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Abstract
Previous research suggests that female sex hormones can increase the sensitivity of
women's emotion processing systems. The largest rises in sex hormone levels in a woman's
life are from early to late pregnancy. The current study, therefore, investigated
whether changes in emotion processing are seen across pregnancy. Hypervigilant emotion
processing has been implicated in the aetiology of anxiety. Therefore enhanced emotion
processing across pregnancy has implications for women's vulnerability to anxiety.
Ability to encode facial expressions of emotion was assessed in 101 women during early
pregnancy and again in 76 of these women during late pregnancy. Symptoms of anxiety
were measured using a clinical interview (The CIS-R). Consistent with previous research,
the presence of anxiety symptoms was associated with greater accuracy to encode faces
signalling threat (fearful and angry faces). We found that women had higher accuracy
scores to encode emotional expressions signalling threat or harm (fearful, angry and
disgusted faces) but also a more general negative emotion (sadness) during late, compared
with early, pregnancy. Enhanced ability to encode emotional faces during late pregnancy
may be an evolutionary adaption to prepare women for the protective and nurturing
demands of motherhood by increasing their general emotional sensitivity and their
vigilance towards emotional signals of threat, aggression and contagion. However,
the results also suggest that, during late pregnancy, women's emotion processing style
is similar to that seen in anxiety. The results have implications for our understanding
of normal pregnant women's processing of emotional cues and their vulnerability to
symptoms of anxiety.