Psychological changes experienced among pregnant women such as depression, anxiety, and stress are known as psychological distress. Psychological distress during pregnancy can affect the health and daily activity of pregnant women. Psychological distress can be caused by pregnant women’s past and present experiences, also lack of support and unhealthy attachment relationships with husband and her families. This study aims to determine the role of attachment relationship patterns or romantic adult attachment, in this case attachment anxiety and attachment avoidance in psychological distress in pregnant women. This study used a non-experimental quantitative approach and cross-sectional design with Experience in Close Relationship Scale-Short Form (ECR-S) and Depression Anxiety Stress Scales-21 (DASS-21). This study used an incidental sampling technique (N=166). This study found the role of romantic adult attachment in psychological distress pregnant women significantly (R2=0,236, p<0,001). In particular, a significant role was given by attachment anxiety (R2=0.216, p<0.001), and attachment avoidance (R2=0.090, p<0.001), in predicting psychological distress in pregnant women. According to Islamic reviews, paying attention and maintaining a strong attachment of married couples in the marriage bond includes worship to Allah SWT, because it can maintain harmony and build a family of sakinah, mawaddah, and rahmah. The result of this study can be useful as the foundation for psychological distress intervention programs in pregnant women based on romantic adult attachment. Keywords: Psychological distress, pregnant women, romantic adult attachment.
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