Self-management of mild to moderate anxiety in women who have recently given birth: development and acceptability of a theoretically sound complex intervention

Rowe, Heather; Coo, Soledad; Galgut, Sofia; Michelmore, Janet; Fisher, Jane

doi:10.1080/14623730.2014.964050

Cited by 8 publications

(14 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…HVs described that anxious women worried more about their baby's development and care taking which might suggest an increased need for reassurance in these women. In line with this, during the development of a self-management intervention for mild to moderate postpartum anxiety, it was identified that women with postpartum anxiety most commonly worry about baby's development, health and care taking (Rowe et al 2014). High use of postpartum healthcare services highlights the importance of early identification of postpartum anxiety and postpartum mental health in general, especially when considering the high costs of perinatal mental health problems (Bauer et al 2014).…”

Section: Service Usagementioning

confidence: 99%

Supporting women with postpartum anxiety: exploring views and experiences of specialist community public health nurses in the UK

Ashford

Ayers

Olander

2017

Health Soc Care Community

View full text Add to dashboard Cite

This is the accepted version of the paper.This version of the publication may differ from the final published version. identification and screening issues; importance of training; service usage; and status of current service provision. Women with postpartum anxiety were commonly encountered by HVs in their clinical practice and described as often heavily using their or other related healthcare services, which puts additional strain on HVs' already heavy workload. Issues with identifying and screening for postpartum anxiety were raised and the current lack of perinatal mental health training for HVs was highlighted. In addition, HVs described a current lack of good perinatal mental health services in general and specifically for anxiety. Permanent repository linkThe study highlights the need for HV perinatal mental health training in general and 2 postpartum anxiety specifically, as well as better coverage of specialist mental health services and the need for development of interventions targeted at postpartum anxiety.

show abstract

Section: Service Usagementioning

confidence: 99%

Supporting women with postpartum anxiety: exploring views and experiences of specialist community public health nurses in the UK

Ashford

Ayers

Olander

2017

Health Soc Care Community

View full text Add to dashboard Cite

show abstract

“…Anxiety disorders such as generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, and phobias in the first year after birth (postpartum) are common with prevalence rates ranging between 9.9% and 20% [ 1 - 3 ]. Anxieties in the postpartum period are often life-stage specific, for example, worries about baby’s care and health and fear of criticism and inadequacy as a mother [ 4 ]. Postpartum anxiety disorders can either be a recurrence of a previous disorder or develop as a first episode.…”

Section: Introductionmentioning

confidence: 99%

“…On the basis of the identified interest and need, a self-help treatment for women experiencing moderate or severe symptoms of postpartum generalized anxiety disorder called What Am I Worried About (WaWa) developed in Australia [ 4 ] was transformed into a Web-based version called Internet-based WaWa (iWaWa). This study aimed to evaluate the feasibility and acceptability of iWaWa for women with postpartum anxiety problems in England.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of a Web-Based Treatment with Telephone Support for Postpartum Women With Anxiety: Randomized Controlled Trial

Ashford¹,

Olander²,

Rowe³

et al. 2018

JMIR Ment Health

View full text Add to dashboard Cite

BackgroundPostpartum anxiety can have adverse effects on the mother and child if left untreated. Time constraints and stigma are common barriers to postpartum treatment. Web-based treatments offer potential flexibility and anonymity. What Am I Worried About (WaWa) is a self-guided treatment based on cognitive-behavioral and mindfulness principles for women experiencing postpartum anxiety. WaWa was developed in Australia and consists of 9 modules with optional weekly telephone support. WaWa was adapted to a Web-based version for use in England (Internet-based What Am I Worried About, iWaWa).ObjectiveThis study aimed to investigate the feasibility (engagement and usability) and acceptability (usefulness, satisfaction, and helpfulness) of iWaWa among English postpartum women with anxiety.MethodsPostpartum (<12 months) women with mild-to-severe anxiety were recruited anonymously via social media during an 8-week period. Participants were randomized to the iWaWa treatment (8 weeks) or wait-list control group. Treatment and study feasibility and acceptability were assessed after the treatment, and anxiety symptoms were assessed at baseline, 8 weeks postrandomization, and 12 weeks postrandomization (treatment group only) using Web-based questionnaires. Semistructured telephone interviews were carried out after the treatment period for a more in-depth exploration of treatment acceptability and feasibility.ResultsA total of 89 eligible women were recruited through social media and randomized into the treatment (n=46) or wait-list control group (n=43). Women were predominantly Caucasian, well-educated, married, on maternity leave, first-time mothers and reported moderate levels of anxiety. Dropout rates were high, especially in the treatment group (treatment: 82%, 38/46; wait-list control: 51%, 22/43). A total of 26 women started iWaWa with only 2 women completing all 9 modules. Quantitative and qualitative data suggest iWaWa was experienced as generally useful and helpful. Participants enjoyed iWaWa’s accessibility, anonymity, and weekly reminders, as well as the introduction to the principles of cognitive-behavioral therapy (CBT) and mindfulness. However, iWaWa was also experienced as not user-friendly enough, too long, and not smartphone-friendly. Parts of the content were experienced as not always relevant and appropriate. Participants felt that iWaWa could be improved by having it in a smartphone app format and by making the content more concise and inclusive of different parenting styles.ConclusionsDespite interest in iWaWa, the results suggest that both the study and iWaWa were not feasible in the current format. However, this first trial provides useful evidence about treatment format and content preferences that can inform iWaWa’s future development, as well as research and development of Web-based postpartum anxiety treatments, in general, to optimize adherence.Trial RegistrationClinicalTrials.gov NCT02434406; https://clinicaltrials.gov/ct2/show/NCT02434406 (Archived by WebCite at http://www.webcitation.org/6xTq7...

show abstract

“…The quality of sex life of a pregnant couple is clearly changing. The anxiety that pregnancy may be at risk due to sexual activity is becoming more important [12,13] reported lower sexual satisfaction. These observations are confirmed by the work of Aslan et al which shows that as pregnancy develops, interest in sex increases significantly, but the quality of sexual intercourse deteriorates [9].…”

Section: Discussionmentioning

confidence: 99%

Sexual intercourse during pregnancy as a source of anxiety in pregnant women

wróbel¹,

talkowski

zmarzły

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Pregnant women feel and accept the need for sexual activity and in most cases engage in intercourse during pregnancy. The aim of the study was to assessment of the occurrence of anxiety associated with the possibility that the fetus is at risk, which results from having sexual contacts by healthy women during pregnancy. Methods: 373 women were surveyed using a self-constructed questionnaire containing questions about sexual life during pregnancy. The examination took place between the first and the fifth day after delivery, when patients stayed in the Obstetric Ward. All women delivered healthy children on time. The obtained results were subjected to statistical analysis. Results: Among 373 examined women, 319 (85,5%) had intercourses during pregnancy, while 54 (14,5%) were not sexually active. In a group of sexually active women, 196 (52,2%) felt anxiety that pregnancy may be at risk due to this activity. Conclusions: It is advisable for the doctor and midwife to talk with a pregnant woman about differences in intercourse and quality of sex life during pregnancy, minimizing the occurrence of fear about fetus well-being.

show abstract

Self-management of mild to moderate anxiety in women who have recently given birth: development and acceptability of a theoretically sound complex intervention

Cited by 8 publications

References 27 publications

Supporting women with postpartum anxiety: exploring views and experiences of specialist community public health nurses in the UK

Supporting women with postpartum anxiety: exploring views and experiences of specialist community public health nurses in the UK

Feasibility and Acceptability of a Web-Based Treatment with Telephone Support for Postpartum Women With Anxiety: Randomized Controlled Trial

Sexual intercourse during pregnancy as a source of anxiety in pregnant women

Contact Info

Product

Resources

About