BMC Pregnancy and Childbirth (2013) George

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Anxiety symptoms and coping strategies in the perinatal period


 
 

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This page is created in the framework of a set of experimentation that were initiated by a meeting of Académie Lorraine des Sciences dealing with Denial of pregnancy. It contents an article that was written by people for Lorraine and published in BMC Pregnancy and Childbirth.

This page is to be copied on Wicri/Health and Wicri/Psychology.

Abstract

Background

The aim of the present study was to explore the prospective relationship between anxiety symptoms and coping strategies during late pregnancy and early postpartum.

Methods

Participants completed the Hospital Anxiety Depression-Anxiety subscale and Carver’s Brief COPE at two time points, namely during the last trimester of pregnancy (N = 400) and at two months postpartum (N = 158).

Results

Antenatally, 18.8% of pregnant women presented severe anxiety symptoms while 20.2% of women presented severe anxiety symptoms after birth. Carver's proposed coping styles allowed to significantly distinguish between anxious and non anxious women during these two periods. Anxious women used significantly more inappropriate coping and less adaptive coping responses, such as self-blame and denial of reality, which remained associated with anxiety in the perinatal period. Our results also indicated a decrease in adaptive coping in women without anxiety after birth (e.g. acceptance, positive reframing).

Conclusion

Our findings confirm that antenatal and postnatal anxiety symptoms occur frequently and that inappropriate and/or non functional coping may account for persisting anxiety after childbirth. Limitations: Data were based on self-reports and participating women were predominantly primiparous. A high drop-out rate at two months postpartum must also be acknowledged.

See also