Support Needs, Barriers, and Facilitators for Fathers With Fear of Childbirth in Sweden: A Mixed-Method Study

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Carita Nordin-Remberger, Margareta Johansson, Karin S. Lindelöf, Michael B. Wells
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Abstract

The aim of this mixed-method study was to identify support needs, as well as barriers and facilitators to seeking support in a sample of Swedish fathers with a fear of childbirth (FOC). Participants completed an anonymous quantitative online survey ( N = 131), with three free-text items for those self-identifying as having an FOC ( N = 71) and five individual in-depth interviews. Data analysis included descriptive and chi-square analyses for quantitative data, and manifest content analysis for qualitative data. Those with a severe FOC were more likely to report having on-going mental health difficulties ( p = .039) and one fifth (21%) of the participants with severe FOC wanted to receive professional treatment, but only 8.1% received treatment. Most participants either preferred individual support or to receive support together with their partner. Fathers with severe FOC were more likely to report one or more barriers than those without FOC ( p = .005), where unwanted social stigma was the single largest barrier. Qualitative findings identified one main category: Expectant fathers missing and wishing for support for FOC composed four generic categories: (1) support in developing an understanding of their fear, (2) coping by being aware of feelings, (3) professional support through trust and respect, and (4) needing individualized support. To encourage healthy fathers, clinical professionals should find ways to support fathers, such as by providing them with their own perinatal appointments, asking them about their feelings, as well as screening, diagnosing, and treating fathers with severe FOC.
瑞典有生育恐惧的父亲的支持需求、障碍和促进因素:混合方法研究
这项混合方法研究的目的是确定瑞典患有分娩恐惧(FOC)的父亲在寻求支持时的支持需求、障碍和促进因素。参与者完成了一项匿名定量在线调查(N = 131),其中有三个自由文本项目是针对那些自我认同为有生育恐惧的父亲的(N = 71),以及五次单独的深度访谈。数据分析包括定量数据的描述性分析和卡方分析,以及定性数据的显性内容分析。严重 "有障碍者 "更有可能报告自己有持续的心理健康问题(p = .039),五分之一(21%)的严重 "有障碍者 "希望接受专业治疗,但只有 8.1%的人接受了治疗。大多数参与者要么倾向于个人支持,要么倾向于与伴侣一起接受支持。患有严重膀胱结石的父亲比不患有膀胱结石的父亲更有可能报告一种或多种障碍(p = .005),其中不必要的社会耻辱感是最大的障碍。定性研究结果确定了一个主要类别:缺失并希望获得 FOC 支持的准爸爸有四类:(1)支持他们理解自己的恐惧;(2)通过意识到自己的感受来应对;(3)通过信任和尊重获得专业支持;(4)需要个性化支持。为了鼓励健康的父亲,临床专业人员应设法为父亲提供支持,例如为他们提供自己的围产期预约,询问他们的感受,以及筛查、诊断和治疗患有严重 "父亲焦虑症 "的父亲。
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来源期刊
American Journal of Men's Health
American Journal of Men's Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
107
审稿时长
15 weeks
期刊介绍: American Journal of Men"s Health will be a core resource for cutting-edge information regarding men"s health and illness. The Journal will publish papers from all health, behavioral and social disciplines, including but not limited to medicine, nursing, allied health, public health, health psychology/behavioral medicine, and medical sociology and anthropology.
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