The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Anxiety symptoms and coping strategies in the perinatal period
Open accessAbstract
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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“Acceptance, through a non-judgemental attitude, allowed the women to come to terms with negative emotions such as guilt, self-denial or loss of confidence and self-esteem – all psychological responses associated with anxiety [27, 28].”
From Effects of an antenatal mindfulness-based childbirth and parenting programme on the postpartum experiences of mothers: a qualitative interview study. (2017) · cites this paper as [27]
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Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,038
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833
The validity of the Hospital Anxiety and Depression Scale
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00296-3 · Cited by 9,779 · cited 1×
“In accordance with current literature, cut-off values of 8 and 10 were respectively chosen to maximize sensitivity and specificity [18].”
BackgroundYou want to measure coping but your protocol’ too long: Consider the brief cope
Carver, C. S. (1997) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0401_6 · Cited by 7,361
The Hospital Anxiety And Depression Scale.
(2003) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-1-29 · Cited by 2,391
The course of anxiety and depression through pregnancy and the postpartum in a community sample
Heron, J., O'Connor, T. G., Evans, J., Golding, J., & Glover, V. (2004) · Journal of Affective Disorders · doi:10.1016/j.jad.2003.08.004 · Cited by 1,151 · cited 1×
“These findings are in accordance with observations reported in the literature [23].”
ResultGeisinger, K. (1994) · Psychological Assessment · doi:10.1037/1040-3590.6.4.304 · Cited by 1,087
Maternal antenatal anxiety and children's behavioural/emotional problems at 4 years
O'Connor, T. G., Heron, J., Golding, J., Beveridge, M., & Glover, V. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.180.6.502 · Cited by 1,070
Bradley, C., & Tamburini, M. (2003) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-1-1 · Cited by 770
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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Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis
Dennis, C., Falah‐Hassani, K., & Shiri, R. (2017) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.116.187179 · Cited by 1,692
Postnatal anxiety prevalence, predictors and effects on development: A narrative review
Field, T. (2018) · Infant Behavior and Development · doi:10.1016/j.infbeh.2018.02.005 · Cited by 333
Liu, C. H., Erdei, C., & Mittal, L. P. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113552 · Cited by 212
Ahmad, M., & Vismara, L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18137112 · Cited by 174
Costa, D. O., de Souza, F. I. S., Pedroso, G. C., & Strufaldi, M. W. L. (2018) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232018233.27772015 · Cited by 126
Metadata
- 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
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2013-12
- Volume
- 13
- Issue
- 1
- Pages
- 233-233
- ISSN
- 1471-2393 (ISSN-L)
- 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
- 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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