Anxiety symptoms and coping strategies in the perinatal period

Astrid George 1, * Rita Luz 1 Claude De Tychey 2 Nathalie Thilly 1, 3 Elisabeth Spitz 1
* Auteur correspondant
1 APEMAC - Maladies chroniques, santé perçue, et processus d'adaptation
2 INTERPSY - Laboratoire de psychologie de l'interaction et des relations intersubjectives
3 CIC-EC - Centre d'Epidémiologie Clinique
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.
Keywords : Childbirth Anxiety Coping Ante- and postnatal
Type de document :
Article dans une revue
BMC Pregnancy and Childbirth, BioMed Central, 2013, 13 (1), pp.233. 〈10.1186/1471-2393-13-233〉
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Soumis le : jeudi 19 décembre 2013 - 09:01:29
Dernière modification le : mardi 24 juillet 2018 - 10:16:01
Document(s) archivé(s) le : jeudi 20 mars 2014 - 11:41:09

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UNIV-PARIS5 | UNIV-LORRAINE | USPC | INTERPSY-UL | APEMAC-UL

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Astrid George, Rita Luz, Claude De Tychey, Nathalie Thilly, Elisabeth Spitz. Anxiety symptoms and coping strategies in the perinatal period. BMC Pregnancy and Childbirth, BioMed Central, 2013, 13 (1), pp.233. 〈10.1186/1471-2393-13-233〉. 〈inserm-00920687〉

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