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The development and initial validation of the Tokophobia Severity Scale


Wootton, BM and Davis, E and Moses, K and Moody, A and Maguire, P, The development and initial validation of the Tokophobia Severity Scale, Clinical Psychologist, 24 pp. 267-275. ISSN 1328-4207 (2020) [Refereed Article]

Copyright Statement

2020 The Australian Psychological Society

DOI: doi:10.1111/cp.12220


Objective: Severe fear of childbirth (tokophobia; TP) is an understudied and under-recognised phenomenon that has significant implications for maternal mental 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 newly developed self-report scale, the Tokophobia Severity Scale (TSS), in a sample of 122 female participants.

Results: The final measure consisted of 13 items. The scale demonstrated a unidimensional structure and items demonstrated excellent internal consistency (α = .93) and adequate convergent validity with the Wijma Delivery Expectancy/Experience Questionnaire-Version A.

Conclusions: The findings provide preliminary evidence to suggest that the TSS is a brief, valid and reliable measure that may be used in the future to identify women with TP who may benefit from psychological and supportive interventions prior to delivery.

Item Details

Item Type:Refereed Article
Keywords:assessment, fear of childbirth, severity, Tokophobia
Research Division:Psychology
Research Group:Clinical and health psychology
Research Field:Health psychology
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in psychology
UTAS Author:Wootton, BM (Dr Bethany Wootton)
UTAS Author:Moody, A (Dr Amanda Moody)
ID Code:140060
Year Published:2020
Web of Science® Times Cited:3
Deposited By:Medicine
Deposited On:2020-07-23
Last Modified:2021-09-03

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