Salwa Akiki

Date of Award


Degree Type


Degree Name

Master of Science


Epidemiology and Biostatistics


Dr. M. Karen Campbell


The current state of research into antenatal anxiety is lacking in a comprehensive understanding of determinants. This study aims to expand knowledge in this area, with the two main objectives being to determine potential determinants of maternal antenatal state-anxiety and to identify the pattern of state-anxiety in the second trimester, measured by the abbreviated state version of the State Trait Anxiety Inventory. Data used for this cross-sectional study were obtained from the Prenatal Health Project: a population cohort study of 2357 women in London, Ontario. Our primary hypothesis was that “feelings about the pregnancy” would be a determinant of antenatal state-anxiety. Results from a multiple linear regression analysis revealed that greater stress, feeling unsure/unhappy about the pregnancy and having low self-esteem, low mastery and low social support from one’s partner and family were statistically significant determinants of state-anxiety during the second trimester. In addition, anxiety was found to be inversely related to gestational age. We concluded that how a woman feels about her pregnancy was a predictor of state-anxiety. The findings of this study may facilitate anxiety prevention efforts.



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