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Screening for Perinatal Anxiety Using the Childbirth Fear Questionnaire

A New Measure of Fear of Childbirth

Bibliographic Data

ID15511775
AuthorsNichole Fairbrother (0000-0002-1939-5984, University of British Columbia, corresponding author), Fanie Collardeau (0000-0002-9936-2372, University of Victoria), Arianne Albert (0000-0002-3050-0888, Women's Health Research Institute), Kathrin Stoll (0000-0001-9603-8174, University of British Columbia)
Year2022
Volume19
Issue4
Pages2223-2223
Publication date2022-02-16
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19042223
PMID35206412
OpenAlexW4213242693
LanguageEN
Citations received2
References cited16

Fear of childbirth affects as many as 20% of pregnant people, and has been associated with pregnancy termination, prolonged labour, increased risk of emergency and elective caesarean delivery, poor maternal mental health, and poor maternal-infant bonding. Currently available measures of fear of childbirth fail to fully capture pregnant people's childbirth-related fears. The purpose of this research was to develop a new measure of fear of childbirth (the Childbirth Fear Questionnaire; CFQ) that would address the limitations of existing measures. The CFQ's psychometric properties were evaluated through two studies. Participants for Study 1 were 643 pregnant people residing in Canada, the United States, and the United Kingdom, with a mean age of 29.0 (SD = 5.1) years, and 881 pregnant people residing in Canada, with a mean age of 32.9 (SD = 4.3) years for Study 2. In both studies, participants completed a set of questionnaires, including the CFQ, via an online survey. Exploratory factor analysis in Study 1 resulted in a 40-item, 9-factor scale, which was well supported in Study 2. Both studies provided evidence of high internal consistency and convergent and discriminant validity. Study 1 also provided evidence that the CFQ detects group differences between pregnant people across mode of delivery preference and parity. Study 2 added to findings from Study 1 by providing evidence for the dimensional structure of the construct of fear of childbirth, and measurement invariance across parity groups (i.e., the measurement model of the CFQ was generalizable across parity groups). Estimates of the psychometric properties of the CFQ across the two studies provided evidence that the CFQ is psychometrically sound, and currently the most comprehensive measure of fear of childbirth available. The CFQ covers a broad range of domains of fear of childbirth and can serve to identify specific fear domains to be targeted in treatment

Anxiety · Childbirth · Discriminant validity · Internal consistency · Pregnancy · Psychiatry · Psychometrics · Attachment and Relationship Dynamics · Clinical Psychology · Maternal and Perinatal Health Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology

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Citations per year0.5
Citation span2022 - 2025 (4)
Highly citedNo

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