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On the Psychology of Birth

dc.contributor.advisorBanse, Rainer
dc.contributor.authorHoffmann, Lisa
dc.description.abstractIn this dissertation thesis, I propose the theoretical construct of a birth-related mindset and direct and indirect measures for its assessment. I assume that childbirth can be mentally presented as a rather natural (natural mindset) or a rather medicalized (medicalized mindset) event and that, in addition to medical factors, the birth-related mindset causally influences labor and birth. In three initial studies (Study 1: N = 117, Study 2: N = 206, Study 3: N = 192), I aimed to explore whether the proposed birth-related mindset is related to the retrospectively reported process of labor and birth (operationalized e.g., by performed interventions, duration of birth, place of birth). In a final longitudinal study (divided into sub-component Studies 4, 5, and 6) I examined the causal effect of the mindset and expanded the research question to address the relevance of birth experience for short- and long-term psychological well-being. Results of Study 4 (N = 311) could be integrated into a Single indicator model, displaying a sequential process: women with a prenatally more natural mindset were more likely to have low-intervention births, which resulted in a more positive evaluation of the birth experience, which in turn predicted well-being in the first weeks after birth (measured with Ecological Momentary Assessment), and subsequently postpartum depression and post-traumatic stress symptoms (eight weeks and six month after birth) as well as mother-infant-attachment six months after birth. In a fifth study (N = 304) the results could be replicated for a male sample. In a sixth study (N = 304 dyads) results further indicated that relationship quality can have a positive impact on the woman’s birth experience and on transition to parenthood for both sexes. The indirect measure I used to assess implicit aspects of both the birth-related mindset and attitude towards the partner did not yield meaningful results. Overall, the studies demonstrate the relevance of psychological factors for childbirth. The construct of a birth-related mindset could contribute to a better understanding of childbirth and help to make women’s birth experiences safer and more satisfying and improve the transition to parenthood for the whole family.en
dc.rightsIn Copyright
dc.subjectPsychologie der Geburt
dc.subjectBirth experience
dc.subjectPsychology of Birth
dc.subjectBirth outcomes
dc.subject.ddc150 Psychologie
dc.titleOn the Psychology of Birth
dc.typeDissertation oder Habilitation
dc.publisher.nameUniversitäts- und Landesbibliothek Bonn
ulbbnediss.affiliation.nameRheinische Friedrich-Wilhelms-Universität Bonn
ulbbnediss.institutePhilosophische Fakultät : Institut für Psychologie
ulbbnediss.fakultaetPhilosophische Fakultät
dc.contributor.coRefereeNeyer, Franz J.

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