Department of Family Practice, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.
Women's Health Research Institute, Vancouver, BC V6H 2N9, Canada.
Int J Environ Res Public Health. 2022 Apr 12;19(8):4647. doi: 10.3390/ijerph19084647.
Perinatal anxiety and related disorders are common (20%), distressing and impairing. Fear of childbirth (FoB) is a common type of perinatal anxiety associated with negative mental health, obstetrical, childbirth and child outcomes. Screening can facilitate treatment access for those most in need.
The purpose of this research was to evaluate the accuracy of the Childbirth Fear Questionnaire (CFQ) and the Wijma Delivery Expectations Questionnaire (W-DEQ) of FoB as screening tools for a specific phobia, FoB.
A total of 659 English-speaking pregnant women living in Canada and over the age of 18 were recruited for the study. Participants completed an online survey of demographic, current pregnancy and reproductive history information, as well as the CFQ and the W-DEQ, and a telephone interview to assess specific phobia FoB.
Symptoms meeting full and subclinical diagnostic criteria for a specific phobia, FoB, were reported by 3.3% and 7.1% of participants, respectively. The W-DEQ met or exceeded the criteria for a "good enough" screening tool across several analyses, whereas the CFQ only met these criteria in one analysis and came close in three others.
The W-DEQ demonstrated high performance as a screening tool for a specific phobia, FoB, with accuracy superior to that of the CFQ. Additional research to ensure the stability of these findings is needed.
围产期焦虑和相关障碍很常见（20%），令人痛苦且会造成损害。对分娩的恐惧（FoB）是一种常见的围产期焦虑类型，与负面心理健康、产科、分娩和儿童结局有关。筛查可以为那些最需要的人提供治疗机会。
本研究旨在评估分娩恐惧问卷（CFQ）和 Wijma 分娩期望问卷（W-DEQ）对 FoB 这一特定恐惧症的筛查工具的准确性。
共有 659 名居住在加拿大的讲英语的孕妇参与了这项研究，年龄均在 18 岁以上。参与者完成了一项在线调查，内容包括人口统计学、当前妊娠和生殖史信息，以及 CFQ 和 W-DEQ，并接受了电话采访以评估特定恐惧症 FoB。
分别有 3.3%和 7.1%的参与者报告出现了符合特定恐惧症 FoB 完整和亚临床诊断标准的症状。在多项分析中，W-DEQ 达到或超过了“足够好”的筛查工具标准，而 CFQ 仅在一项分析中符合这些标准，在另外三项分析中接近这些标准。
W-DEQ 作为 FoB 特定恐惧症的筛查工具表现出了较高的性能，其准确性优于 CFQ。需要进一步研究以确保这些发现的稳定性。
