Health-promotion and health-harming behaviours in pregnant women: role of coping strategies, anxiety, and depression

Pasha, Hajar; Faramarzi, Mahbobeh; Chehrazi, Mohammad; Bakouei, Fatemeh; Gholinia, Hemmat; Abdollahi, Somayeh; Shafierizi, Shiva

doi:10.1080/01443615.2021.1910634

Cited by 13 publications

(9 citation statements)

References 23 publications

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“…This is an important finding as it suggests that depressive states may reduce the sense of agency and behavioural control that women will display during pregnancy, and that affected women will be less likely to engage in changes in health behaviours that would support their own health and that of their unborn child. This finding is concordant with a recent study [ 20 ] on pregnant women where depression was found to be the strongest independent predictor (more so than anxiety or coping strategies) of health-harming nutritional choices.…”

Section: Discussionsupporting

confidence: 91%

“…Age, education, and pregnancy intentions (planned vs. unplanned pregnancies) were identified as relevant in a systematic review by Hillier and Olander [ 18 ]. Furthermore, a recent study [ 20 ] demonstrated that maternal coping, anxiety, and, in particular, maternal depression were significantly associated with health-promoting and health-harming behaviour in pregnant women. It is currently unknown what might be the impact of PE screening on pregnant women’s health behaviours [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial

Nikčević

Sacchi

Marino

et al. 2023

IJERPH

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Objective: This study aims to extend the understanding of the psychological impact of the first-trimester pre-eclampsia (PE) screening on women identified as high risk for preterm PE. We examined the differences between low- vs. high-risk women throughout pregnancy in: symptoms of distress (anxiety, depression, physical and mental health, and worry), health behaviour changes, the experience of pregnancy, and attitudes towards PE screening. Methods: This study was nested within the ASPRE trial. Pregnant women were screened for preterm-PE risk status in the first trimester; the assessments were carried out before the screening, in the second and in the third trimester (n = 155 low-risk women and N = 82 high-risk women in the second trimester). Results: The high-risk-for-PE women exhibited more depressive symptoms compared to the low-risk women in the second but not in the third trimester. No differences were observed between the two groups in other distress symptoms or in the women’s evaluation of their experience of pregnancy. The high-risk group reported greater health behaviour changes compared to the low-risk group, but this was moderated by depression levels. Conclusions: Overall, pregnant women reported positive attitudes towards first-trimester PE screening, despite transient depressive symptoms. This study offers supportive evidence concerning the appropriateness of PE screening in ethical terms.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial

Nikčević

Sacchi

Marino

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…Moreover, a recent study concludes that pregnant women who use more adaptive coping strategies, especially planning-preparing coping, reported lower levels of anxiety/depression and engaged more in healthy behaviour. The study also suggests that obstetricians and health care providers should pay more attention to the roles of coping strategies, especially planning-preparation and avoidance coping, in improving health-promotion/health-harming behaviour patterns of pregnant women [ 46 ]. In the present study, it is seen that the majority of adopting preparatory coping strategies against stress are related to having a less favourable attitude towards medicalization, which could indicate that preparatory strategies could potentially be good for reducing the stress of future childbirth, making the woman feel more prepared to face it without the need for high technology or medical aid.…”

Section: Discussionmentioning

confidence: 99%

Attitudes toward medicalization in childbirth and their relationship with locus of control and coping in a Spanish population

Espinosa

Artieta-Pinedo

Paz-Pascual

et al. 2022

BMC Pregnancy Childbirth

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The dominant model of childbirth in most Western countries is medicalized childbirth. Women's beliefs about whether childbirth should be a medicalized process to a greater or lesser degree may be related, in addition to contextual factors, to internal factors. The objective of the study is to find out if women’s locus of control (LC) and stress coping strategies (CS) are related to having a more favourable or less favourable attitude towards medicalization (ATMC). A cross-sectional study was carried out with the participation of 248 women recruited in primary care centres by their midwives. All the women filled in answers on a mobile phone app with various different measurement instruments: the questionnaire created by Benyamini to evaluate their ATMC; the Spanish version of the Wallston MLC to evaluate their LC; and the Spanish adaptation of the “Revised Prenatal Coping Inventory (NuPCI)” scale for the assessment of their CS. The women presented a favourable attitude towards medicalization, with a mean ATMC score of 3.42. Both the LC and the CS of women during pregnancy are related to this attitude. Specifically, having an internal LC and using preparative CS both lower the probability of presenting a favourable attitude towards medicalization, while the lack of a paid job raises the probability. For each point in internal locus and preparatory coping, the ATMC score decreased by 0.02 and 0.23 points, respectively, while it increased by 0.18 for not having a paid job. The influence of these psychological factors must be taken into account in the development of content and interventions that promote a more natural birth.

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“…Researchers have found that high second trimester weight gain was predictive of overall excessive GWG (Overcash et al, 2015). Previously, avoidance coping has been correlated with self-reported health-harming activities among pregnant women (Pasha et al, 2021) and higher GWG in pregnancies complicated by GDM (Rolińska et al, 2021). The decrease in the reported use of avoidance coping strategies by late pregnancy among women who gained excess gestational weight may reflect a change in perceived stress, resources, or both as the gestation draws to a close.…”

Section: Discussionmentioning

confidence: 99%

“…Avoidance coping is one mechanism of coping that involves denying or avoiding the stressor (Holahan et al, 2005). Pregnant women who use maladaptive coping styles, such as avoidance coping, may be at risk for pregnancy-specific distress, health-harming activities (Pasha et al, 2021; Yali & Lobel, 1999), or gaining weight outside of the IOM’s GWG parameters (Rolińska et al, 2021). The potential role of avoidance coping as a predictor of gaining below or above weight gain recommendations during pregnancy should be explored.…”

mentioning

confidence: 99%

The Association of Avoidance Coping with Gestational Weight Gain among Pregnant Black Women

et al. 2022

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Gestational weight gain (GWG) outside recommended parameters can lead to pregnancy or birth complications. Avoidance coping may influence GWG. We examined the association of avoidance coping with GWG among a sample of 112 pregnant Black women in the Midwest. Participants completed avoidance coping questionnaires at three time points throughout pregnancy. Data were abstracted from medical records for BMI and GWG. Overall, 23.2% gained inadequate weight, 30.4% adequate weight, and 46.4% excess weight. Multinomial logistic regression models indicated associations between avoidance coping and GWG adjusted for covariates. Participants with higher avoidance coping scores at 22–29 weeks’ gestation were more likely to experience excess weight gain (odds ratio [ OR] = 1.19, 95% CI [1.02, 1.37]). Participants with higher avoidance coping scores at 30–36 weeks’ gestation were less likely to experience excess weight gain, ( OR = 0.82, 95% CI [0.72, 0.93]). The impact of higher avoidance coping on excess weight gain depends on the time period in pregnancy.

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Health-promotion and health-harming behaviours in pregnant women: role of coping strategies, anxiety, and depression

Cited by 13 publications

References 23 publications

Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial

Psychological Impact and Women’s Evaluation of the First-Trimester Pre-Eclampsia Screening and Prevention: ASPRE Trial

Attitudes toward medicalization in childbirth and their relationship with locus of control and coping in a Spanish population

The Association of Avoidance Coping with Gestational Weight Gain among Pregnant Black Women

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