Expression of Anger in Low-Risk Pregnant Women and Associated Sociodemographic Factors
Anger; Pregnancy; Mental Health; Socioeconomic Factors; Primary Health Care
Anger is a basic human emotion that, although natural, can become dysfunctional when excessively expressed, suppressed, or dysregulated. During the perinatal period, its manifestation may represent a significant risk factor for maternal mental health, potentially affecting mother-infant bonding, the quality of prenatal care, and obstetric outcomes. Despite its relevance, anger receives little attention in health services and scientific literature, often being overshadowed by more widely recognized symptoms such as anxiety and depression. In this context, the present study aimed to investigate the frequency of anger expression in pregnant women during early gestation and to analyze its relationship with sociodemographic variables. This is a cross-sectional study conducted between June 2024 and May 2025, involving 109 low-risk pregnant women attended at two Primary Health Care Units (UBS) in the eastern region of Natal, Brazil. Eligible participants were 18 years or older, without clinical or obstetric comorbidities. Data collection occurred up to the 19th week of gestation and included the application of a sociodemographic questionnaire and the State-Trait Anger Expression Inventory (STAXI-1). Results indicated that pregnant women under 20 and over 35 years old presented significantly higher levels of state anger, an association that remained after multivariate adjustment. Trait anger was associated with the number of previous births, with increased odds of higher scores with each additional delivery. Anger reaction also showed significant associations with low educational attainment and higher parity. Although not statistically significant, there was a trend toward greater anger expression among women with unplanned pregnancies and lower intensity among those with higher educational levels.