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Heterogeneity in childbirth related fear or anxiety
Mid Sweden Univ, Dept Psychol, S-83145 Ostersund, Sweden.
Mid Sweden Univ, Dept Psychol, S-83145 Ostersund, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Obstetrics and Reproductive Health Research. Mid Sweden Univ, Dept Nursing, Ostersund, Sweden.ORCID iD: 0000-0001-6985-6729
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Obstetrics and Reproductive Health Research. Lund Univ, Dept Hlth Sci, Fac Med, Lund, Sweden.ORCID iD: 0000-0001-7416-6335
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2018 (English)In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 59, no 6, p. 634-643Article in journal (Refereed) Published
Abstract [en]

Many pregnant women experience fear, worry or anxiety relating to the upcoming childbirth. The aim of this cross-sectional study was to investigate possible subgroups in a sample of 206 pregnant women (mean age 29.4 years), reporting fear of birth in mid-pregnancy. Comparisons were made between nulliparous and parous women. In a series of cluster analyses, validated psychological instruments were used to cluster women based on their psychological profiles. A five-cluster solution was suggested, with the clusters characterized by: overall low symptom load, general high symptom load, medium symptom load with high performance-based self-esteem, blood- and injection phobic anxiety, and specific anxiety symptoms. Nulliparous women were more likely to report clinically relevant levels of blood- and injection phobia (OR = 2.57, 95% CI 1.09-6.01), while parous women more often reported previous negative experiences in health care (OR 1.93, 95% CI 1.09-3.39) or previous trauma (OR 2.90, 95% CI 1.58-5.32). The results indicate that women reporting fear of birth are a heterogeneous group. In order to individualize treatment, psychological characteristics may be of greater importance than parity in identifying relevant subgroups.

Place, publisher, year, edition, pages
WILEY , 2018. Vol. 59, no 6, p. 634-643
Keywords [en]
Anxiety, fear, childbirth, pregnancy, cluster analysis, blood- and injection phobia
National Category
Obstetrics, Gynecology and Reproductive Medicine Applied Psychology
Identifiers
URN: urn:nbn:se:uu:diva-387249DOI: 10.1111/sjop.12481ISI: 000449851300009PubMedID: 30176051OAI: oai:DiVA.org:uu-387249DiVA, id: diva2:1331303
Available from: 2019-06-26 Created: 2019-06-26 Last updated: 2019-06-26Bibliographically approved

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Hildingsson, IngegerdRubertsson, Christine

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