Cited by 121Maternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health InterventionsMaternal and Neonatal Healthcare

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Anxiety symptoms and coping strategies in the perinatal period

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George, Astrid, Luz, Rita F, De Tychey, Claude, Thilly, Nathalie, Spitz, Elisabeth·2013·BMC Pregnancy and Childbirth

DOI 10.1186/1471-2393-13-233PMC PMC3867672

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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.

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The Hospital Anxiety and Depression Scale
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“In accordance with current literature, cut-off values of 8 and 10 were respectively chosen to maximize sensitivity and specificity [18].”
Background
You want to measure coping but your protocol’ too long: Consider the brief cope
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Research works printed but not linked: 1

Muller L, Spitz E: Evauation multidimensionnelle du coping: validation du Brief Cope sur une population française. L’Encéphale. 2003, 6: 506-518.

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Authors: George, A., Luz, R. F., De Tychey, C., Thilly, N., & Spitz, E.
Affiliations: Interdisciplinarité en Santé Publique Interventions et Instruments de mesure complexes – Région Est (FR)
Inserm (FR)
Corresponding author: George, Astrid
ORCID: Luz, Rita F
Thilly, Nathalie
Venue: BMC Pregnancy and Childbirth
Publisher: Springer Science and Business Media LLC
Published: 2013-12
Volume: 13
Issue: 1
Pages: 233-233
ISSN: 1471-2393 (ISSN-L)
DOI: 10.1186/1471-2393-13-233
PMC: PMC3867672
OpenAlex: W2019588096
Cited by: 121
References: 28
Citations by year: 2026: 4 · 2025: 15 · 2024: 9 · 2023: 15 · 2022: 21 · 2021: 12 · 2020: 11 · 2019: 8 · 2018: 5 · 2017: 6 · 2016: 7 · 2015: 6 · 2014: 2
FWCI: 5.10
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: BMC Pregnancy and Childbirth (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
HAL (submittedVersion, other-oa)
Funders: European Regional Development Fund
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords: perinatal anxiety, prenatal anxiety, postpartum anxiety, coping strategies, late pregnancy, postpartum period, self-blame, denial of reality, adaptive coping, acceptance, positive reframing, primiparous women
MeSH terms: Adaptation, Psychological, Adult, Anxiety, Female, France, Humans, Middle Aged, Pregnancy, Pregnancy Trimester, Third, Psychiatric Status Rating Scales, Prevalence, Postpartum Period, Young Adult

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Anxiety symptoms and coping strategies in the perinatal period

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