Associations of Musical Activities and Positive Affect With Fear of Childbirth: A Structural Equation Modeling Approach

作者全名："Liu, Shidi; Jin, Yi; Li, Hongmei; Zeng, Tingting; Zhou, Ge; Yu, Lili; Fan, Yao; Lei, Xun"

作者地址："[Liu, Shidi; Jin, Yi; Fan, Yao; Lei, Xun] Chongqing Med Univ, Sch Publ Hlth & Management, Chongqing, Peoples R China; [Liu, Shidi; Jin, Yi; Fan, Yao; Lei, Xun] Chongqing Med Univ, Res Ctr Med & Social Dev, Chongqing, Peoples R China; [Liu, Shidi; Jin, Yi; Fan, Yao; Lei, Xun] Chongqing Med Univ, Collaborat Innovat Ctr Social Risks Governance Hl, Chongqing, Peoples R China; [Liu, Shidi; Jin, Yi; Fan, Yao; Lei, Xun] Chongqing Med Univ, Res Ctr Publ Hlth Secur, Chongqing, Peoples R China; [Li, Hongmei; Zeng, Tingting; Zhou, Ge; Yu, Lili] Chongqing Med Univ, Obstet & Gynecol Ctr, Affiliated Hosp 3, Chongqing, Peoples R China"

通信作者："Fan, Y; Lei, X (通讯作者)，Chongqing Med Univ, Sch Publ Hlth & Management, Chongqing, Peoples R China.; Fan, Y; Lei, X (通讯作者)，Chongqing Med Univ, Res Ctr Med & Social Dev, Chongqing, Peoples R China.; Fan, Y; Lei, X (通讯作者)，Chongqing Med Univ, Collaborat Innovat Ctr Social Risks Governance Hl, Chongqing, Peoples R China.; Fan, Y; Lei, X (通讯作者)，Chongqing Med Univ, Res Ctr Publ Hlth Secur, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000861242800001

JCR分区：Q1

影响因子：5.2

年份：2022

卷号：10

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：fear of childbirth; musical activities; positive affect; structural equation meddling; interventions

摘要："Background: Fear of childbirth is a prevalent issue among women, with a wide range of interventions to dispel it. Here we explored a novel and beneficial intervention and one possible influence mechanism of it. Methods: The cross-sectional study recruited 1,053 pregnant women from one tertiary-grade A class hospital between March to August 2021. The questionnaire included demographic characteristics, a self-made musical activities questionnaire, the Positive affect subscale, and the Childbirth Attitudes Questionnaire. We parceled the eight musical activities into three items by item parceling methodology. The associations of musical activities and positive affect with fear of childbirth were evaluated by a structural equation modeling approach. Results: Our analyses demonstrated the effectiveness of musical activities, which was notably correlated with the increase in positive affect (beta = 0.309, P < 0.01). On the contrary, positive affect predicted a decrease in fear of childbirth (beta = -0.085, P = 0.019). Additionally, positive affect mediated the effect of musical activities on fear of childbirth (beta = -0.026, P = 0.030). However, the direct effect of musical activities on fear of childbirth was not found (beta = 0.029, P = 0.514). Conclusions: Relying on musical activities alone may not be adequate to alleviate the fear of childbirth, and positive affect played a pivotal role between musical activities and fear of childbirth. The results showed that musical activities would be an effective non-pharmaceutical way to alleviate the fear of childbirth and positive affect can not be ignorant in future childbirth fear reduction programs."

基金机构：Natural Science Foundation General Project of Chongqing Science and Technology Bureau [cstc2020jcyj-msxmX0279]; Public Health Elite Program - School of Public Health and Management of Chongqing Medical University [GWJY2021018]

基金资助正文：This work was supported by the Natural Science Foundation General Project of Chongqing Science and Technology Bureau (No. cstc2020jcyj-msxmX0279) and the Public Health Elite Program funded by the School of Public Health and Management of Chongqing Medical University (GWJY2021018).