ArticleBMC psychiatry2023
Fear of childbirth and sleep quality among pregnant women: a generalized additive model and moderated mediation analysis.
Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Sleep Disorders in Pregnant Women and Their Impact on Maternal and Fetal Outcomes: A Narrative Review.Journal of clinical medicine · 2026Review
- Association between trajectories of sleep quality and postpartum depression: a group-based trajectory model and computer-simulated network analysis.BMC medicine · 2026Article
- Maternal Inner Strength Mediates the Longitudinal Association Between Family Emotional Expression and Fear of Childbirth: A Cross-Lagged Panel Mediation Analysis.International journal of women's health · 2026Article
- The relationship between self-efficacy and prenatal depression in Chinese pregnant women: a parallel latent growth curve model.BMC psychiatry · 2025Article
- Sleep quality during pregnancy: the role of anxiety, fear of childbirth, and obstetric factors - a multicenter cross-sectional study.BMC public health · 2025Article
- Fear of future workplace violence and sleep quality in Chinese clinical nurses: the mediating role of anxiety and depression.BMC nursing · 2025Article
- Family Support Moderates the Relationship Between Pregnancy Stress, Depressive Symptoms, and Insomnia.Nature and science of sleep · 2025Article
- Association Between Sleep Quality and Self-Efficacy Trajectories Among Pregnant Women: A Parallel Process Latent Growth Curve Model.Nature and science of sleep · 2025Article
- Trait Mindfulness, Resilience, Self-Efficacy, and Postpartum Depression: A Dominance Analysis and Serial-Multiple Mediation Model.Psychology research and behavior management · 2025Article
- Sleep Quality and Its Predictors Among Pregnant Women in Jordan: A Cross-Sectional Study.International journal of women's health · 2025Article
- Fear of childbirth in primipara women and its correlation with premenstrual syndrome: A cross-sectional study.PloS one · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectivesThis study aims to examine the associations among fear of childbirth, psychological distress, resilience, and sleep quality among Chinese pregnant women.
methodsA cross-sectional survey was carried out between January 2022 to March 2022 among pregnant women who met the inclusion criteria and sought healthcare services at The First Affiliated Hospital of Guangzhou University of Chinese Medicine in Guangdong Province, Southern China. Data was collected using a structured questionnaire that included sociodemographic characteristics, childbirth attitudes questionnaires (CAQ), hospital anxiety and depression scale (HADS), Connor-Davidson resilience scale (CD-RISC), and Pittsburgh sleep quality index (PSQI). A generalized additive model and moderated mediation analysis were employed for data analysis.
resultsA non-linear and negative association between fear of childbirth and sleep quality was found in the second trimester and antenatal period. Psychological distress significantly mediated the relationship between fear of childbirth and sleep quality (first trimester: β = 0.044, 95%CI:0.022-0.071; second trimester: β = 0.029, 95%CI:0.009-0.056; third trimester: β = 0.064, 95%CI:0.046-0.088; antenatal period: β = 0.050, 95%CI:0.037-0.063). The moderating role of resilience between fear of childbirth and sleep quality was significant (second trimester: β=-0.006, 95%CI:-0.012-0.001, P = 0.025; antenatal period: β=-0.004, 95%CI:-0.007--0.001, P = 0.014), as well as between fear of childbirth and psychological distress (first trimester: β=-0.016, 95%CI:-0.026--0.005, P = 0.004; antenatal period: β=-0.005, 95%CI:-0.009--0.001, P = 0.014).
conclusionsFear of childbirth, psychological distress, and resilience are three important factors affecting sleep quality in Chinese pregnant women.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.