School of Behavioural, Social and Legal Sciences, Örebro University, Örebro, Sweden.
School of Health and Welfare, Dalarna University, Falun, Sweden.
J Psychosom Obstet Gynaecol. 2023 Dec;44(1):2243648. doi: 10.1080/0167482X.2023.2243648.
A considerable number of pregnant women experience fear of childbirth (FOC), characterized by worries and fear of the unpredictable. Despite this, the psychological processes in FOC have received notably little attention. The aim of this study was to advance the understanding by exploring the applicability of the Intolerance of Uncertainty (IU) model on FOC. Anonymous data was collected in a sample of pregnant women () with varying levels of FOC. Analyses supported the associations between FOC and all proposed psychological processes: IU, negative problem orientation, positive beliefs about worry and avoidance of inner experiences. The exploration of potential mediators of the relation between IU and FOC revealed that, of the three processes from the model, only positive beliefs about worry were a mediator, and more specifically, a partial mediator between IU and FOC. These findings add to the theoretical understanding of FOC, by indicating that the role of IU may be similar to other conditions inflicted by worry and anxiety, which may inform treatment development.
相当数量的孕妇经历着分娩恐惧(Fear of childbirth,FOC),其特征是对不可预测的事情感到担忧和恐惧。尽管如此,FOC 的心理过程却很少受到关注。本研究旨在通过探索不确定性容忍度(Intolerance of Uncertainty,IU)模型在 FOC 中的适用性来推进这方面的理解。在一个具有不同 FOC 水平的孕妇样本中收集了匿名数据。分析支持了 FOC 与所有提出的心理过程之间的关联:IU、消极问题取向、对担忧的积极信念和对内在体验的回避。对 IU 与 FOC 之间关系的潜在中介因素的探索表明,在该模型的三个过程中,只有对担忧的积极信念是一个中介因素,更具体地说,是 IU 和 FOC 之间的部分中介因素。这些发现通过表明 IU 的作用可能与其他由担忧和焦虑引起的情况相似,从而为治疗开发提供信息,为 FOC 的理论理解增添了内容。