Online solution‐focused psychoeducation as a new intervention for treating severe fear of childbirth: A randomized controlled trial in the pandemic period

Kaya, Nurdan; Güler, Handan

doi:10.1111/ppc.13038

Cited by 5 publications

(2 citation statements)

References 38 publications

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“…Cumulatively, these results demonstrate the need to include tokophobia as a measure in future maternal health studies in the USA and elsewhere. Professional medical associations should also recommend screening and treatment for tokophobia, since treatment has been shown to decrease fear and improve maternal self-efficacy [ 13 , 50 ]. Finally, future work on tokophobia should consider how ultimate (evolutionary) and proximate (cultural, developmental) factors jointly shape birth expectations and childbirth fear.…”

Section: Discussionmentioning

confidence: 99%

Childbirth fear in the USA during the COVID-19 pandemic: key predictors and associated birth outcomes

Thayer

Geisel-Zamora

Uwizeye

et al. 2023

Evolution, Medicine, and Public Health

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Background and objectives Childbirth fear, which has been argued to have an adaptive basis, exists on a spectrum. Pathologically high levels of childbirth fear is a clinical condition called tokophobia. As a chronic stressor in pregnancy, tokophobia could impact birth outcomes. Many factors associated with tokophobia, including inadequate labor support, were exacerbated by the COVID-19 pandemic. Methodology We used longitudinally collected data from a convenience sample of 1775 pregnant persons in the United States (U.S.) to evaluate the association between general and COVID-19 pandemic-related factors and tokophobia using the Fear of Birth Scale. We also assessed associations between tokophobia, low birth weight, and preterm birth when adjusting for cesarean section and other covariates among a subset of participants (N=993). Results Tokophobia was highly prevalent (62%). Mothers who self-identified as Black (OR = 1.90), had lower income (OR = 1.39), had less education (OR = 1.37), had a high-risk pregnancy (OR = 1.65), or had prenatal depression (OR = 4.95) had significantly higher odds of tokophobia. Concerns about how COVID-19 could negatively affect maternal and infant health and birth experience were also associated with tokophobia (ORs from 1.51-1.79). Tokophobia was significantly associated with increased odds of giving birth preterm (OR = 1.93). Conclusions and implications Tokophobia increases the odds of preterm birth and is more prevalent among individuals who are Black, have a lower income, and have less education. Tokophobia may therefore be an underappreciated contributor to inequities in U.S. birth outcomes. The COVID-19 pandemic likely compounded these effects.

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Section: Discussionmentioning

confidence: 99%

Childbirth fear in the USA during the COVID-19 pandemic: key predictors and associated birth outcomes

Thayer

Geisel-Zamora

Uwizeye

et al. 2023

Evolution, Medicine, and Public Health

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“…Several studies have shown that SFA has the effect of increasing self-efficacy. Midwifery care based on SFA provided by online synchronous video conferencing during the COVID-19 pandemic is an effective and safe method to reduce the fear of childbirth in women and increase their self-efficacy ( Kaya and Guler, 2022 ). Learning and developing communication skills fundamental to SFA thinking increases nursing students’ confidence in individuals and improves their self-efficacy( Akgül-Gündoğdu and Selçuk-Tosun, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of solution-focused approach on anxiety and depression in patients with rheumatoid arthritis: A quasi-experimental study

Zhang

Wu²,

Xiao³

et al. 2022

Front. Psychol.

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IntroductionAnxiety and depression are common psychological problems in rheumatoid arthritis (RA) patients. However, few effective nursing intervention models have been designed specifically to improve anxiety and depression in RA patients. Solution-focused approach (SFA) is an effective intervention method for psychosocial issues. There have been no studies involving SFA yet in RA patients. This study investigated the effects of SFA-based nursing intervention on anxiety and depression in RA patients.MethodsA quasi-experimental study using a convenience sampling of RA patients was conducted. The 48 RA patients were divided into the control group (n = 24) and the experimental group (n = 24). The control group received routine nursing intervention, while the experimental group received SFA-based nursing intervention. The scores on the self-rating anxiety scale (SAS), self-rating depression scale (SDS), arthritis self-efficacy scale-8 (ASES-8), and questionnaire on patient satisfaction with nursing care were collected before and after nursing interventions.ResultsBetween-Group Comparison: Before the nursing intervention, there was no statistically significant difference in the SDS, SAS, and ASES-8 scores between the two groups (p > 0.05). However, after the nursing intervention, the SDS and SAS scores of the experimental group were statistically significantly lower than those of the control group (p < 0.05). In contrast, the ASES-8 score of the experimental group was statistically significantly higher than that of the control group (p < 0.05). In addition, patient satisfaction with nursing care of the experimental group was better than that of the control group (p > 0.05). Within-Group Comparison: There was no statistically significant difference in the SDS, SAS, and ASES-8 scores in the control group before and after routine nursing intervention (p > 0.05). However, in the experimental group, the SDS and SAS scores before SFA-based nursing intervention were statistically significantly higher than those after SFA nursing intervention (p < 0.05), and the ASES-8 score before SFA-based nursing intervention was considerably lower than that after SFA nursing intervention (p < 0.05).DiscussionSFA-based nursing intervention can effectively improve anxiety, depression, and arthritis self-efficacy of RA patients. This study broadens clinical psychological nursing intervention models for RA patients. SFA may be an effective nursing model for various psychosocial problems in the current medical context.

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The effects of Solution-Focused Brief Therapy on self-care and mental health among older adults at risk of coronary heart disease: A randomized controlled trial

Dong,

Zhang,

Wang

2024

Geriatric Nursing

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Online solution‐focused psychoeducation as a new intervention for treating severe fear of childbirth: A randomized controlled trial in the pandemic period

Cited by 5 publications

References 38 publications

Childbirth fear in the USA during the COVID-19 pandemic: key predictors and associated birth outcomes

Childbirth fear in the USA during the COVID-19 pandemic: key predictors and associated birth outcomes

Effect of solution-focused approach on anxiety and depression in patients with rheumatoid arthritis: A quasi-experimental study

The effects of Solution-Focused Brief Therapy on self-care and mental health among older adults at risk of coronary heart disease: A randomized controlled trial

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