Influence of adverse childhood experiences on depression in pregnancy:mediating effect of maternal-fetal attachment
Objective To investigate the mediating role of maternal attachment between adverse childhood experiences and depressive symptoms during pregnancy.Methods A total of 900 pregnant women hospitalized in the obstetric ward of a tertiary hospital in Shandong Province from January to December 2020 were selected as the research subjects.Gen-eral Information Questionnaire,Edinburgh Postpartum Depression Scale(EPDS),Revised Adverse Childhood Experi-ences Questionnaire(ACEQ-R)and Maternal Antenatal Attachment Scale(MAAS)were used to explore mediating role of maternal attachment between adverse childhood experiences and depressive symptoms during pregnancy.The SPSS 21.0 PROCESS plug-in program was used for mediation analysis,and the Bootstrap program was used to test the mediation effect.Results The path coefficients between adverse childhood experiences and maternal fetal attachment(B=-0.73,P＜0.001),maternal fetal attachment and depressive symptoms during pregnancy(B=-0.07,P＜0.001),adverse childhood experiences and depressive symptoms during pregnancy(B=0.60,P＜0.001)were all significant.Maternal-fetal attachment had a mediating effect between adverse childhood experiences and depressive symptoms during pregnancy.The indirect effect was 0.053,accounting for 8.9％of the total effect(0.597).Conclusion Adverse child-hood experiences can influence prenatal depression through maternal-fetal attachment.Medical staff should actively learn about maternal fetal attachment and related psychological intervention knowledge,and provide targeted guidance for pregnant women in clinical work.
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