{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:51:05Z","timestamp":1787028665513,"version":"build-2736575974"},"reference-count":67,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"\u201cVictor Babes\u201d University of Medicine and Pharmacy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Postpartum depression and anxiety affect up to 20% of women worldwide, yet remain understudied in Eastern Europe. Romania, one of Europe\u2019s most religious countries, provides a unique context for examining how coping strategies and religiosity influence perinatal mental health. This cross-sectional study characterized coping styles, depressive and anxiety symptoms, and religiosity among postpartum women from two western Romanian counties (Bihor and Timi\u0219) and examined associations between coping dimensions and psychological outcomes. Methods: A cross-sectional study was conducted among 201 postpartum women recruited from two public maternity hospitals between 2024 and 2025. Sociodemographic, obstetric, neonatal, coping (COPE Inventory), depressive (EPDS; PHQ-9), anxiety (GAD-7), and religiosity (RCI-10) data were collected through questionnaires and medical record extraction. Associations between coping dimensions and psychological symptoms were examined using Pearson correlations. Analyses were performed in RStudio. Results: Prevalence of possible depression (EPDS \u2265 10) was 32.8% overall, with no regional difference (Bihor 32.0% vs. Timi\u0219 33.7%, p = 0.920). EPDS demonstrated strong convergent validity with PHQ-9 (r = 0.58, p &lt; 0.001) and GAD-7 (r = 0.61, p &lt; 0.001). In bivariate analyses, avoidant coping showed the strongest association with depressive symptoms (r = 0.28, p &lt; 0.001), particularly in Bihor (r = 0.35, p &lt; 0.001). Multiple regression analysis (R2 = 0.196, p &lt; 0.001) identified avoidant coping as the strongest independent predictor (\u03b2 = 2.82, 95% CI [1.16, 4.48], p &lt; 0.001), followed by social support coping (\u03b2 = 2.46, 95% CI [1.09, 3.83], p &lt; 0.001). Emotion-focused coping showed an unexpected protective effect (\u03b2 = \u22122.97, p = 0.004). Problem-focused coping and religiosity were not significant predictors. Critically, county was non-significant after controlling for coping strategies (p = 0.732), indicating regional differences are mediated by coping patterns rather than geographic location. Conclusions: Postpartum depression prevalence in Romania aligns with international estimates. Avoidant coping emerged as the primary modifiable risk factor. Findings support integrating coping assessment into postpartum screening and developing interventions targeting avoidant strategies in Romanian perinatal care.<\/jats:p>","DOI":"10.3390\/jcm15031029","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T17:07:38Z","timestamp":1769533658000},"page":"1029","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Coping Styles, Postpartum Depression, and Anxiety in Romanian Women: A Cross-Sectional Study Using the Brief COPE Inventory"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7597-823X","authenticated-orcid":false,"given":"Nadica","family":"Motofelea","sequence":"first","affiliation":[{"name":"Doctoral School, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"},{"name":"Department of Obstetrics and Gynecology, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania"},{"name":"Department of Clinical Practical Skills, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4165-8816","authenticated-orcid":false,"given":"Radu","family":"Galis","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Faculty of Medicine and Pharmacy, Oradea University, 410087 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florin Adrian","family":"Szasz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Gynecology, Faculty of Medicine and Pharmacy, Oradea University, 410087 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4297-077X","authenticated-orcid":false,"given":"Alexandru Catalin","family":"Motofelea","sequence":"additional","affiliation":[{"name":"Center of Molecular Research in Nephrology and Vascular Disease, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7753-7621","authenticated-orcid":false,"given":"Teodora","family":"Hoinoiu","sequence":"additional","affiliation":[{"name":"Department of Clinical Practical Skills, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"},{"name":"Center for Advanced Research in Cardiovascular Pathology and Hemostaseology, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorin","family":"Trinc","sequence":"additional","affiliation":[{"name":"Department of Microscopic Morphology, Genetics Discipline, Center of Genomic Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0963-8222","authenticated-orcid":false,"given":"Ion","family":"Papava","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavius","family":"Olaru","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Costin","family":"Berceanu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Gynecology, University of Medicine and Pharmacy, 200349 Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raluca","family":"Parvanescu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5357-5890","authenticated-orcid":false,"given":"Maja","family":"Vilibi\u0107","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Sestre Milosrdnice University Hospital Center, 10000 Zagreb, Croatia"},{"name":"School of Medicine, Catholic University of Croatia, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irma","family":"Pljaki\u0107","sequence":"additional","affiliation":[{"name":"Department of Clinical Practical Skills, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreea","family":"Crintea","sequence":"additional","affiliation":[{"name":"Department of Molecular Sciences, University of Medicine and Pharmacy \u201cIuliu Ha\u021bieganu\u201d, 400349 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5960-9043","authenticated-orcid":false,"given":"Florica","family":"Voita-Mekeres","sequence":"additional","affiliation":[{"name":"Department of Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3263-1769","authenticated-orcid":false,"given":"Dan-Bogdan","family":"Navolan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 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Couns."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.ogc.2020.05.001","article-title":"Postpartum Depression: Identification and Treatment in the Clinic Setting","volume":"47","author":"Kroska","year":"2020","journal-title":"Obstet. Gynecol. Clin. N. Am."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"102690","DOI":"10.1016\/j.midw.2020.102690","article-title":"Assessing Mental Health during Pregnancy: An Exploratory Qualitative Study of Midwives\u2019 Perceptions","volume":"86","author":"Baker","year":"2020","journal-title":"Midwifery"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Watson, H., Harrop, D., Walton, E., Young, A., and Soltani, H. (2019). A Systematic Review of Ethnic Minority Women\u2019s Experiences of Perinatal Mental Health Conditions and Services in Europe. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0210587"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.4088\/JCP.15r10174","article-title":"The Perinatal Depression Treatment Cascade: Baby Steps Toward Improving Outcomes","volume":"77","author":"Cox","year":"2016","journal-title":"J. Clin. Psychiatry"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e179","DOI":"10.1016\/j.wombi.2016.11.007","article-title":"Women\u2019s Mental Health during Pregnancy: A Participatory Qualitative Study","volume":"30","author":"Franks","year":"2017","journal-title":"Women Birth"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1111\/1471-0528.14805","article-title":"Mental Health near Miss Indicators in Maternity Care: A Missed Opportunity? A Commentary","volume":"125","author":"Easter","year":"2018","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1377\/hlthaff.2021.00615","article-title":"Preventing Pregnancy-Related Mental Health Deaths: Insights From 14 US Maternal Mortality Review Committees, 2008\u20132017","volume":"40","author":"Trost","year":"2021","journal-title":"Health Aff."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"23996","DOI":"10.1073\/pnas.1905890116","article-title":"Maternal Prenatal Stress Phenotypes Associate with Fetal Neurodevelopment and Birth Outcomes","volume":"116","author":"Walsh","year":"2019","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.dr.2014.12.008","article-title":"Emotion Regulation in Parenthood","volume":"36","author":"Rutherford","year":"2015","journal-title":"Dev. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1002\/imhj.21765","article-title":"Like Mother, like Child? Maternal Determinants of Children\u2019s Early Social-Emotional Development","volume":"40","author":"Behrendt","year":"2019","journal-title":"Infant. Ment. Health J. Infancy Early Child."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/1471-0528.12659","article-title":"Advanced Maternal Age and Pregnancy Outcomes: A Multicountry Assessment","volume":"121","author":"Laopaiboon","year":"2014","journal-title":"BJOG"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.fertnstert.2015.03.004","article-title":"Reproduction at an Advanced Maternal Age and Maternal Health","volume":"103","author":"Sauer","year":"2015","journal-title":"Fertil. Steril."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.orcp.2015.05.008","article-title":"Pregnancy Outcomes of Overweight and Obese Women Aged 35 Years or Older\u2014A Registry-Based Study in Finland","volume":"10","author":"Gissler","year":"2016","journal-title":"Obes. Res. Clin. Pract."},{"key":"ref_15","unstructured":"Lazarus, R.S. (1984). Stress, Appraisal, and Coping, Springer."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1037\/0022-3514.56.2.267","article-title":"Assessing Coping Strategies: A Theoretically Based Approach","volume":"56","author":"Carver","year":"1989","journal-title":"J. Personal. Soc. Psychol."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Alshowkan, A., Shdaifat, E., Alnass, F.A., Alqahtani, F.M., AlOtaibi, N.G., and AlSaleh, N.S. (2023). Coping Strategies in Postpartum Women: Exploring the Influence of Demographic and Maternity Factors. BMC Women\u2019s Health, 23.","DOI":"10.1186\/s12905-023-02751-z"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"104295","DOI":"10.1016\/j.midw.2025.104295","article-title":"Changes to Social and Healthcare Providers Support in the Perinatal Period: Impact on Coping Strategies, Depression and Anxiety","volume":"142","author":"Bina","year":"2025","journal-title":"Midwifery"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1007\/s00737-015-0581-5","article-title":"Coping Strategies for Postpartum Depression: A Multi-Centric Study of 1626 Women","volume":"19","author":"Labad","year":"2016","journal-title":"Arch. Womens Ment. Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1080\/17437199.2012.752659","article-title":"Coping during Pregnancy: A Systematic Review and Recommendations","volume":"8","author":"Guardino","year":"2014","journal-title":"Health Psychol. Rev."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s12144-003-1013-7","article-title":"Trait Vulnerability and Coping Strategies in the Transition to Motherhood","volume":"22","author":"Besser","year":"2003","journal-title":"Curr. Psychol."},{"key":"ref_22","first-page":"278730","article-title":"Religion, Spirituality, and Health: The Research and Clinical Implications","volume":"2012","author":"Koenig","year":"2012","journal-title":"Int. Sch. Res. Not."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"710","DOI":"10.2307\/1388152","article-title":"Patterns of Positive and Negative Religious Coping with Major Life Stressors","volume":"37","author":"Pargament","year":"1998","journal-title":"J. Sci. Study Relig."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2892","DOI":"10.1007\/s10943-020-01160-y","article-title":"Religiosity and Resilience: Cognitive Reappraisal and Coping Self-Efficacy Mediate the Link between Religious Coping and Well-Being","volume":"60","author":"Dolcos","year":"2021","journal-title":"J. Relig. Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1089\/jwh.2007.0627","article-title":"Do Antenatal Religious and Spiritual Factors Impact the Risk of Postpartum Depressive Symptoms?","volume":"17","author":"Mann","year":"2008","journal-title":"J. Women\u2019s Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1007\/s10865-018-9941-8","article-title":"Mastery, Self-Esteem, and Optimism Mediate the Link between Religiousness and Spirituality and Postpartum Depression","volume":"41","author":"Cheadle","year":"2018","journal-title":"J. Behav. Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1007\/s10826-019-01595-2","article-title":"The Association of Religion and Spirituality with Postpartum Mental Health in Women with Childhood Maltreatment Histories","volume":"29","author":"Handelzalts","year":"2020","journal-title":"J. Child. Fam. Stud."},{"key":"ref_28","unstructured":"(2026, January 08). Romanian Orthodox Church | Research Starters | EBSCO Research. Available online: https:\/\/www.ebsco.com."},{"key":"ref_29","unstructured":"(2026, January 08). Population and Housing Census in Romania, 2021 Round\u2014Synthetic Results. Available online: https:\/\/insse.ro\/cms\/en\/content\/population-and-housing-census-romania-2021-round-synthetic-results."},{"key":"ref_30","first-page":"61","article-title":"Translation, Adaptation, and Validation on Romanian Population of Cope Questionnaire for Coping Mechanisms Analysis","volume":"17","author":"Sava","year":"2013","journal-title":"Cogn. Brain Behav."},{"key":"ref_31","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_32","doi-asserted-by":"crossref","first-page":"m4022","DOI":"10.1136\/bmj.m4022","article-title":"Accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for Screening to Detect Major Depression among Pregnant and Postpartum Women: Systematic Review and Meta-Analysis of Individual Participant Data","volume":"371","author":"Levis","year":"2020","journal-title":"BMJ"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"l1476","DOI":"10.1136\/bmj.l1476","article-title":"Accuracy of Patient Health Questionnaire-9 (PHQ-9) for Screening to Detect Major Depression: Individual Participant Data Meta-Analysis","volume":"365","author":"Levis","year":"2019","journal-title":"BMJ"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. Gen. Intern. Med."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Sun, Y., Kong, Z., Song, Y., Liu, J., and Wang, X. (2022). The Validity and Reliability of the PHQ-9 on Screening of Depression in Neurology: A Cross Sectional Study. BMC Psychiatry, 22.","DOI":"10.1186\/s12888-021-03661-w"},{"key":"ref_36","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_37","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1007\/s10862-023-10062-8","article-title":"Psychometric Characteristics of the Romanian Adaptation of the GAD-7","volume":"45","author":"Cotiga","year":"2023","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1037\/0022-0167.50.1.84","article-title":"The Religious Commitment Inventory--10: Development, Refinement, and Validation of a Brief Scale for Research and Counseling","volume":"50","author":"Worthington","year":"2003","journal-title":"J. Couns. Psychol."},{"key":"ref_39","unstructured":"Benk, S., and Budak, T. (2020, January 5\u20137). Item analysis and internal consistency of Turkish version of RCI-10 scale. In The Religious Commitment Inventory 10 (RCI 10): An Adaptation to Turkish, Reliability and Validity Study. Proceedings of the MIRDEC-16th International Academic Conference (Multidisciplinary Issues and Contemporary Discussions in Social Science), Rome, Italy. Available online: https:\/\/www.researchgate.net\/figure\/Item-analysis-and-internal-consistency-of-Turkish-version-of-RCI-10-scale_tbl2_341822647."},{"key":"ref_40","first-page":"5","article-title":"Evaluating the Greek Version of Religious Commitment Inventory 10 on a Sample of Pomak Households","volume":"12","author":"Satsios","year":"2016","journal-title":"Rev. Appl. Socio-Econ. Res."},{"key":"ref_41","first-page":"e31651","article-title":"Religious Commitment Inventory-10: Psychometric Properties of the Farsi Version in Assessing Substance Abusers","volume":"6","author":"Hafizi","year":"2017","journal-title":"Int. J. High Risk Behav. Addict."},{"key":"ref_42","first-page":"213","article-title":"Preliminary Psychometric Characteristics of the Polish Version of the Religious Commitment Inventory\u201310 (RCI-10 PL) by Everett Worthington and Colleagues","volume":"20","author":"Polak","year":"2017","journal-title":"Ann. Psychol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing","volume":"57","author":"Benjamini","year":"1995","journal-title":"J. R. Stat. Soc. Ser. B (Methodol.)"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2177","DOI":"10.1056\/NEJMcp1607649","article-title":"Postpartum Depression","volume":"375","author":"Stewart","year":"2016","journal-title":"N. Engl. J. Med."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1177\/0020764013511067","article-title":"Frequency of Perinatal Depression in Serbia and Associated Risk Factors","volume":"60","author":"Dmitrovic","year":"2014","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_46","unstructured":"(2026, January 18). Contextual-Relationship and Stress-Related Factors of Postpartum Depression Symptoms in Nulliparas: A Prospective Study from Ljubljana, Slovenia. Available online: https:\/\/www.springermedizin.de\/contextual-relationship-and-stress-related-factors-of-postpartum\/17185442?utm_source=chatgpt.com."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1016\/j.wombi.2015.01.014","article-title":"Translation and Factor Analysis of Structural Models of Edinburgh Postnatal Depression Scale in Serbian Pregnant and Postpartum Women\u2014Web-Based Study","volume":"28","author":"Odalovic","year":"2015","journal-title":"Women Birth"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.psychres.2010.05.005","article-title":"Prevalence Rates and Socioeconomic Characteristics of Post-Partum Depression in Hungary","volume":"185","author":"Nagy","year":"2011","journal-title":"Psychiatry Res."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1038\/s41398-021-01663-6","article-title":"Mapping Global Prevalence of Depression among Postpartum Women","volume":"11","author":"Wang","year":"2021","journal-title":"Transl. Psychiatry"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Citu, C., Gorun, F., Motoc, A., Sas, I., Burlea, B., Citu, I.M., Biris, M., Forga, M., Neagoe, O., and Gorun, O.M. (2022). Prevalence and Risk Factors of Postpartum Depression in Romanian Women during Two Periods of COVID-19 Pandemic. J. Clin. Med., 11.","DOI":"10.3390\/jcm11061628"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"84","DOI":"10.51847\/0oMTMeujbe","article-title":"Risk Factors in Postpartum Depression Among Women from South-East of Romania: Importance of Early Diagnosis","volume":"15","author":"Izvoranu","year":"2024","journal-title":"Arch. Pharm. Pract."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1111\/j.1365-2702.2009.03046.x","article-title":"Prospective Study of Postpartum Depression in Eastern Turkey Prevalence, Socio-Demographic and Obstetric Correlates, Prenatal Anxiety and Early Awareness","volume":"19","author":"Kirpinar","year":"2010","journal-title":"J. Clin. Nurs."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jad.2014.03.028","article-title":"Comparative Performance of Patient Health Questionnaire-9 and Edinburgh Postnatal Depression Scale for Screening Antepartum Depression","volume":"162","author":"Zhong","year":"2014","journal-title":"J. Affect. Disord."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"El-Hachem, C., Rohayem, J., Bou Khalil, R., Richa, S., Kesrouani, A., Gemayel, R., Aouad, N., Hatab, N., Zaccak, E., and Yaghi, N. (2014). Early Identification of Women at Risk of Postpartum Depression Using the Edinburgh Postnatal Depression Scale (EPDS) in a Sample of Lebanese Women. BMC Psychiatry, 14.","DOI":"10.1186\/s12888-014-0242-7"},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Haines, H.M., Rubertsson, C., Pallant, J.F., and Hildingsson, I. (2012). The Influence of Women\u2019s Fear, Attitudes and Beliefs of Childbirth on Mode and Experience of Birth. BMC Pregnancy Childbirth, 12.","DOI":"10.1186\/1471-2393-12-55"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/S0266-6138(99)90062-1","article-title":"Fears Associated with Pregnancy and Childbirth--Experiences of Women Who Have Recently given Birth","volume":"15","author":"Melender","year":"1999","journal-title":"Midwifery"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.eurpsy.2015.06.001","article-title":"Coping Strategies and Postpartum Depressive Symptoms: A Structural Equation Modelling Approach","volume":"30","author":"Labad","year":"2015","journal-title":"Eur. Psychiatry"},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Kucab, A., Barna\u015b, E., and B\u0142ajda, J. (2022). Assessment of the Postpartum Emotional Wellbeing among Women Participating and Not Participating in Antenatal Classes. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19084476"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Pe\u00f1acoba Puente, C., Suso-Ribera, C., Blanco Rico, S., Mar\u00edn, D., San Rom\u00e1n Montero, J., and Catal\u00e1, P. (2021). Is the Association between Postpartum Depression and Early Maternal-Infant Relationships Contextually Determined by Avoidant Coping in the Mother?. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18020562"},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Altamura, M., Leccisotti, I., De Masi, L., Gallone, F., Ficarella, L., Severo, M., Biancofiore, S., Denitto, F., Ventriglio, A., and Petito, A. (2023). Coping as a Mediator between Attachment and Depressive Symptomatology Either in Pregnancy or in the Early Postpartum Period: A Structural Equation Modelling Approach. Brain Sci., 13.","DOI":"10.20944\/preprints202305.1941.v1"},{"key":"ref_61","first-page":"561","article-title":"Pregnant women and strategies of coping with stress and attachment styles","volume":"70","author":"Zuralska","year":"2013","journal-title":"Prz. Lek."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/s00127-007-0172-5","article-title":"Global and Relationship-Specific Perceptions of Support and the Development of Postpartum Depressive Symptomatology","volume":"42","author":"Dennis","year":"2007","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"3128","DOI":"10.1038\/s41598-022-07248-7","article-title":"Association between Social Support and Postpartum Depression","volume":"12","author":"Cho","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1080\/02646838.2021.2004584","article-title":"Does Pain after Delivery Unequivocally Lead to Postpartum Depression? The Moderating Role of Religious Coping","volume":"41","author":"Catala","year":"2023","journal-title":"J. Reprod. Infant. Psychol."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Simonovich, S.D., Quad, N., Kanji, Z., and Tabb, K.M. (2022). Faith Practices Reduce Perinatal Anxiety and Depression in Muslim Women: A Mixed-Methods Scoping Review. Front. Psychiatry, 13.","DOI":"10.3389\/fpsyt.2022.826769"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1007\/s00737-018-0920-4","article-title":"A Systematic Review of Cultural Orientation and Perinatal Depression in Latina Women: Are Acculturation, Marianismo, and Religiosity Risks or Protective Factors?","volume":"22","author":"Wood","year":"2019","journal-title":"Arch. Womens Ment. Health"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1016\/j.socscimed.2009.07.043","article-title":"Postnatal Mental Distress in Relation to the Sociocultural Practices of Childbirth: An Exploratory Qualitative Study from Ethiopia","volume":"69","author":"Hanlon","year":"2009","journal-title":"Soc. Sci. Med."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/3\/1029\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T13:15:19Z","timestamp":1769778919000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/3\/1029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,27]]},"references-count":67,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["jcm15031029"],"URL":"https:\/\/doi.org\/10.3390\/jcm15031029","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,27]]}}}