The Impact of Family Dynamics on Prenatal Attachment: An Analysis of Maternal Depression and Maternal-Fetal Connection - Summary - MDSpire

The Impact of Family Dynamics on Prenatal Attachment: An Analysis of Maternal Depression and Maternal-Fetal Connection

  • By

  • Silvia Mammarella

  • Laura Giusti

  • Laura Camoni

  • Fiorino Mirabella

  • Manuela Ludovisi

  • Rita Roncone

  • April 22, 2026

  • 0 min

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Objective:

To examine whether depressive symptoms mediate the association between family functioning and antenatal maternal attachment.

Key Findings:
  • Higher family functioning was associated with lower depressive symptom severity.
  • Depressive symptoms negatively affected attachment quality but not intensity of preoccupation.
  • A small indirect effect of family functioning on attachment quality was found, mediated by depressive symptoms.
  • Intensity of preoccupation was directly positively associated with family functioning.
Interpretation:

Depressive symptoms partially mediate the relationship between family functioning and the emotional quality of maternal–fetal attachment, while intensity of preoccupation is more directly linked to family dynamics.

Limitations:
  • The study is cross-sectional, limiting causal inferences.
  • Self-report measures may introduce bias.
Conclusion:

Assessing family functioning during pregnancy is crucial, and interventions targeting family dynamics and maternal depressive symptoms may enhance prenatal attachment.

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