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The purpose of this study is twofold:
Fear of childbirth (Tokophobia) is inconsistently defined in the research literature: some define it as an anxiety disorder while it is often defined as a form of phobia; some regard only the pre-pregnancy period, some regard the anxiety during pregnancy and some focus on the labor process. Despite the high prevalence (between 13%-20% of fertile women), research in this area is scarce and the current findings are incohesive due to various conceptualizations of the phenomenon and to various measurement methods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 - Pregnant - Tokophobic | Experimental | Psychoanalysis treatment. |
|
| 2 - Pregnant - Tokophobic | Experimental | Cognitive-Behavioral treatment. |
|
| 3 - Non-pregnant - Tokophobic | Experimental | Group Therapy |
|
| 4 - Control | No Intervention | Pregnant and non-pregnant non-tokophobic women will answer questionnaires. Won't receive therapy. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychological Treatment | Behavioral | 15 weekly therapy sessions. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Tokophobia existing and new measures (e.g. Pregnancy anxiety scale, Levin, 1991; Tokophobia subjective scale) | Pre-treatment, Mid treatment, End of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| For pregnant subjects - labor preference, duration and pain medication assessment. | post-labor |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shulamit Ben-Itzhak, PhD | Contact | 972-3-697-4567 | shulamit@tasmc.health.gov.il |
| Name | Affiliation | Role |
|---|---|---|
| Miki Bloch, M.D | Tel-Aviv Sourasky Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Psychiatry Outpatient Clinic - Sourasky Medical Center | Recruiting | Tel Aviv | 64239 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 7262639 | Background | Areskog B, Uddenberg N, Kjessler B. Fear of childbirth in late pregnancy. Gynecol Obstet Invest. 1981;12(5):262-6. doi: 10.1159/000299611. | |
| 16603282 | Background | Eriksson C, Jansson L, Hamberg K. Women's experiences of intense fear related to childbirth investigated in a Swedish qualitative study. Midwifery. 2006 Sep;22(3):240-8. doi: 10.1016/j.midw.2005.10.002. Epub 2006 Apr 17. |
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| ID | Term |
|---|---|
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| D015928 | Cognitive Behavioral Therapy |
| D011615 | Psychotherapy, Group |
| ID | Term |
|---|---|
| D004191 | Behavioral Disciplines and Activities |
| D001521 | Behavior Therapy |
| D012960 | Socioenvironmental Therapy |
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| Group Therapy | Behavioral | 3 months of weekly group therapy sessions. |
|
|
| 10789333 | Background | Hofberg K, Brockington I. Tokophobia: an unreasoning dread of childbirth. A series of 26 cases. Br J Psychiatry. 2000 Jan;176:83-5. doi: 10.1192/bjp.176.1.83. |
| 15326415 | Background | Hofberg K, Ward MR. Fear of childbirth, tocophobia, and mental health in mothers: the obstetric-psychiatric interface. Clin Obstet Gynecol. 2004 Sep;47(3):527-34. doi: 10.1097/01.grf.0000132527.62504.ca. No abstract available. |
| 11264605 | Background | Alehagen S, Wijma K, Wijma B. Fear during labor. Acta Obstet Gynecol Scand. 2001 Apr;80(4):315-20. doi: 10.1034/j.1600-0412.2001.080004315.x. |
| 15962723 | Background | Eriksson C, Westman G, Hamberg K. Experiential factors associated with childbirth-related fear in Swedish women and men: a population based study. J Psychosom Obstet Gynaecol. 2005 Mar;26(1):63-72. doi: 10.1080/01674820400023275. |
| 12452457 | Background | Johnson R, Slade P. Does fear of childbirth during pregnancy predict emergency caesarean section? BJOG. 2002 Nov;109(11):1213-21. doi: 10.1046/j.1471-0528.2002.01351.x. |
| 16176853 | Background | Olde E, van der Hart O, Kleber R, van Son M. Posttraumatic stress following childbirth: a review. Clin Psychol Rev. 2006 Jan;26(1):1-16. doi: 10.1016/j.cpr.2005.07.002. Epub 2005 Sep 19. |
| 12694113 | Background | Saisto T, Halmesmaki E. Fear of childbirth: a neglected dilemma. Acta Obstet Gynecol Scand. 2003 Mar;82(3):201-8. |