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Comparing Internet-...
Comparing Internet-Based Cognitive Behavioral Therapy With Standard Care for Women With Fear of Birth : Randomized Controlled Trial
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- Rondung, Elisabet, 1980- (författare)
- Mid Sweden University,Mittuniversitetet,Avdelningen för psykologi,Mid Sweden Univ, Dept Psycholgy, Campus Ostersund, S-83125 Ostersund, Sweden
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- Ternström, Elin, 1982- (författare)
- Uppsala University,Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Uppsala universitet, Obstetrisk och reproduktiv hälsoforskning
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- Hildingsson, Ingegerd, 1955- (författare)
- Uppsala University,Mid Sweden University,Mittuniversitetet,Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Mid Sweden Univ, Dept Nursing, Sundsvall, Sweden,Avdelningen för omvårdnad,Uppsala universitet, Obstetrisk och reproduktiv hälsoforskning
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- Haines, Helen M. (författare)
- Univ Melbourne, Dept Rural Hlth, Melbourne, Vic, Australia,The University of Melbourne, Victoria, Australia
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- Sundin, Örjan, 1952- (författare)
- Mid Sweden University,Mittuniversitetet,Avdelningen för psykologi,Mid Sweden Univ, Dept Psycholgy, Campus Ostersund, S-83125 Ostersund, Sweden
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- Ekdahl, Johanna, 1978- (författare)
- Mid Sweden University,Mittuniversitetet,Avdelningen för psykologi,Mid Sweden Univ, Dept Psycholgy, Campus Ostersund, S-83125 Ostersund, Sweden
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- Karlström, Annika, 1953- (författare)
- Mid Sweden University,Mittuniversitetet,Avdelningen för omvårdnad,Mid Sweden Univ, Dept Nursing, Sundsvall, Sweden
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- Larsson, Birgitta (författare)
- Mid Sweden University,Mittuniversitetet,Avdelningen för omvårdnad,Mid Sweden Univ, Dept Nursing, Sundsvall, Sweden
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- Segeblad, Birgitta (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Uppsala University Hospital,Uppsala universitet, Obstetrisk och reproduktiv hälsoforskning
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- Baylis, Rebecca (författare)
- Uppsala University,Mid Sweden Univ, Dept Psycholgy, Campus Ostersund, S-83125 Ostersund, Sweden
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- Rubertsson, Christine, 1962- (författare)
- Uppsala University,Lund University,Lunds universitet,Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Lund Univ, Fac Med, Dept Hlth Sci, Lund, Sweden,Uppsala University; Lund University,Barnmorskans forskningsområde - reproduktiv, perinatal och sexuell hälsa,Forskargrupper vid Lunds universitet,Midwifery research - reproductive, perinatal and sexual health,Lund University Research Groups,Uppsala universitet, Obstetrisk och reproduktiv hälsoforskning
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(creator_code:org_t)
- 2018-08-10
- 2018
- Engelska.
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Ingår i: JMIR Mental Health. - : JMIR PUBLICATIONS, INC. - 2368-7959. ; 5:3
- Relaterad länk:
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https://doi.org/10.2...
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https://uu.diva-port... (primary) (Raw object)
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https://mental.jmir....
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https://miun.diva-po... (primary) (Raw object)
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http://dx.doi.org/10... (free)
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https://du.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.2...
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https://urn.kb.se/re...
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https://lup.lub.lu.s...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Although many pregnant women report fear related to the approaching birth, no consensus exists on how fear of birth should be handled in clinical care.Objective: This randomized controlled trial aimed to compare the efficacy of a guided internet-based self-help program based on cognitive behavioral therapy (guided ICBT) with standard care on the levels of fear of birth in a sample of pregnant women reporting fear of birth.Methods: This nonblinded, multicenter randomized controlled trial with a parallel design was conducted at three study centers (hospitals) in Sweden. Recruitment commenced at the ultrasound screening examination during gestational weeks 17-20. The therapist-guided ICBT intervention was inspired by the Unified protocol for transdiagnostic treatment of emotional disorders and consisted of 8 treatment modules and 1 module for postpartum follow-up. The aim was to help participants observe and understand their fear of birth and find new ways of coping with difficult thoughts and emotions Standard care was offered in the three different study regions. The primary outcome was self-assessed levels of fear of birth, measured using the Fear of Birth Scale.Results: We included 258 pregnant women reporting clinically significant levels of fear of birth (guided ICBT group, 127; standard care group, 131). Of the 127 women randomized to the guided ICBT group, 103 (81%) commenced treatment, 60 (47%) moved on to the second module, and only 13 (10%) finished >= 4 modules. The levels of fear of birth did not differ between the intervention groups postintervention. At 1-year postpartum follow-up, participants in the guided ICBT group exhibited significantly lower levels of fear of birth (U=3674.00, z=-1.97, P=.049, Cohen d=0.28, 95% CI -0.01 to 0.57). Using the linear mixed models analysis, an overall decrease in the levels of fear of birth over time was found (P <= .001), along with a significant interaction between time and intervention, showing a larger reduction in fear of birth in the guided ICBT group over time (F-1,(192).(538) =4.96, P=.03).Conclusions: Fear of birth decreased over time in both intervention groups; while the decrease was slightly larger in the guided ICBT group, the main effect of time alone, regardless of treatment allocation, was most evident. Poor treatment adherence to guided ICBT implies low feasibility and acceptance of this treatment.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- fear of birth
- anxiety
- pregnancy
- cognitive behavioral therapy
- internet-based
- Anxiety
- Cognitive behavioral therapy
- Fear of birth
- Internet-based
- Pregnancy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Rondung, Elisabe ...
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Ternström, Elin, ...
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Hildingsson, Ing ...
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Haines, Helen M.
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Sundin, Örjan, 1 ...
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Ekdahl, Johanna, ...
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Karlström, Annik ...
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Larsson, Birgitt ...
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Segeblad, Birgit ...
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Baylis, Rebecca
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Rubertsson, Chri ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Reproduktionsmed ...
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- SAMHÄLLSVETENSKAP
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SAMHÄLLSVETENSKA ...
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och Psykologi
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och Tillämpad psykol ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Omvårdnad
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JMIR Mental Heal ...
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Uppsala universitet
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Mittuniversitetet
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Lunds universitet
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