Obstetric and Reproductive Health Research, Department of Women's and Children's Health, Akademiska University Hospital, Uppsala University, Uppsala, Sweden.
Women's Mental Health During the Reproductive Lifespan-WOMHER, Uppsala University, Uppsala, Sweden.
Am J Mens Health. 2024 Sep-Oct;18(5):15579883241272057. doi: 10.1177/15579883241272057.
The aim of this mixed-method study was to identify support needs, as well as barriers and facilitators to seeking support in a sample of Swedish fathers with a fear of childbirth (FOC). Participants completed an anonymous quantitative online survey ( = 131), with three free-text items for those self-identifying as having an FOC ( = 71) and five individual in-depth interviews. Data analysis included descriptive and chi-square analyses for quantitative data, and manifest content analysis for qualitative data. Those with a severe FOC were more likely to report having on-going mental health difficulties ( = .039) and one fifth (21%) of the participants with severe FOC wanted to receive professional treatment, but only 8.1% received treatment. Most participants either preferred individual support or to receive support together with their partner. Fathers with severe FOC were more likely to report one or more barriers than those without FOC ( = .005), where unwanted social stigma was the single largest barrier. Qualitative findings identified one main category: composed four generic categories: (1) , (2) , (3) , and (4) . To encourage healthy fathers, clinical professionals should find ways to support fathers, such as by providing them with their own perinatal appointments, asking them about their feelings, as well as screening, diagnosing, and treating fathers with severe FOC.
本混合方法研究旨在确定有生育恐惧（FOC）的瑞典父亲样本中的支持需求，以及寻求支持的障碍和促进因素。参与者完成了匿名的在线定量调查（n = 131），对于那些自我认定为 FOC 的人有三个自由文本项目（n = 71）和五个个体深度访谈。数据分析包括定量数据的描述性和卡方分析，以及定性数据的明显内容分析。那些严重 FOC 的人更有可能报告存在持续的心理健康问题（p =.039），五分之一（21%）的严重 FOC 参与者希望接受专业治疗，但只有 8.1%接受了治疗。大多数参与者要么更喜欢单独支持，要么与伴侣一起接受支持。与没有 FOC 的人相比，严重 FOC 的父亲更有可能报告一个或多个障碍（p =.005），其中不想要的社会耻辱感是最大的单一障碍。定性研究结果确定了一个主要类别：有生育恐惧的父亲的支持需求，由四个通用类别组成：（1）获得信息和知识，（2）获得支持，（3）获得专业帮助，以及（4）避免耻辱和歧视。为了鼓励健康的父亲，临床专业人员应该找到支持父亲的方法，例如为他们提供自己的围产期预约，询问他们的感受，以及筛查、诊断和治疗严重 FOC 的父亲。
