Impact of Peplau’s Communication Therapy on Tokophobia, Stress, and Anxiety in Pregnant Women: A Quasi-Experimental Study

Darabpour Ghandali, Yasman; Zarea, Kourosh; Sattari, Amin; Komili-Sani, Hossein; Hossein Haghighizadeh, Mohammad

doi:10.22038/jmrh.2026.88932.2695

Impact of Peplau’s Communication Therapy on Tokophobia, Stress, and Anxiety in Pregnant Women: A Quasi-Experimental Study

Articles in Press

Document Type : Original Research Article

Authors

Yasman Darabpour Ghandali ¹

kourosh zarea ²

Amin Sattari ³

Hossein Komili-Sani ¹

Mohammad Hossein Haghighizadeh ¹

¹ Ahvaz Jundishapur university of medical sciences(AJUMS), Ahvaz, Iran

² Ahvaz Jundishapur university of medical sciences, Ahvaz, Iran

³ School of Nursing and Midwifery, Ahvaz Jundishapur university of medical sciences(AJUMS), Ahvaz, Iran

10.22038/jmrh.2026.88932.2695

Abstract

Background & aim: Tokophobia is a common concern among pregnant women that can negatively affect mental health and complicate labor. This study evaluated the effectiveness of interpersonal communication therapy based on Peplau’s model in reducing tokophobia, stress, and anxiety in primiparous women.
Methods: A quasi-experimental pre-test/post-test design was used. Sixty nulliparous women with tokophobia from health centers in Ahvaz were assigned to either an experimental group (8 sessions of communication therapy) or a control group (routine care only). Data were collected using Hartman’s Fear of Childbirth Scale, Cohen’s Perceived Stress Scale, and Beck’s Anxiety Inventory, and analyzed using SPSS 25 with a significance level of 0.05.
Results: Before the intervention, no significant differences were found between groups in mean scores of tokophobia (p = 0.17), stress (p = 0.70), or anxiety (p = 0.86), indicating homogeneity. After the intervention, the experimental group showed significantly lower mean scores compared to the control group across all measured variables. Specifically, the mean tokophobia score decreased to 19.10±7.80 in the experimental group compared to 29.40±6.94 in the control group (p<0.001; 95% CI: 6.48 to 14.11). Stress levels were also significantly reduced in the experimental group (20.40±5.15) compared to the control group (28.16±4.61) (p<0.001; 95% CI: -10.29 to -5.29). Similarly, anxiety scores decreased to 9.13±7.64 in the experimental group, while remaining higher at 16.16±7.55 in the control group (p<0.001; 95% CI: -9.99 to -2.04).
Conclusion: Peplau’s interpersonal communication therapy effectively reduces tokophobia, stress, and anxiety in primiparous pregnant women. Healthcare providers should consider integrating this structured communication model into routine prenatal care to improve maternal psychological outcomes.

Keywords

Communication therapy

tokophobia

stress

anxiety

Pregnancy

Subjects