Psychology Commons^™

“Black Wom(B)Anhood”: An Explorative Analysis Of Black Women's Narratives Of Healthcare Encounters During And After Pregnancy, Janae A. Baker

Theses and Dissertations

This qualitative study explores the intricate dynamics of patient-provider relationships within the context of prenatal care among Black women and how these experiences may affect their perinatal mental health. The study was conducted using a methodology consisting of structured interviews with 12 participants, snowball sampling facilitated recruitment. Thematic analysis revealed six prominent themes encapsulating the multifaceted interactions between Black women and their healthcare providers during the perinatal period. The findings illuminate nuanced aspects of the patient-provider relationship, shedding light on issues such as: (a) Anticipation of Low Quality Care, (b) Lack of Communication, (c) Listening, (d) Stereotype Threat, (e) Colorism, …

One Size Doesn’T Fit All: Attitudes Towards Work Modify The Relation Between Parental Leave Length And Postpartum Depression, Christine Y. Chang, Sabrina R. Liu, Laura M. Glynn

Psychology Faculty Articles and Research

The present study aimed to investigate the relationship between parental leave length and maternal depressive symptoms at six- and twelve-months postpartum and whether this relation was influenced by women’s attitudes towards leave, whether leave was paid or unpaid, and the reason they returned to work. The sample included 115 working women recruited during pregnancy as part of a larger longitudinal study. Analyses revealed that maternal attitudes toward leave influenced the association between leave length and depressive symptoms. Specifically, longer leaves were associated with increased depressive symptoms for women who missed their previous activities at work. Furthermore, women who missed work …

Health Care Providers' Attributions Of Blame For Unintended Pregnancy And Hiv Acquisition Among Cisgender Women, Alison J. Goldberg

Dissertations, Theses, and Capstone Projects

Unintended pregnancy and HIV are both possible but preventable outcomes of vaginal sex, and both can be prevented in similar ways (condoms, daily oral medication, etc.). Despite these similarities, providers more readily prescribe contraception to cisgender women, compared to PrEP (Guttmacher Institute, 2021; Raifman et al., 2019). Providers’ differential willingness to prescribe each medication cannot be attributed merely to differences in women’s need for pregnancy prevention vs. HIV prevention, as women account for nearly 20% of new HIV infections (CDC, 2021). Through three studies, I examined whether perceivers’ support for harm reduction (i.e., prescribing PrEP/contraception) and behavior reduction (i.e., discouraging …

The Effects Of Acculturation, Marianismo, And Religiosity On Pregnancy Related Anxiety In Latina Women, Jennifer M. Zanoli

Doctoral Dissertations

There is a dearth of information about pregnancy related anxiety (PRA) in Latina women, yet a growing body of literature demonstrates adverse birth outcomes for mother and infant due to PRA. This study examined the association between acculturation, religiosity, marianismo, parity, and a Latina pregnant woman’s relationship with her healthcare provider with PRA in Latina women aged 18 and above. Acculturation was expected to be the more robust factor amongst the independent variables.

Participants in this study (n = 53) were Hispanic, Chicano, Latino or had a Latin or Spanish heritage, over the age of 18, pregnant at the …

Self‑Objectification During The Perinatal Period: The Role Of Body Surveillance In Maternal And Infant Wellbeing, Lauren M. Laifer, Olivia R. Maras, Gemma Sáez, Sarah Gervais, Rebecca L. Brock

Department of Psychology: Faculty Publications

Pregnancy represents a unique time during which women’s bodies undergo significant physical changes (e.g., expanding belly, larger breasts, weight gain) that can elicit increased objectification. Experiences of objectification set the stage for women to view themselves as sexual objects (i.e., self-objectification) and are associated with adverse mental health outcomes. Although women may experience heightened self-objectification and behavioral consequences (such as body surveillance) due to the objectification of pregnant bodies in Western cultures, there are remarkably few studies examining objectification theory among women during the perinatal period. The present study investigated the impact of body surveillance, a consequence of self-objectification, on …

Effects Of Development On Hpa Function Following Pubertal Stress, Brittany D. Elliott

Graduate Theses, Dissertations, and Problem Reports

For women, two of the greatest risk factors for affective disorders are adversity experienced during puberty and later becoming pregnant. We have created a translationally relevant mouse model where we address these complex risk factors. Previously, we discovered that pregnant mice (dams) that experienced chronic variable stress (CVS) during puberty display a blunted hypothalamic-pituitary-adrenal (HPA) response when exposed to an acute stressor. Interestingly, this alteration only first becomes apparent during pregnancy, which is a sensitive period for these effects due to normative neuroendocrine changes. Further investigation of the mechanisms underlying this dysfunction revealed altered gene expression in the paraventricular nucleus …

My Baby, My Move+: Feasibility Of A Community Prenatal Wellbeing Intervention, Jenn A. Leiferman, Rachael Lacy, Jessica Walls, Charlotte V. Farewell, Mary K. Dinger, Danielle Symons Downs, Sarah S. Farrabi, Jennifer L. Huberty, James F. Paulson

Psychology Faculty Publications

Background

Excessive gestational weight gain (EGWG), insufficient prenatal physical activity and sleep, and poor psychological wellbeing independently increase risks for adverse maternal and infant outcomes. A novel approach to mitigate these risks is utilizing peer support in a community-based prenatal intervention. This study assessed the feasibility (acceptability, demand, implementation, and practicality) of a remotely delivered prenatal physical activity intervention called My Baby, My Move + (MBMM +) that aims to increase prenatal physical activity, enhance mood and sleep hygiene, and reduce EGWG.

Methods

Participants were recruited through community organizations, local clinics, and social media platforms in the Fall of 2020 …

Maternal Adverse And Protective Childhood Experiences And Prenatal Smoking, Karina M. Shreffler, Christine N. Joachims, Lucia Ciciolla, Julie M. Croff, Machele Anderson

Health Behavior Research

Prenatal smoking is associated with adverse pregnancy and birth outcomes as well as health problems in early childhood. Recent research determined that maternal adverse childhood experiences (ACEs) increase the odds of smoking during pregnancy. We consider the role of protective and compensatory childhood experiences (PACEs) in an effort to examine the extent to which positive childhood experiences are protective factors for maternal smoking behaviors. Between 2015-2018, 309 pregnant women in Oklahoma recruited from high-risk prenatal clinics, childbirth education classes, and social media were surveyed about their childhood experiences and smoking behaviors during pregnancy. Ordinal regression analysis was used to examine …

Self-Compassion Mediates The Link Between Attachment Security And Intimate Relationship Quality For Couples Navigating Pregnancy, Tuyen Huynh, Eric Phillips, Rebecca L. Brock

Department of Psychology: Faculty Publications

Millions of couples navigate the transition from pregnancy to postpartum in a given year, and this period of change and adjustment in the family is associated with elevated risk for intimate relationship dysfunction. Self-compassion has the potential to promote skills that are essential for healthy adaptation (e.g., emotion regulation, greater openness and flexibility, more awareness of the needs of oneself and one’s partner). The overarching goal of the present study was to investigate the role of self-compassion in intimate relationship quality during pregnancy. A sample of 159 couples completed semi-structured interviews and questionnaires. Parents engaging in more compassionate self-responding during …

Attachment Anxiety And Avoidance Predict Postnatal Partner Support Through Impaired Affective Communication, Frances C. Calkins, Rebecca L. Brock

Department of Psychology: Faculty Publications

Objective: The purpose of the present study was to investigate perceived difficulties in affective communication as a key mechanism linking attachment anxiety and avoidance during pregnancy to the quality of postpartum support received by partners.

Background: During the postpartum period, partner support has the potential to promote family well-being by mitigating stress related to changes experienced during this transition. Attachment security is one of the most robust predictors of intimate relationship processes and impacts partner communication and support dynamics.

Method: Heterosexual couples (N = 159) completed surveys and semi-structured interviews to obtain measures of attachment security, perceived difficulties in …

Partner Support And Connection Protect Couples During Pregnancy: A Daily Diary Investigation, Shaina A. Kumar, Rebecca L. Brock, David Dilillo

Department of Psychology: Faculty Publications

Objective: The objective of the current study was to examine associations between daily subjective stress and relationship satisfaction as a function of two protective factors—partner support and connection (i.e., intimacy, passion, and commitment)—among couples during pregnancy. Background: Stress brought into the intimate relationship by each partner is often associated with relational dissatisfaction and discord, referred to as stress spillover. Although much research has focused on risk for poor relational outcomes associated with partner stress, it is equally important to focus on resilience. Method: We examined this phenomenon among 154 couples navigating pregnancy. Couples attended an initial laboratory session and then …

Coherence-Based Resilience Effects On Antenatal Autonomic Nervous System Stress Markers Controlled, Patrice Fortune

Walden Dissertations and Doctoral Studies

AbstractAntenatal stress disrupts autonomic nervous system (ANS) equilibrium within the neuro-cardio-utero-placental (NCUP) structure perpetuating treatable conditions of depressive-based gestational hypertension disorders. The present ANS-based study of the NCUP system investigated the effect of coherence-based stress resilience (CBSR) post-4-week intervention. This quasi-experimental research design involved experimental (n = 8) and waitlist control (n = 3) conditions. Controlling for pretest values, quantitative pre-post methodology was used to assess the effect of CBSR to evaluate change in variables. Resultant of small sample size, significant findings are considered tentatively. Heart rate variability (p = 0.044), dehydroepiandrosterone/ dehydroepiandrosterone sulfate (p = 0.142), Pregnancy Experience Scale …

The Impact Of A Relationship Education Program On Health Disparities Among Pregnant Women, Anne Clara Biermann

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Health disparities amongst pregnant individuals of color have long been documented and yet, they persist. While there is growing recognition, the search continues for solutions to close the health disparity gap between White women and women of color. This research is a follow-up to a 2022 study exploring the impact of the MotherWise program on birth outcomes. MotherWise provides an individual-oriented relationship education program and case management service for minority and low-income pregnant women in Colorado. This research further explores a positive trend of the program's impact on preterm birth rates by examining differential effects of participation by race. In …

Unique Types Of Angel And Ghost Memories In Low-Income, Diverse Pregnant Women, Rebecca Spear

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This study examined the associations between three types of angel memories, defined as recollections of loving moments with childhood caregivers, and pregnant women’s reported childhood adversity and current PTSD symptoms. Angel memories were coded from the Angels in the Nursery Interview (Van Horn et al., 2008) into three subtypes: protection in the context of harm, rupture in the protective shield, and sensory memories. Participants were 175 ethnically-diverse pregnant women (M age = 28.07, SD = 5.68, range = 18-40 years; 61.1% non-White) who completed the Angels Interview, the Adverse Childhood Experiences scale (ACEs; CDC, 2021) for childhood adversity, and …

Semi-Structured Interviews Exploring The Attitudes And Perceptions Toward Miscarriage In Western Australian Women That Have Not Experienced A Pregnancy Loss, Rachel Parker

Research Datasets

Data is from 18 semi-structured interviews exploring the attitudes and perceptions toward miscarriage in Western Australian Women that have not experienced a pregnancy loss.

Exposure To Prenatal Maternal Distress And Infant White Matter Neurodevelopment, Catherine H. Demers, Maria M. Bagonis, Khalid Al-Ali, Sarah E. Garcia, Martin A. Styner, John H. Gilmore, M. Camille Hoffman, Benjamin L. Hankin, Elysia Poggi Davis

Psychology: Faculty Scholarship

The prenatal period represents a critical time for brain growth and development. These rapid neurological advances render the fetus susceptible to various influences with life-long implications for mental health. Maternal distress signals are a dominant early life influence, contributing to birth outcomes and risk for offspring psychopathology. This prospective longitudinal study evaluated the association between prenatal maternal distress and infant white matter microstructure. Participants included a racially and socioeconomically diverse sample of 85 mother–infant dyads. Prenatal distress was assessed at 17 and 29 weeks’ gestational age (GA). Infant structural data were collected via diffusion tensor imaging (DTI) at 42–45 weeks’ …

Black And White Health Disparities: Racial Bias In American Healthcare, Yasmeen Almomani

Bridges: An Undergraduate Journal of Contemporary Connections

This paper explores the historical implications of race in American society that have led to implicit racism in the healthcare system. Racial bias in healthcare against Black people is a factor in the health disparities between Black and white people in America, such as the gap in life expectancy, infant death, and maternal mortality. Black people are more likely to report racial discrimination from healthcare providers, which is a reason for the decreased quality of care received. The past justifications of slavery, the Tuskegee syphilis study, and the medical experimentations on Black women are horrifying but were considered acceptable in …

Postpartum Depression In South Asian American Mothers: An Examination Of Screening Tools And Associated Cultural Factors In Assessment, Heer Panchal

Dissertations

Postpartum depression is a disorder impacting an overwhelming number of women after childbirth with symptoms of depression, anxiety, guilt, and hopelessness. Due to limited research and understanding of postpartum depression in the growing South Asian population in the United States, it is vital to gather data and research on this population to increase understanding of patterns and experiences that occur within the South Asian American population and to incorporate cultural factors into the screening process. The current research’s objectives include discussing the facets of postpartum depression, current tools used to screen for postpartum depression, and helpful interventions to create a …

Five Facets Of Mindfulness In Pregnancy And Postpartum Periods, Brianna J. Mcneley

Global Honors Theses

Pregnancy, particularly the postpartum period is high risk for women with preexisting mental disorders such as bipolar disorder, depression, and anxiety. This research investigates if self-reported use of overall mindfulness and individual facets of mindfulness (observe, describe, nonjudging, acting with awareness, and nonreacting), reduce common symptoms associated with these disorders. Pregnant or postpartum participants recruited from social media groups (18+) were asked to self-report symptoms of mania, depression, anxiety, and five facets of mindfulness. Overall mindfulness was significantly negatively correlated with mania, depression, and anxiety, and in particular with nonjudging and acting with awareness. But symptoms were positively correlated …

Art Therapy Provides Relief To New And Expecting Mothers, Dailie Jeffs

Expressive Therapies Capstone Theses

Throughout pregnancy, during childbirth, and after childbirth, new and expecting mothers often experience a great amount of anxiety and depressive symptoms that can be classified into three divisions: prenatal anxiety, fear of childbirth, and postpartum depression. Often these symptoms are overlooked and unresolved due to their short time span and being specifically linked to childbirth. However, these symptoms cause a lesser quality of life for the mother that can highly impact the mother and her newborn short-term and long-term. Art therapy techniques, explained by the Expressive Therapy’s Continuum, have proved beneficial in the aid of alleviating depression and anxiety symptoms …

C.H.A.N.G.E.: Strengthening Resiliency In Pregnancy, Joanna L. Harbets

Doctor of Psychology (PsyD)

Pregnancy and childbirth is a biologically, socially, and psychologically complex period in a woman’s life (Anda, 2010). Carrying an infant in the womb is made even more difficult if a mother has endured her own trauma, potentially transmitting a vulnerability to her child’s development through maternal behavior and emotions (Hudziak, 2018). Additionally, the transition to parenthood is a general life stressor which often activates her attachment system. Symptoms of depression, anxiety, and trauma may also interfere with her ability to bond with her child (Main, 2000). Although the complexity of pregnancy and motherhood can be daunting, a mother’s resilience may …

Mothers Know Best: Guidance For Healthcare Providers On Early Identification Of Perinatal Mental Health Disorders, Klarissa I. Garcia Orellana

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Introduction: The perinatal period has been associated with an increased risk of developing psychiatric disorders among women. Perinatal mental health disorders (PMHD) are highly prevalent, yet highly underrecognized and untreated. The involvement of medical providers, especially obstetrics/gynecology and pediatric providers, in the early identification of PMHD is critical to ensure women with PMHD receive appropriate supports. However, providers lack the education, training, and ability to identify and screen for PMHD as well as the knowledge of appropriate referrals. Objective: This study explores the existing issues with healthcare providers’ early identification practices of PMHD from the perspective of ten mothers and …

Mindfulness: How It Affects Pregnancy, Labor And Delivery, Olivia R. Snipes

OUR Journal: ODU Undergraduate Research Journal

Pregnancy is a very physical and mental process during which many women face a wide variety of complications. The influx of hormones that happens during pregnancy has the ability to make pregnant women more susceptible to depression, anxiety and other stress related illnesses. High levels of stress can negatively affect the mother and unborn child and potentially the mother-child relationship. Many women prefer not to take the pharmaceutical route when coping with stress, anxiety and depression while pregnant. As a result, mindfulness practices have been utilized as an alternative method to reduce the negative effects of these complications and lower …

Examining Antepartum Quit Attempts Using A Latent Factor Model Of A Hypothetical Cigarette Purchase Task, Carolyn Grace Evemy

Graduate College Dissertations and Theses

Previous research has validated the use of hypothetical purchase tasks to measure smoking demand among pregnant women. This study extends that research by (1) examining the factor loading pattern of a hypothetical cigarette purchase task (CPT) in a sample of pregnant women who smoke, and (2) comparing the ability of the latent factor solution to predict antepartum quit attempts relative to more conventional predictors. Participants were 665 pregnant women seeking enrollment in a smartphone-based smoking-cessation trial. Data were taken from an intake assessment that included the CPT, the Kirby delayed discounting task, sociodemographic and smoking-history questionnaires, and assessment of antepartum …

Feasibility Of Acceptance-Based Health Coaching Targeting Food Cravings In Pregnancy, Lauren Blau

Legacy Theses & Dissertations (2009 - 2024)

Excess gestational weight gain (GWG) is the leading high-risk condition in pregnancy in the United States and associated with a variety of poor delivery and health outcomes for the mother and infant. The majority of interventions addressing diet and physical activity in pregnancy have at best small effects on weight gain and pregnancy health outcomes. Past studies on weight loss in non-pregnant samples have demonstrated the utility of addressing psychological factors to modify eating behaviors. Currently, there is a lack of research to evaluate the efficacy of targeting psychological factors to improve cognitive and affective coping skills when attempting to …

Can Positive Mindsets Be Protective Against Stress And Isolation Experienced During The Covid-19 Pandemic? A Mixed Methods Approach To Understanding Emotional Health And Wellbeing Needs Of Perinatal Women, Jacqueline A. Davis, Lisa Y. Gibson, Natasha L. Bear, Amy L. Finlay-Jones, Jeneva L. Ohan, Desiree T. Silva, Susan L. Prescott

Research outputs 2014 to 2021

The aim of this study was to explore the relationship between emotional health and well-being and support needs of perinatal women during the COVID-19 pandemic, and to understand their experiences and need for support. This is a potentially vulnerable group and a critical developmental phase for women and infants. A mixed methods design was used to collect quantitative and qualitative data that provided a robust insight into their unique needs. A total of 174 women who were either pregnant or post-birth participated. The main findings demonstrated that women in this cohort experienced varying levels of stress and isolation but also …

“Child Witches”: Sexual Exploitation And Abuse Of Homeless Girls In South-Southern Nigeria, Chima Agazue

Dignity: A Journal of Analysis of Exploitation and Violence

Sexual exploitation and abuse of girls is one of the endemic social problems in Nigeria. Although this problem has attracted much research attention in recent times, some newly emerged factors contributing to the problem have been mostly ignored. This study explored how the abandonment of children following their stigmatization as witches contributes to sexual exploitation and abuse of the girls in the Akwa Ibom and Cross River states of Nigeria. The study was based on the qualitative research paradigm. Data was collected via semi-structured interviews of three senior staff members of the Child’s Rights and Rehabilitation Network (CRARN)—a children’s charity …

Borderline Features Mediate The Association Between The Experience Of Childhood Sexual Abuse And Opioid Misuse Among Pregnant Women, Chloe T. Cohen

Masters Theses

The relationship between experiences of childhood sexual abuse and opioid misuse in adults is well documented, specifically among women, but less is known about this association in pregnancy. No studies to date have investigated processes that could be the target of interventions to help women with childhood sexual abuse histories better care for their infants. In the current study, we examined borderline personality disorder features as mediators which may explain the link between childhood sexual abuse and opioid misuse during pregnancy. We sampled N = 93 pregnant women: n = 55 were misusing opioids during their pregnancies and n = …

"Made Of Queer Magic": Understanding The Experiences Of Pregnancy For Queer Women, Lindsey Rogers

Doctoral Dissertations

Queer families are deciding to use donor insemination or medically assisted reproductive treatments to become pregnant and start their families. Previous research indicates that the process of using medically assisted reproductive treatments may be a stressful experience for queer families due to cisheteronormativity within the system. In addition, research has also revealed that stress during the process of conceiving can impact mental health experiences during pregnancy. However, there is a lack of research on the specific mental health experiences of pregnancy for queer women. The present study used a qualitative research design guided by constructivist grounded theory to examine the …

Changes In Prenatal Testosterone And Sexual Desire In Expectant Couples, Wei Xiang Sim, William J. Chopik, Britney M. Wardecker, Robin S. Edelstein

Research Collection School of Social Sciences

During the transition to parenthood (TTP), both women and men report declines in sexual desire, which are thought to reflect an evolutionarily adaptive focus on parenting over mating. New parents also show changes in testosterone, a steroid hormone implicated in both parenting and mating, suggesting that changes in sexual desire may be associated with changes in testosterone. To test these associations, we followed a sample of heterosexual couples expecting their first child across the prenatal period. We examined prenatal changes in testosterone and two forms of sexual desire (solitary, dyadic). Expectant mothers showed prenatal increases in testosterone, and women's higher …