{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T10:32:39Z","timestamp":1781001159113,"version":"3.54.1"},"reference-count":64,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T00:00:00Z","timestamp":1597708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate whether levels of perfectionism, organization, and intolerance of uncertainty predispose women to more negative birth experiences and post\u2010partum post\u2010traumatic stress symptoms (PTSS). Birth experience was also examined as a potential moderator of the relationship between levels of the personality traits and post\u2010natal PTSS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      First\u2010time expectant mothers (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a010,000) were contacted via\n                      <jats:italic>Emma\u2019s Diary<\/jats:italic>\n                      during the perinatal period. At 32\u201342\u00a0weeks\u2019 gestation, participants completed measures examining the three personality traits and prenatal mood. At 6\u201312\u00a0weeks\u2019 post\u2010partum, instruments assessing childbirth experience, birth trauma, PTSS, and post\u2010natal mood were completed. Data from 418 women were analysed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher perfectionism and intolerance of uncertainty were associated with more negative birth appraisals and PTSS. Organization was unrelated to birth experience or PTSS. In a regression, higher intolerance of uncertainty and perfectionism statistically predicted more negative birth appraisals. Only perfectionism predicted PTSS. Birth experience did not moderate the relationship between perfectionism or intolerance of uncertainty and PTSS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Personality risk factors for negative birth experiences and post\u2010natal PTSS are identifiable prenatally. Maternity care providers could educate women about the unique roles of high perfectionism and intolerance of uncertainty during antenatal birth preparation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Women who expect themselves to be more perfect or who find it more difficult to cope with uncertainty had more negative experiences of childbirth.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Women with higher levels of perfectionism were more likely to experience more symptoms of post\u2010traumatic stress during the early post\u2010natal period.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Being more perfectionistic continued to have a more negative effect on women\u2019s well\u2010being after birth, regardless of whether they had a positive or negative experience of birth.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Integrating these findings into antenatal discussion around birth preferences would increase women\u2019s awareness of predisposing and obstetric risk factors that partially explain experiences of unsatisfactory births and post\u2010partum post\u2010traumatic stress.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  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