Antenatal fear of childbirth and sense of coherence among healthy pregnant women in Japan: A cross-sectional study
Antenatal fear of childbirth and sense of coherence among healthy pregnant women in Japan: A cross-sectional study
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DOI：
10.1007/s00737-014-0415-x
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发表时间：
2014-02
期刊：
影响因子：
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通讯作者：
M. Takegata;M. Haruna;Masayo Matsuzaki;Mie Shiraishi;T. Okano;E. Severinsson
中科院分区：
文献类型：
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作者：
M. Takegata;M. Haruna;Masayo Matsuzaki;Mie Shiraishi;T. Okano;E. Severinsson
虽然产前对分娩的恐惧（FOC）与许多心理社会变量有关，但很少有研究关注个体的压力弹性。一致感（SOC）是个体压力弹性的重要组成部分之一。本研究调查了日本健康孕妇产前FOC和SOC之间的关系。在日本东京的一家产科诊所，向妊娠37周的240名妇女分发了自我报告的问卷。进行结构回归建模，以确定FOC和SOC之间的因果关系。非递归模型显示出显着的接受拟合（卡方值/自由度= 1.72，比较拟合指数= 0.97，近似均方根误差= 0.05）。该模型将SOC确定为FOC的直接原因（β = − 0.89，p < 0.001），而不是FOC的反映。我们发现SOC与产前分娩恐惧呈负相关。高SOC作为一个弹性因素，帮助孕妇科普即将到来的分娩压力，并减少FOC。
While antenatal fear of childbirth (FOC) has been associated with many psychosocial variables, few studies have focused on individual stress resiliency. Sense of coherence (SOC) is one of the essential components of individual stress resiliency. This study investigates the relationship between antenatal FOC and SOC in Japanese healthy pregnant women. Self-reported questionnaires were distributed to 240 women at 37 gestational weeks at an obstetric clinic in Tokyo, Japan. Structural regression modeling was conducted to identify the causal relationships between FOC and SOC. The non-recursive model showed significant acceptance of fit (chi-square value/degree of freedom = 1.72, comparative fit index = 0.97, and root mean square error of approximation = 0.05). The model identified SOC as a direct cause of FOC (β = −0.89,p< 0.001), not a reflection of FOC. We found that SOC was negatively linked with antenatal fear of childbirth. High SOC works as a resiliency factor that helps pregnant women cope with the stress of their upcoming childbirth and reduces FOC.