The perinatal period may represent a particularly challenging time for expecting parents. Previous studies have highlighted an association between several perinatal risk conditions (e.g., childhood maltreatment, poor social support, and stress levels) and the development of psychopathological symptoms in pregnant women, especially depression symptoms. The current study examined the effects of psychosocial risk factors (childhood maltreatment, poor social support, and stressful events) on anxiety, depression, perceived stress, irritability/anger, relationship problems, psychosomatic symptoms, specific physiological problems, and addiction/at-risk behaviors. Sixty-one pregnant women (age range = 24–45) participating in a larger study completed questionnaires about childhood maltreatment (CECA Q.), Maternity Social Support Scale (MSSS), questionnaire on stressful events, and the Perinatal Assessment of Maternal Affectivity (PAMA) during their pregnancy. Results from regression analysis indicated that the presence of childhood maltreatment predicted elevated depressive symptoms, elevated irritability and anger, and elevated relationship problems. Further, stressful events in the year prior to pregnancy predicted elevated psychosomatic symptoms during pregnancy. No other significant associations were found. In this study, traumatic childhood events were strongly associated with mental health symptoms during pregnancy. This is an important finding that suggests the importance of screening and targeting psychotherapeutic interventions for vulnerable women during pregnancy.

Background/Objectives: Pregnancy is a critical period marked by significant transformations that can trigger or exacerbate eating disorder symptoms. Childhood emotional maltreatment, including abuse and neglect, is a known risk factor for disordered eating, yet its specific impact during pregnancy remains unexplored. For this reason, this study aimed to examine the link between childhood emotional maltreatment and eating disorder symptoms in pregnant women, also focusing on the potential mediating and moderating variables involved in this association. Specifically, this study explored the mediating role of prenatal emotional distress, whereas prenatal social support was investigated as a protective factor able to moderate the effects of past trauma on disordered eating during this sensitive period. Methods: Participants were 272 Italian pregnant women (aged 18–48, M_age = 31.21, SD = 4.95) who were asked to respond to four self-report instruments: Childhood Trauma Questionnaire—Short Form; Eating Disorder Examination—Questionnaire Short; Perinatal Assessment of Maternal Affectivity; and Maternity Social Support Scale. Results and Conclusions: The results showed that prenatal emotional distress totally mediated the association between childhood emotional maltreatment and eating disorder symptoms in pregnant women (β = 0.20; SE = 0.06; 95% CI: 0.08, 0.33; p < 0.001). Moreover, moderation analysis showed that prenatal social support only moderated the direct link between childhood emotional maltreatment and disordered eating, so higher levels of childhood emotional maltreatment were predictive of higher levels of eating disorder symptoms only among pregnant women with low levels of prenatal social support (b = 0.17; SE = 0.06; t = 2.73; 95% CI: 0.05, 0.30; p < 0.01). The limitations and clinical implications are discussed.

This article presents the “When a Parent is Born” project, focused on early identification and intervention for psychological distress during pregnancy and postpartum. It addresses the perinatal vulnerability to depression, and psychological distress, providing psychological support for high-risk cases within a clinical setting. The sample included 997 pregnant women (Mean_age = 32.75; SD = 5.33). The protocol encompassed psychological distress (EPDS, PAMA), social support (MSSS), couples’ relationship (DAS), childhood maltreatment (CTQ-SF), and prenatal attachment (MAAS). Univariate and multivariate linear regression models were employed for the analyses. This study highlighted the prevalence of depressive symptoms in 24.7% of the sample, a non-clinical population, and suicidal risk in 2.4%. All predictors were associated with EPDS and PAMA scores in univariate regressions (p < 0.005). In the multivariate model of childhood trauma predictors, emotional abuse and neglect were significant for EPDS (F = 19.584, p < 0.001) and PAMA (F = 17.876, p < 0.001). In the multivariate regression models, the main significant associations (EPDS; F = 17.708, p < 0.001) (PAMA; F = 19.346, p < 0.001) remained for DAS (p < 0.001) and emotional abuse (EPDS p = 0.005; PAMA p < 0.001). These findings revealed factors associated with perinatal psychological distress and highlighted the importance of psychological screening during pregnancy to support holistic care through a multidisciplinary team. However, the study presents limitations, including the use of self-report measures, the cross-sectional nature of the data, and the limited generalizability of the findings, as the sample is restricted to Southern Italy.

Late pregnancy represents a critical period for the onset of eating disorder symptoms, particularly in the presence of psychological and relational vulnerabilities. Among these, the quality of the romantic relationship has received limited empirical attention, despite its potential role in shaping women’s psychological adjustment, influencing both mood and body image. The present study examined the association between romantic relationship quality and eating disorder symptoms during the third trimester of pregnancy, considering the mediating roles of depressive symptoms and body dissatisfaction. A sample of 231 Italian pregnant women (Mage = 32.3 years) completed four self-report measures: the Dyadic Adjustment Scale-7, the Edinburgh Postnatal Depression Scale, the Body Image in Pregnancy Scale, and the Eating Disorder Examination Questionnaire-Short. A serial mediation model was tested, including pre-pregnancy body mass index as a covariate. Results indicated that lower romantic relationship quality was associated with greater eating disorder symptoms through higher depressive symptoms and body dissatisfaction, which acted both independently and sequentially. These findings highlight the complex interplay between relational and psychological factors in the development of disordered eating during pregnancy, emphasizing the need for early screening and integrated interventions addressing both interpersonal and intrapersonal domains.