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Published in: Archives of Women's Mental Health 3/2010

01-06-2010 | Original Contribution

An open trial with cognitive behavioral therapy for blood- and injection phobia in pregnant women—a group intervention program

Authors: Caroline Lilliecreutz, Ann Josefsson, Gunilla Sydsjö

Published in: Archives of Women's Mental Health | Issue 3/2010

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Abstract

Around 7% of pregnant women suffer from blood- and injection phobia. The aim was to investigate if cognitive behavior group therapy (CBT) is effective in treating pregnant women’s blood- and injection phobia. Thirty pregnant women with blood- and injection phobia according to DSM-IV took part in an open treatment intervention. A two-session cognitive behavior group therapy was conducted. As controls, 46 pregnant women with untreated blood- and injection phobia and 70 healthy pregnant women were used. Repeated measures ANOVA were performed. The scores for the CBT treatment group on the “Injection Phobia Scale-Anxiety” were reduced both after each treatment session and postpartum (p < 0.001). Anxiety and depressive symptoms were also reduced (p < 0.001). Cognitive-behavior group therapy for pregnant women with blood- and injection phobia is effective and stable up to at least 3 months postpartum. It seems also to reduce anxiety and depressive symptoms during pregnancy.
Literature
go back to reference Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 56:893–897CrossRefPubMed Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 56:893–897CrossRefPubMed
go back to reference Copper RL, Goldenberg RL, Das A, Elder N, Swain M, Norman G et al (1996) The preterm prediction study: maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks’ gestation.National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Am J Obstet Gynecol 175:1286–1292CrossRefPubMed Copper RL, Goldenberg RL, Das A, Elder N, Swain M, Norman G et al (1996) The preterm prediction study: maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks’ gestation.National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Am J Obstet Gynecol 175:1286–1292CrossRefPubMed
go back to reference Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the 10-item Edinburgh Depression Scale. Br J Psychiatry 150:782–786CrossRefPubMed Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the 10-item Edinburgh Depression Scale. Br J Psychiatry 150:782–786CrossRefPubMed
go back to reference Davey GCL, De Jong PJ, Tallis F (1993) UCS inflation in the aetiology of a variety of anxiety disorders: some case histories. Behav Res Ther 31:495–498CrossRefPubMed Davey GCL, De Jong PJ, Tallis F (1993) UCS inflation in the aetiology of a variety of anxiety disorders: some case histories. Behav Res Ther 31:495–498CrossRefPubMed
go back to reference Diego MA, Jones NA, Field T, Hernandez-Reif M, Schanberg S, Kuhn C et al (2006) Maternal psychological distress, prenatal cortisol and fetal weight. Psychosom Med 68:747–753CrossRefPubMed Diego MA, Jones NA, Field T, Hernandez-Reif M, Schanberg S, Kuhn C et al (2006) Maternal psychological distress, prenatal cortisol and fetal weight. Psychosom Med 68:747–753CrossRefPubMed
go back to reference DSM-IV: Diagnostic and Statistic Manual of Mental Disorders, fourth edition, American Psychiatric Association (1994) DSM-IV: Diagnostic and Statistic Manual of Mental Disorders, fourth edition, American Psychiatric Association (1994)
go back to reference Field T, Hernandez-Reif M, Diego M, Figueiredo B, Schanberg S, Kuhn C (2006) Prenatal cortisol, prematurity and low birthweight. Infant Behav Dev 29:268–275CrossRefPubMed Field T, Hernandez-Reif M, Diego M, Figueiredo B, Schanberg S, Kuhn C (2006) Prenatal cortisol, prematurity and low birthweight. Infant Behav Dev 29:268–275CrossRefPubMed
go back to reference Gitau R, Cameron A, Fisk NM, Glover V (1998) Fetal exposure to maternal cortisol. The Lancet 352:707–708CrossRef Gitau R, Cameron A, Fisk NM, Glover V (1998) Fetal exposure to maternal cortisol. The Lancet 352:707–708CrossRef
go back to reference Goisman RM, Allsworth J (1998) Simple phobia as a comorbid anxiety disorder. Depress Anxiety 7:105–112CrossRefPubMed Goisman RM, Allsworth J (1998) Simple phobia as a comorbid anxiety disorder. Depress Anxiety 7:105–112CrossRefPubMed
go back to reference Green JM, Murray D (1994) The use of the Edinburgh postnatal depression scale in research to explore the relationship between antenatal and postnatal dysphoria. In: Cox J, Holden J (eds) Perinatal psychiatry: use and misuse of the Edinburgh postnatal depression scale. Gaskell, London, pp 180–198 Green JM, Murray D (1994) The use of the Edinburgh postnatal depression scale in research to explore the relationship between antenatal and postnatal dysphoria. In: Cox J, Holden J (eds) Perinatal psychiatry: use and misuse of the Edinburgh postnatal depression scale. Gaskell, London, pp 180–198
go back to reference Hamilton JG (1995) (1995) Needle phobia: a neglected diagnosis. J Fam Pract 41:169–175PubMed Hamilton JG (1995) (1995) Needle phobia: a neglected diagnosis. J Fam Pract 41:169–175PubMed
go back to reference Heron J, O’Connor T (2004) The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord 80:65–73CrossRefPubMed Heron J, O’Connor T (2004) The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord 80:65–73CrossRefPubMed
go back to reference Hofberg K, Brockington I (2000) Tokophobia: an unreasoning dread of childbirth: a series of 26 cases. Br J Psychiatry 176:83–85CrossRefPubMed Hofberg K, Brockington I (2000) Tokophobia: an unreasoning dread of childbirth: a series of 26 cases. Br J Psychiatry 176:83–85CrossRefPubMed
go back to reference Josefsson A, Berg G, Nordin C, Sydsjö G (2001) Prevlence of depressive symptoms in late pregnancy and postpartum. Acta Obstet Gynecol Scand 80:251–255PubMed Josefsson A, Berg G, Nordin C, Sydsjö G (2001) Prevlence of depressive symptoms in late pregnancy and postpartum. Acta Obstet Gynecol Scand 80:251–255PubMed
go back to reference Kessler RC, Chiu WT, Demler O, Walters EE (2005) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:617–625CrossRefPubMed Kessler RC, Chiu WT, Demler O, Walters EE (2005) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:617–625CrossRefPubMed
go back to reference Kose S, Mandiracioglu A (2007) Fear of blood/injection in healthy and unhealthy adults admitted to a teaching hospital. Int J Clin Pract 61:453–457CrossRefPubMed Kose S, Mandiracioglu A (2007) Fear of blood/injection in healthy and unhealthy adults admitted to a teaching hospital. Int J Clin Pract 61:453–457CrossRefPubMed
go back to reference Lilliecreutz C, Josefsson A (2008) Prevalence of blood and injection phobia among pregnant women. Acta Obstet Gynecol Scand 87:1276–1279CrossRefPubMed Lilliecreutz C, Josefsson A (2008) Prevalence of blood and injection phobia among pregnant women. Acta Obstet Gynecol Scand 87:1276–1279CrossRefPubMed
go back to reference Menzies RG, Clark JC (1995) The aetiology of phobias: a non-associative account. Clin Psychol Rev 1:23–48CrossRef Menzies RG, Clark JC (1995) The aetiology of phobias: a non-associative account. Clin Psychol Rev 1:23–48CrossRef
go back to reference Nir Y, Paz A, Sabo E, Potasman I (2003) Fear of injections in young adults: prevalence and associations. Am J Trop Med Hyg 68:341–344PubMed Nir Y, Paz A, Sabo E, Potasman I (2003) Fear of injections in young adults: prevalence and associations. Am J Trop Med Hyg 68:341–344PubMed
go back to reference Obel C, Hedegaard M, Henriksen TB, Secher NJ, Olsen J, Levine S (2005) Stress and salivary cortisol during pregnancy. Psychoneuroendocrinology 30:647–656CrossRefPubMed Obel C, Hedegaard M, Henriksen TB, Secher NJ, Olsen J, Levine S (2005) Stress and salivary cortisol during pregnancy. Psychoneuroendocrinology 30:647–656CrossRefPubMed
go back to reference Olatunji BO, Williams NL, Sawchuk CN, Lohr JM (2006) Disgust, anxiety and fainting symptoms associated with blood-injection-injury fears: a structural model. J Anxiety Disord 20:23–41CrossRefPubMed Olatunji BO, Williams NL, Sawchuk CN, Lohr JM (2006) Disgust, anxiety and fainting symptoms associated with blood-injection-injury fears: a structural model. J Anxiety Disord 20:23–41CrossRefPubMed
go back to reference Öst L (1992) Blood and Injection Phobia. Background and cognitive, physiological and behavioral variables. J Abnorm Psychol 101:68–74CrossRefPubMed Öst L (1992) Blood and Injection Phobia. Background and cognitive, physiological and behavioral variables. J Abnorm Psychol 101:68–74CrossRefPubMed
go back to reference Öst L, Hellström K, Kåver A (1992) One versus five sessions of exposure in the treatment of injection phobia. Behavior Theraphy 23:263–282CrossRef Öst L, Hellström K, Kåver A (1992) One versus five sessions of exposure in the treatment of injection phobia. Behavior Theraphy 23:263–282CrossRef
go back to reference Page AC (1996) Blood-injury-injection fears in medical practice. Med J Aust 164:189PubMed Page AC (1996) Blood-injury-injection fears in medical practice. Med J Aust 164:189PubMed
go back to reference Patel MX, Baker D, Nosarti C (2005) Injection phobia: a systematic review of psychological treatments. Behav Cogn Psychother 33:343–349CrossRef Patel MX, Baker D, Nosarti C (2005) Injection phobia: a systematic review of psychological treatments. Behav Cogn Psychother 33:343–349CrossRef
go back to reference Sandman CA, Wadhwa PD, Dunkel-Schetter C, Chicz-DeMat A, Belman J, Porto M et al (1994) Psychobiological influences of stress and HPA regulation on the human fetus and infant birth outcomes. Ann N Y Acad Sci 739:198–210CrossRefPubMed Sandman CA, Wadhwa PD, Dunkel-Schetter C, Chicz-DeMat A, Belman J, Porto M et al (1994) Psychobiological influences of stress and HPA regulation on the human fetus and infant birth outcomes. Ann N Y Acad Sci 739:198–210CrossRefPubMed
go back to reference Sutter-Dally AL, Giaconne-Marcesche V, Glatigny-Dallay E, Verdoux H (2004) Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort. Eur Psychiatry 19:459–463CrossRef Sutter-Dally AL, Giaconne-Marcesche V, Glatigny-Dallay E, Verdoux H (2004) Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort. Eur Psychiatry 19:459–463CrossRef
go back to reference Wadhwa PD, Sandman CA, Porto M, Dunkel-Schetter C, Garite TJ (1993) The association between prenatal stress and infant birth weight and gestational age at birth: a prospective investigation. Am J Obstet Gynecol 169:858–865 Wadhwa PD, Sandman CA, Porto M, Dunkel-Schetter C, Garite TJ (1993) The association between prenatal stress and infant birth weight and gestational age at birth: a prospective investigation. Am J Obstet Gynecol 169:858–865
go back to reference Weinstock M (2005) The potential influence of maternal stress hormones on development and mental health of the offspring. Brain Behav Immun 19:296–308CrossRefPubMed Weinstock M (2005) The potential influence of maternal stress hormones on development and mental health of the offspring. Brain Behav Immun 19:296–308CrossRefPubMed
Metadata
Title
An open trial with cognitive behavioral therapy for blood- and injection phobia in pregnant women—a group intervention program
Authors
Caroline Lilliecreutz
Ann Josefsson
Gunilla Sydsjö
Publication date
01-06-2010
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 3/2010
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-009-0126-x

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