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The development and initial validation of the Tokophobia Severity Scale

Wootton, BM ORCID: 0000-0002-0751-8529, Davis, E, Moses, K, Moody, A and Maguire, P 2020 , 'The development and initial validation of the Tokophobia Severity Scale' , Clinical Psychologist , pp. 1-9 , doi:

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Objective: Severe fear of childbirth (tokophobia; TP) is an understudied andunder-recognised phenomenon that has significant implications for maternalmental health during pregnancy, labour and delivery. The few existing measures of TP are limited by lengthy formats, difficulty scoring and a narrow definition of the TP construct.Method: The current study examined the psychometric properties of a newlydeveloped self-report scale, the Tokophobia Severity Scale (TSS), in a sampleof 122 female participants.Results: The final measure consisted of 13 items. The scale demonstrated aunidimensional structure and items demonstrated excellent internal consistency (α = .93) and adequate convergent validity with the Wijma DeliveryExpectancy/Experience Questionnaire-Version A.Conclusions: The findings provide preliminary evidence to suggest that theTSS is a brief, valid and reliable measure that may be used in the future toidentify women with TP who may benefit from psychological and supportiveinterventions prior to delivery.

Item Type: Article
Authors/Creators:Wootton, BM and Davis, E and Moses, K and Moody, A and Maguire, P
Keywords: assessment, fear of childbirth, severity, Tokophobia
Journal or Publication Title: Clinical Psychologist
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 1328-4207
DOI / ID Number:
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© 2020 The Australian Psychological Society

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