The effects of stress inoculation training on perceived stress in pregnant women
Abstract
A total of 64 pregnant women were assigned into two groups of cases and controls. Both groups filled out the Perceived Stress Scale at pre-test. Cognitive-behavioral coping skill training was delivered to the case group. After the end of the intervention, both groups completed the same scale again. The results showed that the mean perceived stress of the cases and controls was 27.77 ± 6.033 and 18.97 ± 3.268, respectively ( p = 0.001). Therefore, midwives are recommended to plan educational interventions to decrease perceived stress in pregnant women.
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Intense fear of natural childbirth causes anxiety and stress in women.
“Although mild fear is a natural response to a very first pregnancy and childbirth, intense fear of natural childbirth causes anxiety and stress in women [ 4].”
From Counseling by Acceptance and Commitment Therapy Approach on Fear of Childbirth: A Randomized Clinical Trial (2023) · cites this paper as [4]
Cites
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
Kaplan and Sadock's Comprehensive Text Book of Psychiatry
Saldanha, D. (2005) · Medical Journal Armed Forces India · doi:10.1016/s0377-1237(05)80189-3 · Cited by 1,164 · see citing works
Psychometric Properties of a European Spanish Version of the Perceived Stress Scale (PSS)
Remor, E. (2006) · The Spanish Journal of Psychology · doi:10.1017/s1138741600006004 · Cited by 1,003 · see citing works
Stress during pregnancy is associated with developmental outcome in infancy
Huizink, A. C., Robles de Medina, P. G., Mulder, E. J. H., Visser, G. H. A., & Buitelaar, J. K. (2003) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00166 · Cited by 651 · see citing works
Risk factors for low birth weight: a review
Bernabe, J., Soriano, T., Albaladejo, R., Sanz, M. J., Calle, M. E., Martı́nez, D., & Rojas, V. D. (2004) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2004.03.007 · Cited by 639 · see citing works
Pregnancy-specific stress, prenatal health behaviors, and birth outcomes.
Lobel, M., Cannella, D. L., Graham, J. E., DeVincent, C., Schneider, J., & Meyer, B. A. (2008) · Health Psychology · doi:10.1037/a0013242 · Cited by 587 · see citing works
Psychosocial Stress and Pregnancy Outcome
Hobel, C. J., GOLDSTEIN, A., & Barrett, E. S. (2008) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0b013e31816f2709 · Cited by 510 · see citing works
Does the perception that stress affects health matter? The association with health and mortality.
Keller, A., Litzelman, K., Wisk, L. E., Maddox, T., Cheng, E. R., Creswell, P. D., & Witt, W. P. (2012) · Health Psychology · doi:10.1037/a0026743 · Cited by 375 · see citing works
Role of Psychosocial and Nutritional Stress on Poor Pregnancy Outcome
Hobel, C. J., & Culhane, J. F. (2003) · Journal of Nutrition · doi:10.1093/jn/133.5.1709s · Cited by 245 · see citing works
Bastani, F., Hidarnia, A. A., Kazemnejad, A., Vafaei, M. A., & Kashanian, M. (2005) · Journal of Midwifery & Women s Health · doi:10.1016/j.jmwh.2004.11.008 · Cited by 220 · see citing works
Psychometric evaluation of perceived stress scale for Turkish university students
Örücü, M. Ç., & Demir, A. (2008) · Stress and Health · doi:10.1002/smi.1218 · Cited by 208 · see citing works
Nkansah‐Amankra, S., Luchok, K. J., Hussey, J. R., Watkins, K. W., & Liu, X. (2009) · Maternal and Child Health Journal · doi:10.1007/s10995-009-0447-4 · Cited by 199 · see citing works
Maternity and Womenʼs Health Care
Müller, M. E. (1998) · The Journal of Perinatal & Neonatal Nursing · doi:10.1097/00005237-199809000-00012 · Cited by 145 · see citing works
Therapeutic group psychoeducation and relaxation in treating fear of childbirth
SAISTO, T., TOIVANEN, R., SALMELA‐ARO, K., & HALMESMÄKI, E. (2006) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1080/00016340600756920 · Cited by 131 · see citing works
Therapeutic Group Psychoeducation and Relaxation in Treating Fear of Childbirth
&NA; (2007) · Obstetric Anesthesia Digest · doi:10.1097/00132582-200706000-00039 · Cited by 88 · see citing works
Lau, Y., & Yin, L. (2010) · Midwifery · doi:10.1016/j.midw.2010.02.008 · Cited by 85 · see citing works
Jomeen, J., & Martin, C. R. (2008) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2007.00878.x · Cited by 49 · see citing works
Westerneng, M., de Cock, T. P., Spelten, E. R., Honig, A., & Hutton, E. K. (2013) · Journal of Health Psychology · doi:10.1177/1359105313500684 · Cited by 21 · see citing works
Pregnancy health problems and low birth weight associated with maternal insecure attachment style
Sabuncuoğlu, O., & Başgül, A. (2014) · Journal of Health Psychology · doi:10.1177/1359105314542819 · Cited by 20 · see citing works
Mehdizadeh, A., Roosta, F., Kamali, Z., & Khoshgoo, N. (2003) · مجله علوم پزشکی رازی · Cited by 18 · see citing works
Jessop, D. C., Craig, L., & Ayers, S. (2013) · Journal of Health Psychology · doi:10.1177/1359105313484781 · Cited by 7 · see citing works
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Missler, M., Donker, T., Beijers, R., Ciharova, M., Moyse, C., de Vries, R., Denissen, J., & van Straten, A. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-03752-2 · Cited by 40 · see citing works
Woman’s perceived stress during pregnancy; stressors and pregnancy adverse outcomes
Kashanian, M., Faghankhani, M., YousefzadehRoshan, M., EhsaniPour, M., & Sheikhansari, N. (2019) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2019.1602600 · Cited by 39 · see citing works
Guo, P., Zhang, X., Liu, N., Wang, J., Chen, D., Sun, W., Li, P., & Zhang, W. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14588 · Cited by 36 · see citing works
Masjoudi, M., Aslani, A., Seifi, M., Khazaeian, S., & Fathnezhad-kazemi, A. (2021) · Psychology, Health & Medicine · doi:10.1080/13548506.2021.1894344 · Cited by 24 · see citing works
Xiao, J., Xiong, R., Wen, Y., Liu, L., Peng, Y.-M., Xiao, C., Yin, C., Liu, W., Tao, Y., Jiang, F., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1191152 · Cited by 24 · see citing works
Vakilian, K., Zarei, F., & Majidi, A. (2019) · Iranian Red Crescent Medical Journal · doi:10.5812/ircmj.89489 · Cited by 22 · see citing works
Self-citationFatemi, A., Amiri, F. N., Faramarzi, M., Chehrazi, M., Rad, H. A., & Pahlavan, Z. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05650-1 · Cited by 18 · see citing works
Ertekin Pinar, S., Daglar, G., & Duran Aksoy, O. (2022) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443615.2020.1867970 · Cited by 17 · see citing works
Proeschold‐Bell, R. J., Eagle, D. E., Tice, L. C., Yao, J., Rash, J. A., Choi, J. Y., Stringfield, B., & Labrecque, S. M. (2023) · Journal of Religion and Health · doi:10.1007/s10943-023-01848-x · Cited by 9 · see citing works
Mohammadi, M. M., & Poursaberi, R. (2018) · PubMed Central · Cited by 9 · see citing works
Rafie, Z., Vakilian, K., Zamanian, M., & Eghbali, H. (2021) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-021-01111-z · Cited by 8 · see citing works
Self-citationWeiss, S. J., Goodman, S. H., Kidd, S. A., Owen, M. T., Simeonova, D. I., Kim, C. Y., Cooper, B. A., Rosenblum, K. L., & Muzik, M. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12175503 · Cited by 7 · see citing works
Vakilian, K., Zarin, F., & Zaraj, H. (2018) · The Open Public Health Journal · doi:10.2174/1874944501811010546 · Cited by 7 · see citing works
Self-citationSuicidal Risk and Depression in Pregnant Women in Times of Pandemic
Solis, M. O., Barea, M. V., Gutiérrez-Rojas, L., Romera, I., Bailén, S. C., & Jiménez‐Fernández, S. (2023) · Maternal and Child Health Journal · doi:10.1007/s10995-023-03688-3 · Cited by 6 · see citing works
Poorjandaghi, M., Vakilian, K., Khorsandi, M., & Abdi, M. (2020) · International Journal of Women's Health and Reproduction Sciences · doi:10.15296/ijwhr.2022.07 · Cited by 5 · see citing works
Self-citationDeğirmenci, F., Kisaçam, K. P. A., & YILMAZ, D. V. (2025) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.70034 · Cited by 4 · see citing works
Khatoni., S., Teymouri, F., Pishgooie., S. A. H., & Khodabakhsh, M. R. (2020) · Military Caring Sciences · doi:10.29252/mcs.7.1.26 · Cited by 4 · see citing works
Rafie, Z., Vakilian, K., Zamanian, M., & Eghbali, H. (2022) · International Journal of Healthcare Management · doi:10.1080/20479700.2022.2095083 · Cited by 4 · see citing works
Self-citationNequee, F., Oraki, M., Janbozorgi, M., & Alipoor, A. (2021) · فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران · doi:10.52547/iau.31.2.195 · Cited by 2 · see citing works
Vakilian, K., Rahmati, F., Khorsandi, M., & Majidi, A. (2023) · The Open Public Health Journal · doi:10.2174/18749445-v16-e230711-2022-191 · Cited by 1 · see citing works
“Although mild fear is a natural response to a very first pregnancy and childbirth, intense fear of natural childbirth causes anxiety and stress in women [4].”
Self-citationRunjati, R., Ulfiana, E., Wahyuni, S., & Rahayu, S. (2020) · Malaysian Journal of Public Health Medicine · doi:10.37268/mjphm/vol.20/no.1/art.560 · Cited by 1 · see citing works
Enhancing Offspring Cognitive Health
Bi, Y. H., Po, J., & Uludağ, K. (2024) · Advances in medical diagnosis, treatment, and care (AMDTC) book series · doi:10.4018/979-8-3693-3065-4.ch013 · Cited by 1 · see citing works
Bahaodini, H., & Zandekarimi, G. (2018) · Journal of Behavioral and Brain Science · doi:10.4236/jbbs.2018.86021 · Cited by 2 · see citing works
Leitão, M. P. C. (2019) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.6.2019.tde-01102019-105333
Proeschold‐Bell, R. J., Eagle, D. E., Tice, L. C., Yao, J., Rash, J. A., Choi, J. Y., Stringfield, B., & Labrecque, S. M. (2021) · Research Square · doi:10.21203/rs.3.rs-1056451/v1
Alizadeh, Z., Noroozi, F., Kaveh, M. H., Cousins, R., & Ghahremani, L. (2023) · Research Square · doi:10.21203/rs.3.rs-3197031/v1
Missler, M. A., Donker, T., Beijers, R., Čihařová, M., Moyse, C., de Vries, R., Denissen, J. J. A., & van Straten, A. (2021) · Figshare · doi:10.6084/m9.figshare.14361999
Shi, Y., Lau, Y., Chan, S. L., Zhou, L., Au, M. Y. J., & Leung, H. K. (2026) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2026.105650
- Authors
- Khorsandi, M., Vakilian, K., Salehi, B., Goudarzi, M. T., & Abdi, M.
- Affiliations
- Arak University of Medical Sciences (IR)
- Lorestan University of Medical Sciences (IR)
- Arak University (IR)
- Corresponding author
- Vakilian, Katayon
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2016-07-10
- Volume
- 21
- Issue
- 12
- Pages
- 2977-2982
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W1598888220
- Cited by
- 28
- References
- 21
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 7 · 2022: 1 · 2021: 7 · 2020: 4 · 2019: 3 · 2018: 3
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Islamic Azad University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- stress inoculation training, perceived stress, pregnancy, coping skills training, midwifery education
- MeSH terms
- Adaptation, Psychological, Adult, Female, Follow-Up Studies, Humans, Perception, Pregnancy, Pregnancy Complications, Prenatal Care, Stress, Psychological, Cognitive Behavioral Therapy, Treatment Outcome, Pregnant People
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