# Anxiety, Coping, and Self-Efficacy as a Psychological Adjustment in Mothers Who Have Experienced a Preterm Birth

**Authors:** Agata Białas, Karolina Kamecka, Paweł Rasmus, Dariusz Timler, Remigiusz Kozłowski, Anna Lipert

PMC · DOI: 10.3390/jcm14124174 · Journal of Clinical Medicine · 2025-06-12

## TL;DR

This study compares anxiety, coping, and self-efficacy in mothers who had preterm births versus those who did not, to inform better psychological support.

## Contribution

The study identifies psychological differences in mothers of preterm infants and suggests targeted support programs based on personal resources.

## Key findings

- Mothers of preterm infants showed higher anxiety levels compared to those with full-term births.
- Preterm birth mothers had lower self-efficacy and used more emotion-focused coping strategies.
- The findings suggest a need for mother-oriented support programs to improve psychological adjustment.

## Abstract

Background/Objectives: Research shows that mothers of premature infants can experience increased symptoms of anxiety, depression, and even a post-traumatic stress in comparison to mothers of healthy, full-term infants. The aim of this study was to analyze and compare anxiety, coping, and self-efficacy in mothers who have and have not experienced a preterm birth, providing a basis for developing a targeted, mother-oriented support program that supports their adjustment to difficult situations. Methods: The study included 251 women, 112 of whom delivered infants prematurely (PTB group) and 139 who delivered infants at term (T-B group). Data were collected by using (1) The State-Trait Anxiety Inventory (STAI) Questionnaire, (2) the Generalized Self-Efficacy Scale (GSES), and (3) the Coping Inventory for Stressful Situations Questionnaire (CISS). Results: PTB women had higher results in anxiety in comparison to T-B women. Also, they were characterized by statistically significantly lower generalized self-efficacy and ability to cope with stress. PTB women more often presented the emotion-oriented coping style. Conclusions: A mother-oriented support program based on personal resources is a solution which could help mothers better adjust to difficult situations related to preterm birth child treatment and care.

## Full-text entities

- **Diseases:** depression (MESH:D003866), Anxiety (MESH:D001007), Preterm Birth (MESH:D047928), post (MESH:D000094025)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

57 references — full list in the complete paper: https://tomesphere.com/paper/PMC12194062/full.md

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Source: https://tomesphere.com/paper/PMC12194062