Art Therapy and Counseling for Fear of Childbirth: A Randomized Controlled Trial

Wahlbeck, Helén; Kvist, Linda J.; Landgren, Kajsa

doi:10.1080/07421656.2020.1721399

Cited by 16 publications

(38 citation statements)

References 31 publications

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“…A recent review has suggested that non-pharmacological treatments may reduce the fear of childbirth and cesarean section births (66). In light of the evidence about alleviating the FOC of pregnant women, psychoeducation intervention based on Human Caring Theory, online cognitive behavior therapy, mindfulness training, art therapy, and haptotherapy effectively decrease the level of FOC (3,30,(67)(68)(69)(70). Furthermore, access to childbirth information was associated with a decreased likelihood of fear of birth and cesarean delivery (71).…”

Section: Discussionmentioning

confidence: 99%

“…Fear of childbirth (FOC), a spectrum of anxious thoughts and feelings relating to woman's appraisal of labor and birth, was reported to be a prevalence of 14% around the world (1)(2)(3)(4). Prior research has found that mild or high levels of FOC are correlated with prolonged labor, cesarean section, choice of epidural analgesia, prenatal and postpartum depression, and anxiety (5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Fear of Childbirth and Its Association With Intolerance of Uncertainty and Coping Styles Among Pregnant Chinese Women During the COVID-19 Pandemic

et al. 2022

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BackgroundFear of childbirth (FOC) is one of the most common psychological symptoms among pregnant women and significantly relates to cesarean section, anxiety, and depression. However, it is not clear the prevalence and risk factors of FOC among Chinese pregnant women since the outbreak of the COVID-19 pandemic.AimsThe objective of this study was to examine the associations between coping styles, intolerance of uncertainty, and FOC.MethodFrom December 2021 to April 2022, a cross-sectional survey was conducted in two hospitals in China through convenient sampling. The cross-sectional survey was conducted among 969 pregnant women, which included the Childbirth Attitude Questionnaire (CAQ), Intolerance of Uncertainty Scale-12 (IUS-12), and Simplified Coping Style Questionnaire (SCSQ).ResultsThe total prevalence of FOC was 67.8%. The percentages of women with mild (a score of 28–39), moderate (40–51), and severe FOC (52–64) were 43.6, 20.2, and 4.0%, respectively. The regression results indicated that primiparas, unplanned pregnancy, few spousal support, intolerance of uncertainty, and negative coping styles were significant risk factors of FOC. Women who adopt positive coping strategies experienced a lower level of childbirth fear.ConclusionThese findings suggest that cultivating positive coping styles and obtaining sufficient childbirth information may be helpful for mothers' mental health. Regular screening assessment of perinatal psychological symptoms, such as the high level of intolerance of uncertainty and negative coping styles, should be adopted to reduce the risk of fear of childbirth.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Prevalence of Fear of Childbirth and Its Association With Intolerance of Uncertainty and Coping Styles Among Pregnant Chinese Women During the COVID-19 Pandemic

et al. 2022

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“…Although W-DEQ-A is the most widely used diagnostic tool for assessing FOC during pregnancy ( n = 15; 62.5%), different cutoff points have been used (eg, > 60, 93 ≥ 66, 18-20 , 69,87,94 ≥ 85, 78,95,97 38–84, 85 ≥ 100 80,97 ). FOC was self-rated through a visual analogue scale 80,91,97 or a 10-point Likert scale 90,93 . Clinical diagnosis of FOC based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) was performed in three studies 73-75 .…”

Section: Resultsmentioning

confidence: 99%

“…In 20 of the 34 studies (59%), the midwife led and implemented the intervention alone ( n = 13; 38%) 18-20 , 78 , 83-86 , 88,89,91,96,97 or with the participation of other health professionals ( n = 7; 21%) 21,61,69,82,92,94,95 . In the remaining 14 studies (41%), the midwife (no leadership role) was part of a multidisciplinary team consisting of health professionals 62,63,66 , 73-77 , 79-81 , 87,90,93 …”

Section: Resultsmentioning

confidence: 99%

Midwives’ interventions for reducing fear of childbirth in pregnant women: a scoping review

Souto

Silva

Prata

et al. 2022

JBI Evidence Synthesis

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Objective: The objective of this review was to map and analyze midwives’ interventions for reducing fear of childbirth in pregnant women. Introduction: Fear of childbirth is a phenomenon negatively affecting women's health and well-being before and during pregnancy. Over the past few decades, there has been growing research interest in interventions for reducing fear of childbirth in pregnant women. One of the challenges in midwifery care is to provide an appropriate model of care for pregnant women with fear of childbirth. Further research efforts are needed to identify midwives’ interventions for reducing fear of childbirth in pregnant women and to examine their characteristics. Inclusion criteria: This scoping review considered studies that included midwives’ interventions for reducing fear of childbirth in pregnant women. Specifically, interventions were led and/or implemented by midwives during the antenatal period, and integrating all possible midwifery practice settings. Quantitative, qualitative, and mixed methods studies were included. This review also considered systematic reviews, text and opinion papers, and conference abstracts. Methods: The JBI methodology for conducting scoping reviews was used. Published and unpublished literature in English, Portuguese, and Spanish from January 1981 to October 2020 was included. MEDLINE (PubMed), CINAHL Complete, APA PsycINFO, Scopus, Embase, Web of Science, SciELO, MedicLatina, Academic Search Complete, ERIC, Psychology and Behavioral Sciences Collection, and the Cochrane Library databases were searched. Searches for gray literature were also undertaken on the Repositório Científico de Acesso Aberto de Portugal, ProQuest Dissertations and Theses, British Library EThOS, OvidSP Resource Center, Banco de Teses da CAPES, and OpenGrey. A three-step search strategy was followed, and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews checklist was used. Two independent reviewers extracted the data using a data extraction tool developed specifically for this scoping review. Results: A total of 3704 articles were identified and screened, of which 34 articles were included. The majority of studies had been published in the past 10 years (88%) in Scandinavian countries or Australia (79%). Several midwives’ antenatal interventions were found, such as midwife-led team models of care. Midwives played a facilitator role that varied across the included studies. In 20 studies (59%), midwives led and implemented the interventions alone (n = 13; 38%) or with the participation of other health professionals (n = 7; 21%). In the remaining 14 studies (41%), midwives were part of a multidisciplinary team that included different health professionals (mainly obstetricians and psychologists) who had been involved in delivering interventions alongside midwives or with minor participation from midwives. Counseling (n = 12; 35%) and psychoeducation (n = 8; 24%) were the most common midwife interventions for reducing fear of childbirth in pregnant women. Conclusions: Midwives working across their full scope of practice play a pivotal role in reducing fear of childbirth, which may explain the variety of midwives’ antenatal interventions. Reducing fear of childbirth in pregnant women and promoting normal childbirth as a positive experience are key features of midwives’ interventions, which should include women's empowerment measures. Evidence-based midwife-led intervention programs for pregnant women with fear of childbirth should be designed and tested to improve clinical practice as well as women's reproductive outcomes and perinatal experiences.

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“…Art therapy has been employed as an intervention to reduce PTSD symptoms since it provides a non-threatening environment for refugee children and adolescents to facilitate the expression of feelings that are linked to trauma and identify some feelings that can lead to a sense of relief. Art therapy also provided the opportunity for refugee learners to tolerate their negative emotions when they become capable of regulating their emotions (Sommers-Flanagan, 2007 ; Case and Dalley, 2014 ; Kalmanowitz and Ho, 2016 ; Akthar and Lovell, 2019 ; Wahlbeck et al, 2020 ). In addition, refugee learners who have difficulties in verbal expression find art therapy very effective (Stuckey and Nobel, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Empirical Evidence on Art Therapy With Traumatized Refugee Children and Youth

2022

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The current global refugee crisis revealed that refugee children, youth, and adults are uniquely vulnerable to traumatic events. Yet, there are only a few studies available that report robust systematic data on art therapy interventions with mental health in recent refugee populations. The purpose of the study is to synthesize and evaluate (a) the available research evidence on the use of art therapy in reducing post-traumatic stress disorder (PTSD) levels in refugees, and (b) the quality of empirical evidence for each of the reviewed studies. The authors adopted the Council for Exceptional Children (CEC) evidence-based practice (EBP) standards and quality indicators to evaluate the methodological soundness of the reviewed studies and the evidence-based classification of art therapy as a treatment intervention. We systematically searched electronic databases of pertinent review articles for the period from 2010 to 2020 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Systematic searches identified 70 research articles but yielded eight eligible journals as per the inclusion criteria. Results indicated that, though considered a promising treatment approach, art therapy is presently classified as an intervention that falls under the category of practice with insufficient evidence. The findings suggest the need for further methodologically sound experimental studies to strengthen the evidence behind art therapy as an intervention to reduce PTSD symptoms in refugees around the world.

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Art Therapy and Counseling for Fear of Childbirth: A Randomized Controlled Trial

Cited by 16 publications

References 31 publications

The Prevalence of Fear of Childbirth and Its Association With Intolerance of Uncertainty and Coping Styles Among Pregnant Chinese Women During the COVID-19 Pandemic

The Prevalence of Fear of Childbirth and Its Association With Intolerance of Uncertainty and Coping Styles Among Pregnant Chinese Women During the COVID-19 Pandemic

Midwives’ interventions for reducing fear of childbirth in pregnant women: a scoping review

A Systematic Review of Empirical Evidence on Art Therapy With Traumatized Refugee Children and Youth

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