BMC Pregnancy and Childbirth (2013) George
De Wicri Santé
Les symptômes d'anxiété et les stratégies de coping dans la période périnatale.
Anxiety symptoms and coping strategies in the perinatal period.
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Résumé
- Contexte
- Le but de cette étude était d'explorer la relation potentielle entre les symptômes de l'anxiété et des stratégies de coping en fin de grossesse et en début de période post-partum.
- Méthode
- 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).
- Résultats
- 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.
Voir aussi
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