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Sandra Nakić Radoš

Sandra Nakić Radoš
Catholic University of Croatia · Department of Psychology

PhD

About

57
Publications
10,381
Reads
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626
Citations
Citations since 2017
40 Research Items
569 Citations
2017201820192020202120222023050100150
2017201820192020202120222023050100150
2017201820192020202120222023050100150
2017201820192020202120222023050100150
Introduction
Sandra is a researcher and clinical psychologist. Her research is focused on perinatal mental health, especially on depression and anxiety. She has recently lead the project "Parental mental health and contextual factors as determinants of parent-infant bonding", and is currently enrolled in two COST Actions: on peripartum depression and birth trauma.
Additional affiliations
November 2015 - present
Catholic University of Croatia
Position
  • Professor (Assistant)
August 2011 - November 2015
University Clinical Hospital Center "Sestre Milosrdnice"
Position
  • PostDoc Position
April 2011 - July 2011
University of Sussex
Position
  • Research Associate
Education
February 2010 - February 2013
University of Zagreb
Field of study
  • Psychology
December 2006 - May 2011
University of Zagreb
Field of study
  • Psychology
October 2002 - September 2006
University of Zadar
Field of study
  • Psychology

Publications

Publications (57)
Article
Introduction: Despite the emerging body of literature on mother-to-infant bonding and the associated variables, there are various definitions of bonding construct. Also, there is a lack of a comprehensive conceptual framework of antecedents and consequences of bonding that would guide empirical work. Objective: Aim of the study was to provide a...
Book
Full-text available
Središnja tema 29. GKHP bila je „Psihologija u promociji cjeloživotnog razvoja, otključavanju potencijala i jačanju otpornosti pojedinca i zajednice“. Ovom temom željeli smo uputiti na činjenicu kako psiholozi kao stručnjaci, kliničari, znanstvenici i edukatori imaju mnogo toga za ponuditi ne samo u istraživanju, preveniranju i saniranju težih...
Article
Full-text available
Background: Since February 24th, 2022, the beginning of Russia’s aggression against Ukraine, more than 80,000 women were expected to give birth. Therefore, understanding the impact of war on the perinatal health of women is an important requisite to improve perinatal care. This narrative synthesis has two main purposes: on one hand, it aims to summ...
Article
Full-text available
Breastfeeding is associated with numerous health benefits for the mother and the child. Therefore, global health organizations recommend exclusive breastfeeding for at least the first six months of an infant’s life. Considering the inconsistent results within the literature, this study aimed to examine the differences between breastfeeding and non-...
Article
Objective: This study aims to systematically review all Clinical Practice Guidelines (CPGs) with recommendations for peripartum depression in European countries. Methods: A systematic review according to the PRISMA statement was conducted. CPGs focussing on peripartum depression or with at least one specific recommendation for peripartum depress...
Article
Full-text available
Introduction Significant changes in routine maternity care have been introduced globally in response to the COVID-19 pandemic to reduce infection risk, but also due to lack of medical facilities, staff shortages and the unpredictable nature of the disease. However, it is yet to be established if specialised perinatal mental health (PMH) services ha...
Article
Objectives: The metacognitive model of rumination and depression (Papageorgiou & Wells, 2003, Cognitive Therapy and Research, 27, 261) postulates that beliefs that perseverative negative thinking, i.e. rumination, will help solve problems contributing to rumination. However, this activates negative beliefs about the uncontrollability and social co...
Article
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The serotonin receptor 2A gene (HTR2A) is a strong candidate for the fetal programming of future behavior and metabolism. Maternal obesity and gestational diabetes mellitus (GDM) have been associated with an increased risk of metabolic and psychological problems in offspring. We tested the hypothesis that maternal metabolic status affects methylati...
Article
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The Birth Satisfaction Scale-Revised is a short but valid and reliable robust measure of different aspects of birth satisfaction. This study aimed to test factor structure, validity and reliability of the Croatian version of the Birth Satisfaction Scale-Revised. In the cross-sectional study, a convenient online sample of 552 women completed questio...
Article
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This study aimed to examine fear of childbirth (FOC) before and after delivery in relation to personality (anxiety and anxiety sensitivity) and birth experience (type of delivery, pain, and staff support). One-hundred and five women completed questionnaires during pregnancy and one month after childbirth. Participants completed the Wijma Delivery E...
Article
Background: This study aimed to examine satisfaction with life in patients with urinary incontinence and patients who underwent an operative procedure due to urinary incontinence. Methods: Women with a medical indication for surgery due to urinary incontinence problems but who had not yet had surgery (N = 110) and same-age women who had had a su...
Article
Full-text available
The City Infant Faces Database (CIFD; Webb et al., 2018) is a database of 154 infant emotional expressions for use in experimental studies of infant facial communication, facial expression recognition, and parental sensitivity. The CIFD was validated only in a small sample from the general public and student midwives and nurses in the UK. This stud...
Article
Background Studies show that a woman's dissatisfaction with her birth experience may affect her well-being. This study aimed to examine: (1) the birth satisfaction in Croatian women and compare it with UK normative data; (2) the association of different dimensions of birth satisfaction with PTSD and depressive symptoms. Methods In a cross-sectiona...
Article
Full-text available
Background: There is a lack of studies that examine the complex relationship between parental mental health, parental sensitivity and responsiveness, and parent-infant bonding. This study aimed to test whether parental sensitivity and responsiveness were mediators between postpartum mental health (depression, anxiety, and stress) and parent-infant...
Article
Full-text available
Background: Due to a wide range of stressors during the first postpartum year, this study aimed to develop and validate a self-report measure of stress intensity specific for postpartum. Method: Postpartum women (N= 603) completed the Maternal Postpartum Stress Scale in a cross-sectional online study. They also filled out questionnaires on general...
Article
Aims This study used a large database to develop a reliable and valid shortened form of the Edinburgh Postnatal Depression Scale (EPDS), a self‐report questionnaire used for depression screening in pregnancy and postpartum, based on objective criteria. Methods Item responses from the 10‐item EPDS were obtained from 5,157 participants (765 major de...
Article
Full-text available
Menarche is a key pubertal change for girls which is accompanied by different psychosocial changes, both pleasant and unpleasant, shaped by cultural and societal influences. This study aimed to examine: (1) the main source of information about menstruation before menarche among Croatian girls, (2) to whom girls confide about menarche and how they p...
Article
Objective The Maternal Mental Health in Canada, 2018/2019, survey reported that 18% of 7,085 mothers who recently gave birth reported “feelings consistent with postpartum depression” based on scores ≥7 on a 5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5). The EPDS-5 was designed as a screening questionnaire, not to classify dis...
Article
Full-text available
Objectives Estimates of depression prevalence in pregnancy and postpartum are based on the Edinburgh Postnatal Depression Scale (EPDS) more than on any other method. We aimed to determine if any EPDS cutoff can accurately and consistently estimate depression prevalence in individual studies. Methods We analyzed datasets that compared EPDS scores t...
Article
Background : Peripartum depression [PPD] is a public health problem which has been widely studied. Nonetheless, study findings and clinical guidelines for PPD treatment differ among countries and the condition is still underdiagnosed and undertreated, suggesting the importance of a global understanding of PPD. The Riseup-PPD Cost Action aims to est...
Article
Full-text available
Purpose of the study: to examine whether women’s and men’s infertility-related stress, and specifically its sexual concerns aspect, is related to their and their partner’s sexual satisfaction. Materials and methods: In a cross-sectional study, 94 couples experiencing infertility filled out the New Sexual Satisfaction Scale and Fertility Problem Inv...
Article
Background: Mother-infant bonding is the early emotional connection between mother and infant. It is affected by some aspects of maternal mental health, infant temperament, and the quality of a couple’s relationship. Objective: This research aimed to determine the associations of the mother’s postnatal depression and anxiety symptoms, infant temper...
Article
Full-text available
Background There is some evidence posttraumatic stress disorder (PTSD) following childbirth may impact on the mother-infant bond. However, the evidence is inconsistent over whether PTSD or co-morbid depressive symptoms are primarily related to impaired bonding. This study therefore aimed to examine the relationship between PTSD symptoms, depressive...
Article
Full-text available
Previous studies showed that personality predicted coping with stress, especially in young samples and samples under stress. The goal of the study was to relate personality traits and ways of coping in a normal population, in two different samples in specific stressful situations: students and pregnant women, and to compare the patterns of these re...
Article
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Objectives: A previous individual participant data meta-analysis (IPDMA) identified differences in major depression classification rates between different diagnostic interviews, controlling for depressive symptoms on the basis of the Patient Health Questionnaire-9. We aimed to determine whether similar results would be seen in a different populati...
Article
Full-text available
Objective: City Birth Trauma Scale is a recently developed scale specifically designed for evaluation of posttraumatic stress disorder (PTSD) following childbirth based on the DSM-5 criteria (Ayers, Wright, & Thornton, 2018). Previous studies showed a two-factor structure of PTSD symptoms in postpartum women; however, more complex models were not...
Article
Full-text available
The aim of our retrospective study was to compare the performance of transvaginal sonography in relation to histologic diagnosis of samples obtained by hysteroscopy through analysis of data collected over 16 years. Data on suspected formation of endometrial polyp or submucosal fibroid found on ultrasound examination were extracted. The study includ...
Article
Full-text available
Childbirth is a normative event in a woman's life and is considered as a positive event. However, one in three women perceive childbirth as a physical threat to themselves or their newborn and 3% of women develop posttraumatic stress disorder (PTSD) following childbirth. Poor coping strategies have been associated with PTSD following childbirth. Ho...
Chapter
Full-text available
Background and aims: Different psychological determinants play a role in the development of disordered eating attitudes, among which are self-esteem , body image dissatisfaction, perfectionism, depressiveness, and anxiety. However, previous studies have rarely been focused on eating disorder symptoms in pregnant women whose body image changes durin...
Chapter
Full-text available
Background: Pregnancy is one of the most prominent changes for many women and for some it represents a period of elevated anxiety, stress, and depressive symptoms which create health risks for both women and their offspring. While the risk factors for postpartum depression have been extensively studied, the predictors of depression during pregnancy...
Conference Paper
Background: Studies show that between 1% and 9% of women have posttraumatic stress disorder (PTSD) as a result of the traumatic childbirth experience. Although previous studies showed that PTSD and postpartum depression (PPD) symptoms have either a direct or indirect effect on mother-baby bond, childbirth experience was not examined with respect to...
Conference Paper
Full-text available
Background: Parental ability to perceive and adequately respond to facial expressions of their infants is crucial for the infant survival. Although images of adult facial expressions have been well developed so far, images of infant facial expression have been available only recently. The City Infant Faces Database (CIFD; Webb, Ayers, & Endress, 20...
Article
Full-text available
Introduction: Fear of childbirth (FOC) has been mostly studied in peripartum women; however, it can be present in non-pregnant young women, and the question is whether it occurs even before pregnancy planning. Objective: (1) to determine the prevalence of clinically significant FOC in non-pregnant female students, and (2) to investigate the role o...
Article
Full-text available
Previous findings on peripartum anxiety are inconsistent in respect to the prevalence and course of peripartum anxiety with comorbidity of depression. Our aim was threefold: (1) to examine the course of elevated anxiety during pregnancy, immediately after childbirth, and six weeks postpartum; (2) to establish comorbidity of postpartum anxiety and p...
Chapter
Full-text available
The first period or menarche indicates the beginning of puberty in girls. The experience of menarche is important because it is related to the experience of menstruation later in life. The goal of the study was to develop a new questionnaire of emotional reactions to menarche and to examine its psychometric properties. In a cross‐sectional study, 1...
Article
Full-text available
The goal of this study was to examine current attitudes toward menstruation in adolescent postmenarcheal girls in relation to age at menarche, time since menarche had occurred, preparedness, and emotional reaction to menarche. Postmenarcheal adolescent girls from primary and secondary schools (N = 246) participated in the study, with an average age...
Article
Objective: The goal of the study was to examine differences between adolescents and young women with functional hypothalamic amenorrhea (FHA) and control groups in personality traits, eating attitudes and behaviours, and perception of parental behaviour. Background: The FHA is stress-induced anovulation, both related to metabolic challenges, such a...
Article
Full-text available
Personal space is defined as an area around an individual in which others cannot enter without causing distress. The aim of this study was twofold: (1) to investigate personal space preferences in relation to sex of an individual and the person approaching, (2) and to examine the correlation between the extent of personal space and the level of tra...
Article
Full-text available
Objective: The aim of this study was to examine growth in UK and Croatian women following childbirth and to identify correlates of personal growth after birth, specifically focusing on sociodemographic, obstetric and coping variables. Background: Childbirth is a significant and challenging life event for many women with the potential for both posit...
Article
Full-text available
Childbirth is a highly emotive event that can involve complications. Around 1% of births in the United Kingdom involve life-threatening complications to the mother (Waterstone, Bewley, & Wolfe, 2001) and 0.8% result in stillbirth or perinatal death (Confidential Enquiry into Maternal and Child Health [CEMACH], 2009). A review found that 3.1% of wom...
Article
Abstract The researchers' aim was to examine whether it was better to predict new-onset postpartum depression (PPD) during pregnancy or immediately after childbirth. A prospective study conducted in Croatia followed women (N=272) from the third trimester of pregnancy, through the early postpartum period (within the first three postpartum days), to...
Article
Full-text available
State anxiety and pregnancy-specific anxiety are related albeit distinct constructs. Therefore, pregnancy-specific anxiety should be assessed with pregnancy-specific measures. The aim of the study was to construct and validate a new scale, Pregnancy Concerns Scale (PCS) that measures specific worries, fears and concerns during pregnancy. Pregnant w...
Article
The goal of the study was to examine secular changes of pelvic size in parturient women over the 25-year period from 1985 to 2009. Data were collected from randomly selected patients' medical records of 2414 parturient women from four time periods (1985-1986, 1992-1994, 2000-2002, and 2007-2009). Three different pelvic measurements were collected:...
Conference Paper
Objectives: (1) to examine anxiety before prenatal diagnostic procedures in regard to fear of procedure and fear of abnormal result in women undergoing amniocentesis (invasive) and ultrasound (non-invasive) procedures ; (2) to examine the change in state anxiety before and after the procedures. Methods: A short-term follow-up study was conducted on...
Article
As there are currently no specific measures of anxiety due to prenatal diagnostic procedures, the aim of the study was to develop and validate a new measure called the Prenatal Diagnostic Procedure Anxiety Scale (PDPAS). Seventy-four pregnant women scheduled for amniocentesis and ultrasound completed the PDPAS, the State-Trait Anxiety Inventory (ST...
Article
This cross-sectional study examined the role of maternal body image and body image self-consciousness in sexual satisfaction and intercourse frequency during pregnancy when controlling for satisfaction with partnership. Pregnant women in their third trimester of pregnancy (N = 150) participated in the study. Body image was measured by the Body Area...
Article
Abstract The aim of this study was to examine changes in some aspects of sexuality (sexual desire, frequency, and satisfaction) in expecting fathers, and to determine predictors of sexual satisfaction. This cross-sectional study was conducted with a sample of 105 men whose partners were in the third trimester of pregnancy. Findings demonstrate that...
Article
Full-text available
Objective: The demographic characteristics, maternal parity and personal traits of pregnant women have been frequently studied predictors of fear of childbirth (FOC). The aim of this study was to examine the role of demographic variables, expected pain level, trait anxiety and anxiety sensitivity in FOC among nulliparous and multiparous women in t...
Article
(1) to examine the change in anxiety before and after prenatal diagnostic procedures in women undergoing invasive (amniocentesis) and non-invasive (ultrasound) procedures; (2) to examine predictors of anxiety before the diagnostic procedure. A short-term follow-up study was conducted on a sample of pregnant women in the second trimester. Questionna...
Article
Full-text available
Validation studies established different cut-off points for the Edinburgh Postnatal Depression Scale (EPDS) in different countries. The aim of this paper was to validate the Croatian EPDS against DSM¬-IV-TR for major and minor depression. A community sample of 272 women was followed from pregnancy to six weeks postpartum. They filled out the EPDS a...
Article
Full-text available
The aims of the study were (1) to establish prevalence of postpartum depression (PPD) in the community sample and to determine (2) the stability and (3) the longitudinal pattern of the elevated depression from pregnancy to postpartum. A sample of 272 women filled out the Edinburgh Postnatal Depression Scale (EPDS) on three occasions: in the third t...
Article
Full-text available
Previous studies have shown that prenatal anxiety could represent a risk factor for postpartal affective disorders and could also negatively affect foetal development. The aim of this study was to examine the role of perceived stress and coping styles in development of prenatal anxiety. The sample consisted of 149 pregnant women in their last trime...

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Projects

Projects (8)
Project
One in four women has mental health problems during pregnancy or after childbirth, mainly peripartum depression symptoms (about 16%), anxiety, symptoms of post-traumatic stress disorder (PTSD) after childbirth (about 4%) or obsessive-compulsive disorder (OCD) ( about 4%). Also, some pregnant women have impaired physical health during pregnancy, such as gestational diabetes (14%) or hyperemesis gravidarum (2%). In the project, one cross-sectional and two longitudinal studies will be carried out, which will include over 1000 women, and we will monitor their health from pregnancy to the postpartum period through questionnaires. The purpose of this research is to gain scientific knowledge about the complex relationships between a wide range of mental and physical health variables that can have adverse effects on maternal well-being and mother-infant bonding. The obtained results would have practical implications for informing and psycho-educating the public about difficulties in the peripartum period, which can serve to set guidelines for further research and clinical practice, all with the ultimate goal of improving the well-being of parents and their children.
Project
The INTERSECT study works in collaboration with principle investigators across the world, with an emphasis on working with under-represented countries in South-America, Asia and Africa. This research aims to study childbirth PTSD in an international context. Principle investigators in each country have the responsibility of conducting the INTERSECT survey with postpartum women in their country. The INTERSECT project will thus result in cross-cultural information on the prevalence of postpartum PTSD, as well as cross-cultural variation in the etiology and manifestation of childbirth-related PTSD worldwide. The INTERSECT study aims specifically to: 1. Determine the prevalence of birth trauma and PTSD across countries and cultures. 2. Determine differences in symptom presentation across countries and cultures. 3. Determine the etiology of childbirth-related PTSD symptoms across countries and cultures. We are still looking for researchers from unrepresented countries, especially (but not only) from Asia, Africa, and South America. Please contact the core team by using this link: https://blogs.city.ac.uk/intersect/contact-us/
Project
Unlike other sources of trauma, perinatal or birth-related trauma is relatively unrecognised. Evidence suggests up to 30% of women describe their birth experience as traumatic and experience some symptoms of intrusion, avoidance or hyper-arousal. Meta-analyses show post-traumatic stress disorder (PTSD) affects 4% of women after birth and up to 18% of women in high risk groups. Rectification of this situation is essential. In 2016, 5.11 million babies were born in Europe, indicating that up to 1.5 million women may have had sub-optimal birth experiences and over 200,000 may have developed PTSD as a result. Developmental research has firmly established that the quality of infant-parent relationships is a critical factor in early and later childhood development, consequently, a family-centred approach to any investigation of birth-related trauma is critical, as trauma can be transmitted within the family system. Given the enormous economic burden it places on women, health systems, and particularly children, relatively small improvements in services to prevent, detect and treat this problem can benefit society significantly. The main aim of this Action is two-fold. The Action will establish an international multidisciplinary network of researchers, clinicians, NGOs and SMEs to 1) consolidate and disseminate current evidence and coordinate a joint effort to seek ways to prevent, minimise and resolve birth-related trauma, and to optimise emotional and psychological outcomes for parents and families and 2) accelerate the translation of that knowledge into best practices that can be shared across Europe to reduce the societal and economic burden arising from birth-related negative/traumatic experiences.