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Anxiety Sensitivity in the Perinatal Period: A Scoping Review.

Martha Zimmermann1, Allexis Mahanna1, Elizabeth Shashkova1

  • 1UMass Chan Medical School, 55 N Lake Ave, Worcester, MA 01655, USA.

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|March 24, 2025
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Summary

Anxiety sensitivity (AS) is linked to increased perinatal mental health issues, including PTSD and anxiety, during pregnancy and postpartum. Targeting AS in interventions may improve maternal mental health outcomes.

Keywords:
Anxiety sensitivityanxiety disordersperinatalpregnancyrisk factor

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Area of Science:

  • Perinatal mental health research
  • Psychological science
  • Clinical psychology

Background:

  • Anxiety sensitivity (AS) is a known risk factor for anxiety disorders.
  • Its role in perinatal mental health (pregnancy and postpartum) is less understood.
  • Perinatal mental health is critical due to heightened risks for anxiety, OCD, and PTSD.

Purpose of the Study:

  • To review the existing research on AS in perinatal populations.
  • To examine the relationship between AS and mental health and pregnancy-specific outcomes.
  • To assess the integration of AS into clinical interventions.

Main Methods:

  • Systematic literature search across major databases (PubMed, Scopus, PsycInfo, CINAHL).
  • Inclusion criteria: participants pregnant or within 1 year postpartum, and AS assessment.
  • Twenty studies met the inclusion criteria.

Main Results:

  • Positive associations found between AS and PTSD symptoms, depression, anxiety, fetal health anxiety, pregnancy anxiety, and fear of childbirth.
  • Mixed results were observed for AS's relationship with labor pain and anesthetic use.
  • Two RCTs and two case studies measured AS as an outcome.

Conclusions:

  • AS is significantly associated with various perinatal mental health challenges.
  • Future research should broaden outcome assessments and explore AS as a modifiable intervention target.
  • Interventions targeting AS could enhance perinatal mental health outcomes.