Effect of resilience training nursing intervention on pregnancy-related anxiety and maternal fetal attachment among women with unplanned pregnancy: A quasi-experimental study.

Authors

Mona Mohamed Gomaa, Hoda Ali Ahmed Shiba, Ayman Mohamed El-Ashry, Reda Mahmoud Mohamed Hables, Rania El-Kurdy

Published in

Archives of psychiatric nursing. Volume 64. Pages 152215. Epub Aug 11, 2026.

Abstract

To examine the effect of resilience training on pregnancy-related anxiety and maternal-fetal attachment among women with unplanned pregnancy.
Quasi-experimental pretest-posttest nonequivalent control group study, reported in line with Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklists.
A total of 164 women were initially conveniencly enrolled; four intervention-group participants discontinued because of incomplete session attendance. The final analysis included 160 women, with 80 in each group.
Structured interviewing questionnaire, Connor-Davidson Resilience Scale-10 (CD-RISC-10), Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQ-R2), and Cranley's Maternal-Fetal Attachment Scale (CMFAS).
Four group-based resilience training sessions delivered weekly; post-test conducted by phone one month after the intervention. The control group received routine antenatal care. Baseline characteristics were compared using independent t-tests and chi-square tests. Intervention effects were assessed using two-way mixed repeated-measures ANOVA, with effect sizes reported as partial eta squared (η²) and Cramer's V., with statistical significance established at p < 0.05.
Post-intervention, the intervention group had lower pregnancy-related anxiety than controls (18.80 ± 6.79 vs. 40.03 ± 7.06; p < 0.001), higher maternal-fetal attachment (64.97 ± 10.41 vs. 33.98 ± 8.96; p < 0.001), and higher resilience (31.41 ± 5.64 vs. 10.89 ± 4.58; p < 0.001).
Resilience training significantly reduced pregnancy-related anxiety and improved maternal-fetal attachment and resilience in women with unplanned pregnancy; it should be integrated into antenatal education programs.

PMID:
42863909
Bibliographic data and abstract were imported from PubMed on 13 Oct 2026.

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