Association Between Body Image, Fear of Childbirth and Maternal‐Fetal Attachment: The Relative Mediation Analysis

Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 10, 2025

ABSTRACT Aims To explore the association between body image, fear of childbirth and maternal‐fetal attachment mediating effects among different image profiles. Design A cross‐sectional study. Methods Pregnant women were recruited from obstetric outpatient clinics February 2022 October 2023. Face‐to‐face data collected using validated questionnaires. First, role birth was examined by calculating total scores. Then, latent analysis performed to identify profiles, relative mediation for in profiles attachment. Results This study included 676 pregnant women, most whom their third trimester. Using score, found partially mediate relationship Latent profile revealed three women: positive, moderate negative. positive as reference, with experienced a higher childbirth, resulting lower Notably, effect more pronounced negative Conclusion Body affected directly indirectly through stronger Implications The findings provide evidence on underlying pathways suggest potential intervention targets improve may benefit such interventions. Impact Little is known about pathway women. affects childbirth. These highlight high‐risk populations, which provides insights developing personalised interventions perinatal psychological health. Reporting Method has followed STROBE checklist reporting method. Patient or Public Contribution No patient public contribution.

Language: Английский

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Validation of the intolerance of uncertainty scale-12 in a sample of pregnant people

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 27, 2025

Intolerance of uncertainty (IU) has been proposed as a transdiagnostic mechanism driving anxiety, depression, and eating disorder symptoms. Pregnancy is time significant uncertainty, yet few studies have examined the measurement IU its impacts on pregnant people. The current study aimed to examine psychometric performance two versions Uncertainty Scale (IUS-27 IUS-12) their associations with psychopathologies common in pregnancy. This secondary analysis participants (n = 254) recruited for larger single-session intervention targeting disordered We fit participant baseline data IUS-27 IUS-12 factor structures using confirmatory analyses. also assessed between emotion dysregulation depression symptoms, controlling age, parity, perceived social status. provided superior (CFI 0.95; TLI 0.93; RMSEA 0.09) compared IUS-27. was significantly (all p < 0.05) correlated measures (r 0.67), 0.58), disorders 0.37). Inhibitory rather than prospective generally associated greater psychopathology (ß range 0.46 – 3.51, p's 0.01). Results from this provide initial support valid measure people suggest that strongly dysregulation, behaviors population. Severe psychological distress pregnancy linked complications gestation delivery overall poor birth outcomes. Clinicians doctors should consider general among patients. trial which these were drawn registered at clinicaltrials.gov, NCT06129461 (registered November 10, 2023).

Language: Английский

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Cognitive behavioural therapy for intolerance of uncertainty: A study protocol for the prevention of postpartum anxiety

Journal of Reproductive and Infant Psychology, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 20

Published: April 29, 2025

Mental health disorders are the most prevalent complication experienced during pregnancy and postpartum, with anxiety being common. Intolerance of uncertainty (IU) is a well-known feature has recently been identified as risk factor for worsening postpartum period. Cognitive Behavioural Therapy (CBT) first-line treatment perinatal anxiety, CBT specifically targeting IU in non-perinatal populations demonstrated positive findings reducing anxiety. As such, objective our study to examine whether can reduce This protocol paper outlines proof-of-concept randomised clinical trial assessing effectiveness newly developed (CBT-IU) Pregnant individuals at increased (defined baseline score 64 or greater on Uncertainty Scale) will be receive CBT-IU care usual (CAU) followed through period (6-12 weeks). The weekly, six session treatment, which includes psychoeducation, behavioural experiments, imaginal exposure, problem-solving target IU. To knowledge, this first investigate efficacy aimed developing Establishing potentially preventative strategy offer new option improve mental well-being mothers their infants. Trial Number NCT05691140 accessible https://clinicaltrials.gov/study/NCT05691140.

Language: Английский

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Intolerance of uncertainty and negative emotions among high school art students during COVID-19 pandemic: a moderated mediation analysis

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: May 22, 2024

Objectives A number of high school art students experience negative emotions during their preparation for the college entrance examination, characterized by worries and fear uncertainty. Therefore, how individual difference factors, such as intolerance uncertainty, affect needs to be examined. Inspired integrative model uncertainty tolerance, current study seeks explain association between testing potential mediating role psychological capital moderating family functioning. Patients methods total 919 Chinese ( M age = 18.50 years, range 16–22) participated from November 2022 December 2022. Convenience sampling strategies were used. The participants asked complete measures scale, questionnaire, depression anxiety stress adaptability cohesion evaluation scale. data analyzed using Pearson’s r correlations moderated mediation analysis. Results showed that was positively associated with but negatively capital, which in turn, emotions. Psychological mediated indirect link Family functioning buffered impact on Conclusion This can enhance our understanding provide insights interventions students’ educators. targeting may beneficial reducing effect faced students.

Language: Английский

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Relationship between dyadic coping, resilience and fear of childbirth in expectant couples: An actor-partner interdependence model approach

Midwifery, Journal Year: 2024, Volume and Issue: 137, P. 104117 - 104117

Published: July 22, 2024

Language: Английский

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Pathways to depressive symptoms in Chinese pregnant women and their influence on delivery approach: a qualitative comparative analysis

Journal of Psychosomatic Obstetrics & Gynecology, Journal Year: 2024, Volume and Issue: 45(1)

Published: Oct. 1, 2024

The aim of this study was to apply complexity theory explain and understand how risk factors combined in complex ways, eventually leading a high prevalence depressive symptoms among pregnant women. We also aimed evaluate whether affected delivery approach. had longitudinal design conducted between May September 2017. A total 481 women were recruited participate completed closed-end surveys at two distinct times: during prenatal care the hospital after 26 weeks pregnancy 1 4 delivery. This identified eleven different pathways that led an increase symptoms. Each pathway differentiated effects influencing factors. Among women, 128 (26.6%) cesarean deliveries without medical indications. Although could affect approach, it not most important factor. Surprisingly, first production emerged as key factor determining mode. innovative examined which combinations necessary for development Additionally, provided better understanding mechanisms underlying choice section

Language: Английский

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The Trajectory and Influencing Factors of Fear of Childbirth in Third Trimester Primiparas: A Prospective Longitudinal Study

Journal of Advanced Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 20, 2024

ABSTRACT Background Maternal fear of childbirth fluctuates throughout pregnancy. However, no studies have investigated the changing characteristics and influencing factors childbirth. Aims This study aimed to identify trajectory patterns in third‐trimester primiparas examine these patterns. Methods followed STROBE checklist for observational research. A prospective longitudinal design was employed, using Intolerance Uncertainty Scale, Childbirth Self‐Efficacy Inventory Attitudes Questionnaire as primary measures. Data were collected from 226 primiparous women at 28–29 weeks, 32–33 36–37 weeks 39–41 gestation. Growth mixture modelling (GMM) fitted Mplus 8.3 software analyse Logistic regression conducted trajectories. Results The results revealed heterogeneity childbirth, which could be categorised into six groups: a normal group without fear, with initial but increased later, mild that decreased, worsened, stable moderate group. showed intolerance uncertainty, self‐efficacy preference trajectories ( p < 0.05). Conclusions highlights varying primiparas. Different categories emerge, each following distinct path change. Healthcare providers can use this information create individualised interventions, addressing specific concerns various stages, support psychological well‐being during perinatal period. Implications Profession and/or Patient Care should vigilant about primiparas' awareness response fear. shows often begins increase or decrease between 32 33 Screening interventions thus initiated period, follow‐up mechanisms place. Providers also assess capacity cope offering targeted guidance education reduce enhance ultimately alleviate Public Contribution No patient public contribution. Impact Statement is great interest health care providers, suggesting

Language: Английский

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