Research Article
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İklim değişikliğine bağlı anksiyetenin prenatal bağlanmaya etkisi: Tanımlayıcı bir çalışma

Year 2025, Volume: 6 Issue: 2, 138 - 143, 31.08.2025
https://doi.org/10.61534/anatoljhr.1678420

Abstract

Amaç: Çalışmamız, iklim değişikliğine bağlı anksiyetenin prenatal bağlanmaya etkisinin belirlenmesi amacıyla gerçekleştirilmiştir.
Yöntem: Araştırmanın örneklemini, 15.10.2024-01.03.2025 tarihleri arasında bir devlet hastanesinin kadın hastalıkları ve doğum polikliniklerine muayene için başvuran 287 gebe kadın oluşturmuştur. Veriler; Kişisel Bilgi Formu, İklim Değişikliği Anksiyetesi Ölçeği (İDAÖ) ve Prenatal Bağlanma Envanteri (PBE) ile toplanmıştır.
Bulgular: Kadınların PBE toplam puan ortalaması 37.65±9.76’dır. İDAÖ toplam ve alt boyut puan ortalamaları değerlendirildiğinde İDAÖ toplam puan ortalaması 19.64±7.38; Bilinçsel Bozulma alt boyut puan ortalaması 12.19±4.32; İşlevsel Bozulma alt boyut puan ortalaması 7.44±3.36’dır. PBE toplam puanı ile bazı özelliklerinin ve iklim değişikliği değişkenleri karşılaştırmasında yaş, eğitim durumu, gebelik ve yaşayan çocuk sayısı, gebeliğin planlı olma durumu, iklim değişikliğinin kadın sağlığı açısından önemli olma durumu ile PBE toplam puanı arasında anlamlı farklılık olduğu belirlenmiştir (p<0.05). Gebelerin sosyodemografik özellikleri ile İDAÖ toplam ve alt boyut puan ortalamalarının karşılaştırmasında 19-27 yaş aralığında ve üniversite mezunu gebelerin İDAÖ toplam ve alt boyut puan ortalamalarının daha yüksek olduğu belirlenmiştir.
Sonuçlar: Prenatal bağlanma arttıkça iklim değişikliği anksiyetesinin azaldığı; yaş, yaşayan çocuk sayısı, iklim değişikliğinin kadın sağlığı açısından önemi ve İDAÖ toplam değişkenlerinin prenatal bağlanma üzerinde anlamlı ilişkisi olduğu saptanmıştır.

References

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  • Badem, A. & Zeyneloğlu, S. (2021). Gebelerin prenatal bağlanma düzeyleri ve etkileyen faktörlerin belirlenmesi [Determination of prenatal attachment levels of pregnant women and and affecting factors]. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, 1(1), 37-47.
  • Camarneiro, A. P. F., & de Miranda Justo, J. M. R. (2017). Prenatal attachment and sociodemographic and clinical factors in Portuguese couples. Journal of Reproductive and Infant Psychology, 35(3), 212-222.
  • Cebeci, F., Karaman, M., Öztürk, A. F., Uzun, K., Altın, O., Arıcı, A., & Artan, T. (2022). İklim Değişikliği Anksiyetesi Ölçeği’nin Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması [Turkish adaptation of the Climate Change Anxiety Scale: A validity and reliability study]. Beyond the Horizon of Scientific Journal, 22(1), 20-42.
  • Clayton, S., & Karazsia, B. T. (2020). Development and validation of a measure of climate change anxiety. Journal of Environmental Psychology, 69, 101434.
  • Dimitrov, B. G. (2019). Effects of climate change on women. International Journal of Multidisciplinary Research Review, 4(5), 201-215.
  • Elkin, N. (2015). Prenatal attachment levels of pregnant women and factors affecting them. Journal of Continuing Medical Education, 24(6), 230-237.
  • Fan, W., & Zlatnik, M. G. (2023). Climate change and pregnancy: Risks, mitigation, adaptation, and resilience. Obstetrical & Gynecological Survey, 78(4), 223-236.
  • Faul, F., Erdfelder, E., Lang, A.G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191.
  • Gok, E. & Ertem, G. (2022, September 14-16). Changing climate and pregnancy. II. International Health and Climate Change Congress, Türkiye.
  • Giudice, L. C., Llamas-Clark, E. F., DeNicola, N., Pandipati, S., Zlatnik, M. G., Decena, D. C. D., Woodruff, T. J., Conry, J. A., & FIGO Committee on Climate Change and Toxic Environmental Exposures (2021). Climate change, women’s health, and the role of obstetricians and gynecologists in leadership. International Journal of Gynecology & Obstetrics, 155(3), 345-356.
  • Ha, S. (2022). The changing climate and pregnancy health. Current Environmental Health Reports, 9(2), 263-275.
  • Howells, M., Palmquist, A. E., Josefson, C., Dancause, K., Quinn, E., Daniels, L., & Blair, A. F. O. (2025). Climate change, evolution, and reproductive health: The impact of water insecurity and heat stress on pregnancy and lactation. Evolution, Medicine, and Public Health, 13(1), 125-139.
  • Karabulutlu, Ö., Beydağ, K. D., & Lazoğlu, M. (2020). Prenatal attachment levels and affecting factors of pregnant women living in İstanbul and Kars. Kafkas Journal of Medical Sciences, 10(1), 24-31. https://doi.org/10.5505/kjms.2020.35002
  • Lieber, M., Chin-Hong, P., Whittle, H. J., Hogg, R., & Weiser, S. D. (2021). The synergistic relationship between climate change and the HIV/AIDS epidemic: A conceptual framework. AIDS and Behavior, 25(7), 2266–2277. https://doi.org/10.1007/s10461-020-03155-y
  • Logie, C. H., Toccalino, D., Reed, A. C., Malama, K., Newman, P. A., Weiser, S., Harris, O., Berry, I., & Adedimeji, A. (2021). Exploring linkages between climate change and sexual health: A scoping review protocol. BMJ, 11(10), e054720. https://doi.org/10.1136/bmjopen-2021-054720
  • Malm, M. C., Hildingsson, I., Rubertsson, C., Rådestad, I., & Lindgren, H. (2016). Prenatal attachment and its association with foetal movement during pregnancy–A population based survey. Women and Birth, 29(6), 482-486. https://doi.org/10.1016/j.wombi.2016.04.005
  • Özdemir, K., Çevirme, A., & Başkaya, Y. (2020). Anxiety and prenatal attachment levels in pregnancy and influencing factors. Cukurova Medical Journal, 45(2), 502-510. https://doi.org/10.17826/cumj.661828
  • Özkan, T. K., Küçükkelepçe, D. Ş., & Özkan, S. A. (2020). Gebelikte prenatal bağlanma ve vücut algısı arasındaki ilişki ve etkileyen faktörler [Relationship between prenatal attachment and body sense in pregnancy and affecting factors]. Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7(1), 49-54. https://doi.org/10.34087/cbusbed.587467
  • Öztürk, B., & Erbaş, N. (2021). Gebelerde prenatal bağlanma ve durumluk anksiyete düzeyinin belirlenmesi [Determination of prenatal attachment and state anxiety level in pregnants]. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, 18(3), 873-882. https://doi.org/10.38136/jgon.717129
  • Rollè, L., Giordano, M., Santoniccolo, F., & Trombetta, T. (2020). Prenatal attachment and perinatal depression: A systematic review. International Journal of Environmental Research and Public Health, 17(8), 2644. https://doi.org/10.3390/ijerph17082644
  • Romanello, M., McGushin, A., Di Napoli, C., Drummond, P., Hughes, N., Jamart, L., Kennard, H., Lampard, P., Solano Rodriguez, B., Arnell, N., Ayeb-Karlsson, S., Belesova, K., Cai, W., Campbell-Lendrum, D., Capstick, S., Chambers, J., Chu, L., Ciampi, L., Dalin, C., Dasandi, N., … Hamilton, I. (2021). The 2021 report of the Lancet Countdown on health and climate change: Code red for a healthy future. The Lancet, 398(10311), 1619–1662. https://doi.org/10.1016/S0140-6736(21)01787-6
  • Sezgin, S. (2024). Türkiye’de vatandaşların iklim değişikliği anksiyetesinin değerlendirilmesi [Assessment of climate change anxiety of citizens in Turkey]. Kent Akademisi, 17(1), 1-21. https://doi.org/10.35674/kent.1388925
  • Smith, D. M., Sales, J., Williams, A., & Munro, S. (2023). Pregnancy intentions of young women in Canada in the era of climate change: A qualitative auto-photography study. BMC Public Health, 23(1), 766.
  • Spencer, S., Samateh, T., Wabnitz, K., Mayhew, S., Allen, H., & Bonell, A. (2022). The challenges of working in the heat whilst pregnant: Insights from Gambian women farmers in the face of climate change. Frontiers in Public Health, 10, 785254.
  • Stone, K., Blinn, N., & Spencer, R. (2022). Mental health impacts of climate change on women: A scoping review. Current Environmental Health Reports, 9(2), 228-243.
  • Tabachnick, B. G. & Fidell, L. S. (2013). Using multivariate statistics. Pearson.
  • Veras, M. M., & Saldiva, P. H. N. (2025). Impact of air pollution and climate change on maternal, fetal and postnatal health. Jornal de Pediatria, 101, 48-55.
  • Yilmaz, S. & Beji, N. K. (2013). Prenatal bağlanma envanterinin Türkçe’ye uyarlanması: Güvenilirlik ve geçerlilik çalışması [Turkish version of prenatal attachment inventory: A study of reliability and validity]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16(2), 103-109.
  • Yuen, W. S., Lo, H. C., Wong, W. N., & Ngai, F. W. (2022). The effectiveness of psychoeducation interventions on prenatal attachment: A systematic review. Midwifery, 104, 103184. https://doi.org/10.1016/j.midw.2021.103184
  • Yuzen, D., Graf, I., Diemert, A., & Arck, P.C. (2023). Climate change and pregnancy complications: From hormones to the immune response. Frontiers in Endocrinology, 14, 1149284. https://doi.org/10.3389/fendo.2023.1149284
  • Wullenkord, M.C., Tröger, J., Hamann, K.R., Loy, L.S., & Reese, G. (2021). Anxiety and climate change: A validation of the climate anxiety scale in a German-speaking quota sample and an investigation of psychological correlates. Climatic Change, 168(3), 20. https://doi.org/10.1007/s10584-021-03234-6

The effect of climate change-related anxiety on prenatal attachment: A descriptive study

Year 2025, Volume: 6 Issue: 2, 138 - 143, 31.08.2025
https://doi.org/10.61534/anatoljhr.1678420

Abstract

Aim: Our study was conducted to determine the effect of climate change-related anxiety on prenatal attachment.
Method: The sample of the study consisted of 287 pregnant women who visited the gynecology and obstetrics outpatient clinics of a state hospital between October 15, 2024, and March 1, 2025, for examination participated in the study. Data were collected with Personal Questionnaire, Climate Change Anxiety Scale (CCAS) and Prenatal Attachment Inventory (PAI).
Results: The mean PAI total score of the pregnant women was 37.65±9.76. When the total and sub-dimension mean scores of the CCAS were evaluated, the mean score was 19.64±7.38; the mean score of the Cognitive Impairment sub-dimension was 12.19±4.32; and the mean score of the Functional Impairment sub-dimension was 7.44±3.36. It was determined that there was a significant difference between the PAI total score and age, educational status, planned pregnancy, pregnancy and number of living children, and the importance of climate change in terms of women's health (p<0.05). When the mean total and sub-dimension scores of the CCAS and sociodemographic characteristics were compared, it was found that the mean total and sub-dimension scores of the CCAS were higher in pregnant women aged between 19-27 years and university graduates.
Conclusion: It was found that climate change anxiety decreased as prenatal bonding increases in pregnant women attachment increased attachment increased, and age, number of living children, the importance of climate change for women's health, and total variables of the CCAS had a significant relationship with prenatal attachment.

Ethical Statement

Ethics committee approval was obtained from Sivas Cumhuriyet University Non-Interventional Clinical Research Ethics Committee (Board Decision No: 2024/07-24, Date: 18.07.2024).

Supporting Institution

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Thanks

I would like to thank the pregnant women who agreed to participate in the study and Assistant Professor Demet Çakır for her support during the statistical analysis process.

References

  • Abid, Z., Abid, M., Zafar, Q., & Mehmood, S. (2018). Detrimental effects of climate change on women. Earth Systems and Environment, 2, 537-551.
  • Badem, A. & Zeyneloğlu, S. (2021). Gebelerin prenatal bağlanma düzeyleri ve etkileyen faktörlerin belirlenmesi [Determination of prenatal attachment levels of pregnant women and and affecting factors]. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, 1(1), 37-47.
  • Camarneiro, A. P. F., & de Miranda Justo, J. M. R. (2017). Prenatal attachment and sociodemographic and clinical factors in Portuguese couples. Journal of Reproductive and Infant Psychology, 35(3), 212-222.
  • Cebeci, F., Karaman, M., Öztürk, A. F., Uzun, K., Altın, O., Arıcı, A., & Artan, T. (2022). İklim Değişikliği Anksiyetesi Ölçeği’nin Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması [Turkish adaptation of the Climate Change Anxiety Scale: A validity and reliability study]. Beyond the Horizon of Scientific Journal, 22(1), 20-42.
  • Clayton, S., & Karazsia, B. T. (2020). Development and validation of a measure of climate change anxiety. Journal of Environmental Psychology, 69, 101434.
  • Dimitrov, B. G. (2019). Effects of climate change on women. International Journal of Multidisciplinary Research Review, 4(5), 201-215.
  • Elkin, N. (2015). Prenatal attachment levels of pregnant women and factors affecting them. Journal of Continuing Medical Education, 24(6), 230-237.
  • Fan, W., & Zlatnik, M. G. (2023). Climate change and pregnancy: Risks, mitigation, adaptation, and resilience. Obstetrical & Gynecological Survey, 78(4), 223-236.
  • Faul, F., Erdfelder, E., Lang, A.G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191.
  • Gok, E. & Ertem, G. (2022, September 14-16). Changing climate and pregnancy. II. International Health and Climate Change Congress, Türkiye.
  • Giudice, L. C., Llamas-Clark, E. F., DeNicola, N., Pandipati, S., Zlatnik, M. G., Decena, D. C. D., Woodruff, T. J., Conry, J. A., & FIGO Committee on Climate Change and Toxic Environmental Exposures (2021). Climate change, women’s health, and the role of obstetricians and gynecologists in leadership. International Journal of Gynecology & Obstetrics, 155(3), 345-356.
  • Ha, S. (2022). The changing climate and pregnancy health. Current Environmental Health Reports, 9(2), 263-275.
  • Howells, M., Palmquist, A. E., Josefson, C., Dancause, K., Quinn, E., Daniels, L., & Blair, A. F. O. (2025). Climate change, evolution, and reproductive health: The impact of water insecurity and heat stress on pregnancy and lactation. Evolution, Medicine, and Public Health, 13(1), 125-139.
  • Karabulutlu, Ö., Beydağ, K. D., & Lazoğlu, M. (2020). Prenatal attachment levels and affecting factors of pregnant women living in İstanbul and Kars. Kafkas Journal of Medical Sciences, 10(1), 24-31. https://doi.org/10.5505/kjms.2020.35002
  • Lieber, M., Chin-Hong, P., Whittle, H. J., Hogg, R., & Weiser, S. D. (2021). The synergistic relationship between climate change and the HIV/AIDS epidemic: A conceptual framework. AIDS and Behavior, 25(7), 2266–2277. https://doi.org/10.1007/s10461-020-03155-y
  • Logie, C. H., Toccalino, D., Reed, A. C., Malama, K., Newman, P. A., Weiser, S., Harris, O., Berry, I., & Adedimeji, A. (2021). Exploring linkages between climate change and sexual health: A scoping review protocol. BMJ, 11(10), e054720. https://doi.org/10.1136/bmjopen-2021-054720
  • Malm, M. C., Hildingsson, I., Rubertsson, C., Rådestad, I., & Lindgren, H. (2016). Prenatal attachment and its association with foetal movement during pregnancy–A population based survey. Women and Birth, 29(6), 482-486. https://doi.org/10.1016/j.wombi.2016.04.005
  • Özdemir, K., Çevirme, A., & Başkaya, Y. (2020). Anxiety and prenatal attachment levels in pregnancy and influencing factors. Cukurova Medical Journal, 45(2), 502-510. https://doi.org/10.17826/cumj.661828
  • Özkan, T. K., Küçükkelepçe, D. Ş., & Özkan, S. A. (2020). Gebelikte prenatal bağlanma ve vücut algısı arasındaki ilişki ve etkileyen faktörler [Relationship between prenatal attachment and body sense in pregnancy and affecting factors]. Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7(1), 49-54. https://doi.org/10.34087/cbusbed.587467
  • Öztürk, B., & Erbaş, N. (2021). Gebelerde prenatal bağlanma ve durumluk anksiyete düzeyinin belirlenmesi [Determination of prenatal attachment and state anxiety level in pregnants]. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, 18(3), 873-882. https://doi.org/10.38136/jgon.717129
  • Rollè, L., Giordano, M., Santoniccolo, F., & Trombetta, T. (2020). Prenatal attachment and perinatal depression: A systematic review. International Journal of Environmental Research and Public Health, 17(8), 2644. https://doi.org/10.3390/ijerph17082644
  • Romanello, M., McGushin, A., Di Napoli, C., Drummond, P., Hughes, N., Jamart, L., Kennard, H., Lampard, P., Solano Rodriguez, B., Arnell, N., Ayeb-Karlsson, S., Belesova, K., Cai, W., Campbell-Lendrum, D., Capstick, S., Chambers, J., Chu, L., Ciampi, L., Dalin, C., Dasandi, N., … Hamilton, I. (2021). The 2021 report of the Lancet Countdown on health and climate change: Code red for a healthy future. The Lancet, 398(10311), 1619–1662. https://doi.org/10.1016/S0140-6736(21)01787-6
  • Sezgin, S. (2024). Türkiye’de vatandaşların iklim değişikliği anksiyetesinin değerlendirilmesi [Assessment of climate change anxiety of citizens in Turkey]. Kent Akademisi, 17(1), 1-21. https://doi.org/10.35674/kent.1388925
  • Smith, D. M., Sales, J., Williams, A., & Munro, S. (2023). Pregnancy intentions of young women in Canada in the era of climate change: A qualitative auto-photography study. BMC Public Health, 23(1), 766.
  • Spencer, S., Samateh, T., Wabnitz, K., Mayhew, S., Allen, H., & Bonell, A. (2022). The challenges of working in the heat whilst pregnant: Insights from Gambian women farmers in the face of climate change. Frontiers in Public Health, 10, 785254.
  • Stone, K., Blinn, N., & Spencer, R. (2022). Mental health impacts of climate change on women: A scoping review. Current Environmental Health Reports, 9(2), 228-243.
  • Tabachnick, B. G. & Fidell, L. S. (2013). Using multivariate statistics. Pearson.
  • Veras, M. M., & Saldiva, P. H. N. (2025). Impact of air pollution and climate change on maternal, fetal and postnatal health. Jornal de Pediatria, 101, 48-55.
  • Yilmaz, S. & Beji, N. K. (2013). Prenatal bağlanma envanterinin Türkçe’ye uyarlanması: Güvenilirlik ve geçerlilik çalışması [Turkish version of prenatal attachment inventory: A study of reliability and validity]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16(2), 103-109.
  • Yuen, W. S., Lo, H. C., Wong, W. N., & Ngai, F. W. (2022). The effectiveness of psychoeducation interventions on prenatal attachment: A systematic review. Midwifery, 104, 103184. https://doi.org/10.1016/j.midw.2021.103184
  • Yuzen, D., Graf, I., Diemert, A., & Arck, P.C. (2023). Climate change and pregnancy complications: From hormones to the immune response. Frontiers in Endocrinology, 14, 1149284. https://doi.org/10.3389/fendo.2023.1149284
  • Wullenkord, M.C., Tröger, J., Hamann, K.R., Loy, L.S., & Reese, G. (2021). Anxiety and climate change: A validation of the climate anxiety scale in a German-speaking quota sample and an investigation of psychological correlates. Climatic Change, 168(3), 20. https://doi.org/10.1007/s10584-021-03234-6
There are 32 citations in total.

Details

Primary Language English
Subjects Midwifery (Other)
Journal Section Research Articles
Authors

Özlem Naldöken 0009-0005-2704-8391

Publication Date August 31, 2025
Submission Date April 17, 2025
Acceptance Date August 21, 2025
Published in Issue Year 2025 Volume: 6 Issue: 2

Cite

APA Naldöken, Ö. (2025). The effect of climate change-related anxiety on prenatal attachment: A descriptive study. Anatolian Journal of Health Research, 6(2), 138-143. https://doi.org/10.61534/anatoljhr.1678420

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