{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:21:20Z","timestamp":1791195680684,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pregnancy\u2010related anxiety and fear of childbirth are common in primiparous women and contribute to high cesarean section rates. Few interventions specifically target emotion regulation skills.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the efficacy of a brief, midwife\u2010led, group\u2010based counseling program grounded in Gross's emotion regulation model in reducing pregnancy\u2010related anxiety and fear of childbirth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pragmatic randomized controlled trial in Hamadan, Iran, 2023. Seventy primiparous women (28\u201333 weeks gestation) were allocated (1:1) to 6 weekly emotion regulation counseling sessions or routine prenatal care. Primary outcomes were post\u2010intervention scores on the Persian Pregnancy\u2010Related Anxiety Questionnaire (PRAQ) and Childbirth Attitudes Questionnaire (CAQ), analyzed by ANCOVA adjusting for baseline scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Adjusted mean PRAQ scores were 36.65 (SE 2.74) vs. 66.41 (SE 2.74) (adjusted difference \u201329.76, 95% CI \u221237.28 to \u221222.24, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.95,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Adjusted mean CAQ scores were 25.51 (SE 1.07) vs. 35.99 (SE 1.07) (adjusted difference \u221210.48, 95% CI \u221213.48 to \u20137.48, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.71,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Effects remained robust after adjustment for insurance status.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This brief emotion regulation intervention produced large reductions in pregnancy\u2010related anxiety and fear of childbirth. Findings are preliminary due to single\u2010center design, lack of blinding, and subjective outcomes. Larger multicenter trials with attention controls and long\u2010term follow\u2010up are needed before routine implementation.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      IRCT20230115054147N1.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71781","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T07:18:59Z","timestamp":1770362339000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Effect of Emotional Self\u2010Regulation Counseling on Anxiety and Fear of Childbirth in First\u2010Time Pregnant Women: A Clinical Trial Study"],"prefix":"10.1002","volume":"9","author":[{"given":"Negar","family":"Masoumi","sequence":"first","affiliation":[{"name":"Department of Midwifery and reproductive Health, School of Nursing and Midwifery Hamadan University of Medical Sciences Hamadan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farideh","family":"Kazemi","sequence":"additional","affiliation":[{"name":"Department of Midwifery and reproductive Health, School of Nursing and Midwifery Hamadan University of Medical Sciences Hamadan Iran"},{"name":"Mother and Child Care Research Center, Institute of Health Sciences and Technologies Hamadan University of Medical Sciences Hamadan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5220-9442","authenticated-orcid":false,"given":"Azita","family":"Tiznobaik","sequence":"additional","affiliation":[{"name":"Department of Midwifery and reproductive Health, School of Nursing and Midwifery Hamadan University of Medical Sciences Hamadan Iran"},{"name":"Mother and Child Care Research Center, Institute of Health Sciences and Technologies Hamadan University of Medical Sciences Hamadan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Ahmadpanah","sequence":"additional","affiliation":[{"name":"Behavioral Disorders and Substance Abuse Research Center, Institute of Neuroscience and Mental Health Hamadan University of Medical Sciences Hamadan Iran"},{"name":"Department of Psychiatry, School of Medicine Hamadan University of Medical Sciences Hamadan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0278432"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2018.03.010"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.05.016"},{"issue":"11","key":"e_1_2_13_5_1","first-page":"787","article-title":"Hoseinnezhad S, Nabizade D. 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