Changes in maternal coping strategies from pregnancy to postpartum among Japanese women: A prospective longitudinal study

日本女性从怀孕到产后应对策略的变化:一项前瞻性纵向研究

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Abstract

BACKGROUND: Coping strategies like self-distraction and self-blame predict later maternal mental health problems; however, little is known about changes in coping strategies that occur within pregnant individuals. OBJECTIVES: This study analyzed intrapersonal changes in individual coping strategies between the prenatal and postnatal periods. DESIGN: A prospective longitudinal pilot studyMethods:We recruited 59 women from a perinatal medical center in Tokyo. Participants answered the Brief COPE at late pregnancy and 4 weeks postnatally. We performed paired-samples t-tests to identify the differences in coping strategies between two timepoints. RESULTS: Fifty-four women completed questionnaires at both timepoints. The scores for self-distraction, denial, and self-blame significantly decreased after childbirth. CONCLUSION: This study demonstrated that women may change their individual coping strategies throughout their perinatal experiences. This finding could help further research explore women who cannot change high-risk coping strategies, as well as consider ways to empower women in selecting coping strategies during the perinatal period.

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