy in a Low-Income Country. Front. Psychiatry, 10.","DOI":"10.3389\/fpsyt.2019.00927"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1007\/s00737-018-0812-7","article-title":"A systematic review of psychological treatments for clinical anxiety during the perinatal period","volume":"21","author":"Loughnan","year":"2018","journal-title":"Arch. Women\u2019s Ment. Health"},{"key":"ref_20","first-page":"47","article-title":"Depresi\u00f3n postparto y factores asociados en mujeres con embarazos de riesgo [Postpartum depression and associated risk factors among women with risk pregnancies]","volume":"25","author":"Pereira","year":"2017","journal-title":"Behav. Psychol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.wombi.2011.09.002","article-title":"Anxiety and fear of childbirth as predictors of postnatal depression in nulliparous women","volume":"25","author":"Alipour","year":"2012","journal-title":"Women Birth"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s00737-017-0785-y","article-title":"Mother-infant bonding in the postpartum period: Assessment of the impact of pre-delivery factors in a clinical sample","volume":"21","author":"Torres","year":"2018","journal-title":"Arch. Women\u2019s Ment. Health"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.infbeh.2017.08.008","article-title":"Prenatal anxiety effects: A review","volume":"49","author":"Field","year":"2017","journal-title":"Infant. Behav. Dev."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.jad.2014.02.027","article-title":"Maternal anxiety during pregnancy and adverse birth outcomes: A systematic review and meta-analysis of prospective cohort studies","volume":"159","author":"Ding","year":"2014","journal-title":"J. Affect. Disord."},{"key":"ref_25","first-page":"25","article-title":"Risk of spontaneous preterm birth in relation to maternal depressive, anxiety, and stress symptoms","volume":"58","author":"Sanchez","year":"2013","journal-title":"J. Reprod. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1002\/ijgo.13593","article-title":"Prevalence and associated risk factors of prenatal depression underdiagnosis: A population-based study","volume":"153","author":"Levy","year":"2021","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"M\u00edguez, M.C., and V\u00e1zquez, M.B. (2021). Prevalence of Depression during Pregnancy in Spanish Women: Trajectory and risk factors in each trimester. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18136789"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1007\/s10995-014-1637-2","article-title":"Prenatal depression and adverse birth outcomes: An updated systematic review","volume":"19","author":"Accortt","year":"2015","journal-title":"Matern. Child Health J."},{"key":"ref_29","first-page":"301","article-title":"Prenatal Depression Risk Factors, Developmental Effects and Interventions: A Review","volume":"4","author":"Field","year":"2017","journal-title":"J. Pregnancy Child Health"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"325","DOI":"10.5498\/wjp.v11.i7.325","article-title":"Risk factors for antenatal depression: A review","volume":"11","year":"2021","journal-title":"World J. Psychiatry"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.brat.2019.03.001","article-title":"A randomised controlled trial of \u2018MUMentum postnatal\u2019: Internet-delivered cognitive behavioural therapy for anxiety and depression in postpartum women","volume":"116","author":"Loughnan","year":"2019","journal-title":"Behav. Res. Ther."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.jad.2015.11.014","article-title":"Identifying the women at risk of antenatal anxiety and depression: A systematic review","volume":"191","author":"Biaggi","year":"2016","journal-title":"J. Affect. Disord."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e1153","DOI":"10.4088\/JCP.14r09035","article-title":"Anxiety disorders during pregnancy: A systematic review","volume":"75","author":"Goodman","year":"2014","journal-title":"J. Clin. Psychiatry"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1080\/02646838.2018.1492097","article-title":"Risk factors for antenatal anxiety: A systematic review of the literature","volume":"36","author":"Bayrampour","year":"2018","journal-title":"J. Reprod. Infant. Psychol."},{"key":"ref_35","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_36","doi-asserted-by":"crossref","unstructured":"Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., and PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med., 6.","DOI":"10.1371\/journal.pmed.1000097"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jad.2019.01.036","article-title":"Correlates for state and trait anxiety in a multicultural sample of Turkish and Spanish women at first trimester of pregnancy","volume":"249","author":"Kabukcuoglu","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Sharapova, A., and Goguikian Ratcliff, B. (2018). Psychosocial and sociocultural factors influencing antenatal anxiety and depression in non-precarious migrant women. Front. Psychol., 9.","DOI":"10.3389\/fpsyg.2018.01200"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1111\/birt.12343","article-title":"Depression and anxiety during pregnancy: The influence of maternal characteristics","volume":"45","author":"Vlenterie","year":"2018","journal-title":"Birth"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Filippetti, M.L., Clarke, A.D.F., and Rigato, S. (2022). The mental health crisis of expectant women in the UK: Effects of the COVID-19 pandemic on prenatal mental health, antenatal attachment and social support. BMC Pregnancy Childbirth, 22.","DOI":"10.1186\/s12884-022-04387-7"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Insan, N., Slack, E., Heslehurst, N., and Rankin, J. (2020). Antenatal depression and anxiety and early pregnancy BMI among White British and South Asian women: Retrospective analysis of data from the Born in Bradford cohort. BMC Pregnancy Childbirth, 20.","DOI":"10.1186\/s12884-020-03097-2"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"103103","DOI":"10.1016\/j.midw.2021.103103","article-title":"Prevalence and predictors of poor mental health among pregnant women in Wales using a cross-sectional survey","volume":"103","author":"Savory","year":"2021","journal-title":"Midwifery"},{"key":"ref_43","unstructured":"Hong, Q.N., Pluye, P., F\u00e0bregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M.P., Griffiths, F., and Nicolau, B. (2025, April 16). Mixed Methods Appraisal Tool (MMAT). Version 2018. McGill University. Available online: http:\/\/mixedmethodsappraisaltoolpublic.pbworks.com\/w\/file\/fetch\/."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"E84","DOI":"10.1192\/j.eurpsy.2020.82","article-title":"Prevalence of maternal antenatal anxiety and its association with demographic and socioeconomic factors: A multicentre study in Italy","volume":"63","author":"Cena","year":"2020","journal-title":"Eur. Psychiatry"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/j.jad.2015.01.012","article-title":"Risk factors and course patterns of anxiety and depressive disorders during pregnancy and after delivery: A prospective-longitudinal study","volume":"175","author":"Martini","year":"2015","journal-title":"J. Affect. Disord."},{"key":"ref_46","first-page":"97","article-title":"Cultural elements of postpartum depression. A study of 327 Jewish Jerusalem women","volume":"45","author":"Dankner","year":"2000","journal-title":"J. Reprod. Med."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"R\u0103chit\u0103, A.I.C., Strete, G.E., S\u0103lcudean, A., Ghiga, D.V., R\u0103dulescu, F., C\u0103linescu, M., Nan, A.G., Sasu, A.B., Suciu, L.M., and M\u0103rginean, C. (2023). Prevalence and risk factors of depression and anxiety among women in the last trimester of pregnancy: A cross-sectional study. Medicina, 59.","DOI":"10.3390\/medicina59061009"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"103013","DOI":"10.1016\/j.midw.2021.103013","article-title":"The COVID-19 outbreak: Maternal Mental Health and Associated Factors","volume":"99","author":"Koyucu","year":"2021","journal-title":"Midwifery"},{"key":"ref_49","first-page":"45","article-title":"Depression and anxiety in women during pregnancy in Slovenia","volume":"54","author":"Podvornik","year":"2015","journal-title":"Zdr. Varst."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jad.2019.01.027","article-title":"Insomnia late in pregnancy is associated with perinatal anxiety: A longitudinal cohort study","volume":"248","author":"Osnes","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref_51","first-page":"3","article-title":"Prevalence and factors associated with the depressive and anxiety symptoms amongst antenatal women","volume":"20","author":"Arifin","year":"2021","journal-title":"IIUM Med. J. Malays."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.midw.2015.02.009","article-title":"Risk factors of transient and persistent anxiety during pregnancy","volume":"31","author":"Bayrampour","year":"2015","journal-title":"Midwifery"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Nasreen, H.E., Kabir, Z.N., Forsell, Y., and Edhborg, M. (2011). Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: A population based study in rural Bangladesh. BMC Womens Health, 11.","DOI":"10.1186\/1472-6874-11-22"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"139G","DOI":"10.2471\/BLT.11.091850","article-title":"Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: A systematic review","volume":"90","author":"Fisher","year":"2012","journal-title":"Bull World Health Organ."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1080\/07399330802089149","article-title":"The impact of cultural factors upon postpartum depression: A literature review","volume":"29","author":"Bina","year":"2008","journal-title":"Health Care Women Int."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"101","DOI":"10.2147\/IJWH.S153273","article-title":"Anxiety and depression during pregnancy in women attending clinics in a University Hospital in Eastern province of Saudi Arabia: Prevalence and associated factors","volume":"10","author":"Alqahtani","year":"2018","journal-title":"Int. J. Womens Health"},{"key":"ref_57","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_58","doi-asserted-by":"crossref","unstructured":"Waqas, A., Raza, N., Lodhi, H.W., Muhammad, Z., Jamal, M., and Rehman, A. (2015). Psychosocial factors of antenatal anxiety and depression in Pakistan: Is social support a mediator?. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0116510"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1111\/j.1479-828X.2009.00966.x","article-title":"The prevalence and related risk factors of anxiety and depression symptoms among Chinese pregnant women in Shanghai","volume":"49","author":"Qiao","year":"2009","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/S0029-6465(22)02382-9","article-title":"Health-related problems in a vulnerable population: Pregnant teens and adolescent mothers","volume":"34","author":"Lesser","year":"1999","journal-title":"Nurs. Clin. N. Am."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1111\/ppe.12300","article-title":"Demographic, medical, and psychosocial predictors of pregnancy anxiety","volume":"30","author":"Niles","year":"2016","journal-title":"Paediatr. Perinat. Epidemiol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"653098","DOI":"10.1100\/2012\/653098","article-title":"Frequency and associated factors for anxiety and depression in pregnant women: A hospital-based cross-sectional study","volume":"2012","author":"Ali","year":"2012","journal-title":"Sci. World J."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1097\/01.AOG.0000158118.75532.51","article-title":"Impact of maternal age on obstetric outcome","volume":"105","author":"Malone","year":"2005","journal-title":"Obstet. Gynecol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1016\/j.ajog.2006.05.052","article-title":"Dystocia increases with advancing maternal age","volume":"195","author":"Treacy","year":"2006","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Juarez Padilla, J., Lara-Cinisomo, S., Navarrete, L., and Lara, M.A. (2020). Perinatal anxiety symptoms: Rates and risk factors in Mexican women. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18010082"},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Umuziga, M.P., Adejumo, O., and Hynie, M. (2020). A cross-sectional study of the prevalence and factors associated with symptoms of perinatal depression and anxiety in Rwanda. BMC Pregnancy Childbirth, 20.","DOI":"10.1186\/s12884-020-2747-z"},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Kang, Y.T., Yao, Y., Dou, J., Guo, X., Li, S.Y., Zhao, C.N., Han, H.-Z., and Li, B. (2016). Prevalence and risk factors of maternal anxiety in late pregnancy in China. Int. J. Environ. Res. Public Health, 13.","DOI":"10.3390\/ijerph13050468"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"e05264","DOI":"10.1016\/j.heliyon.2020.e05264","article-title":"Generalized and pregnancy-related anxiety prevalence and predictors among pregnant women attending primary health care in Qatar, 2018\u2013\u20132019","volume":"6","author":"Naja","year":"2020","journal-title":"Heliyon"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s00737-006-0164-6","article-title":"Prevalence of anxiety and depression during pregnancy in a private setting sample","volume":"10","year":"2007","journal-title":"Arch. Womens Ment. Health"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.jad.2018.05.073","article-title":"Risk factors of new onset anxiety and anxiety exacerbation in the perinatal period: A systematic review and meta-analysis","volume":"238","author":"Furtado","year":"2018","journal-title":"J. Affect. Disord."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"222","DOI":"10.4103\/ipj.ipj_156_22","article-title":"Antenatal depression and anxiety in Indian women: A systematic review","volume":"32","author":"Sahoo","year":"2023","journal-title":"Ind. Psychiatry J."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"e006456","DOI":"10.1136\/bmjopen-2014-006456","article-title":"Social support and the incidence and persistence of depression between antenatal and postnatal examinations in Turkey: A cohort study","volume":"5","author":"Cankorur","year":"2015","journal-title":"BMJ Open"},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"Val, A., and M\u00edguez, M.C. (2024). Telepsychological intervention for preventing anxiety: A study protocol. J. Clin. 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