Nichole Fairbrother

Nichole Fairbrother
University of British Columbia - Vancouver | UBC · Department of Family Practice

Doctor of Philosophy

About

55
Publications
23,436
Reads
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2,137
Citations
Citations since 2017
28 Research Items
1426 Citations
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20172018201920202021202220230100200300
20172018201920202021202220230100200300
Additional affiliations
January 2009 - present
University of British Columbia - Vancouver
Position
  • Professor (Assistant)

Publications

Publications (55)
Article
Full-text available
Purpose Perinatal mental health disorders are common, and rates have increased during the COVID-19 pandemic. It is unclear where providers may improve perinatal mental health care, particularly in countries lacking national guidelines, such as Canada. Methods A cross-sectional survey of perinatal health providers was conducted to describe the land...
Article
Full-text available
Background: Perinatal anxiety and related disorders are common (20%), distressing and impairing. Fear of childbirth (FoB) is a common type of perinatal anxiety associated with negative mental health, obstetrical, childbirth and child outcomes. Screening can facilitate treatment access for those most in need. Objectives: The purpose of this resea...
Chapter
Unwanted, intrusive thoughts (UITs) of infant-related harm are a common and normative postpartum experience, particularly among first-time parents. UITs of infant-related harm reflect new parents’ intense preoccupation with their infant, and may have evolved to increase hypervigilance to threat in the caregiving environment in order to protect the...
Article
Objective: Unwanted intrusive thoughts (UITs) of intentional infant-related harm are ubiquitous among new mothers and frequently raise concerns about infant safety. The purpose of this research was to assess the relation of new mothers' UITs of intentional, infant-related harm and obsessive-compulsive disorder (OCD) with maternal aggression toward...
Article
Full-text available
Fear of childbirth affects as many as 20% of pregnant people, and has been associated with pregnancy termination, prolonged labour, increased risk of emergency and elective caesarean delivery, poor maternal mental health, and poor maternal-infant bonding. Currently available measures of fear of childbirth fail to fully capture pregnant people’s chi...
Preprint
Background: Perinatal anxiety and related disorders are common (20%), distressing and impairing. Fear of childbirth (FoB) is a common type of perinatal anxiety associated with negative mental health, obstetrical, childbirth and child outcomes. Screening can facilitate treatment access for those most in need. Objectives: The purpose of this research...
Article
Screening for perinatal-occurring obsessive-compulsive disorder (OCD) is rare. We sought to evaluate the Dimensional Obsessive-Compulsive Scale (DOCS) as a screening tool for perinatal OCD and compare the screening accuracy of the DOCS with the commonly recommended Edinburgh Postnatal Depression Scale (EPDS). English-speaking, pregnant individuals...
Chapter
Postpartum obsessive-compulsive disorder can occur as a new disorder, as a preexisting condition, or can represent the exacerbation or recurrence of a prior condition. The presentation of postpartum OCD is often characterized by a rapid onset, and commonly includes obsessions of harm related to the newborn, typically around the time of birth. Sympt...
Preprint
Full-text available
Background Fear of childbirth affects as many as 20% of pregnant people, and has been associated with pregnancy termination, prolonged labour, increased risk of emergency and elective caesarean delivery, poor maternal mental health, and poor maternal-infant bonding. Currently available measures of fear of childbirth fail to fully capture pregnant p...
Article
Objective: During the perinatal period, women are at an increased risk for the onset/exacerbation of obsessive-compulsive disorder (OCD) and may experience perinatal-specific obsessions and/or compulsions. Past research has provided preliminary findings regarding the prevalence of OCD in the perinatal period but has often reported limited metrics a...
Article
Full-text available
Background: Symptoms of anxiety are common among pregnant and postpartum women, and 15%-20% of pregnancies are affected by medical complications. Despite this, little is known about the relationship of medical complications in pregnancy and women's experience of anxiety. The purpose of this research was to conduct a systematic review and meta-anal...
Article
Objective: To estimate the prevalence of anxiety disorders in pregnant and postpartum women and identify predictors accounting for variability across estimates. Data Sources: An electronic search of PsycINFO and PubMed was conducted from inception until July 2016, without date or language restrictions, and supplemented by articles referenced in th...
Article
Full-text available
Open relationships are those in which individuals agree to participate in sexual and/or emotional and romantic interactions with more than one partner. Accurate estimates of the prevalence of open relationships, based on representative, unbiased samples, are few, and there are none from outside of the United States. We present findings from a natio...
Article
Full-text available
Background Unwanted, intrusive thoughts of harm-related to the infant are reported by the vast majority of new mothers, with half of all new mothers reporting unwanted, intrusive thoughts of harming their infant on purpose. Thoughts of intentional harm, in particular, are distressing to women, their partners and the people who care for them. While...
Article
Full-text available
Despite an abundance of self-report measures that screen for the presence of specific phobias, there is a lack of comprehensive, well-validated screening tools for identifying a wide range of fears based on DSM-5 specific phobia types. The current paper reports on the psychometric properties and clinical utility of the Specific Phobia Questionnaire...
Article
Background: The anxiety and their related disorders (AD) are the most prevalent of all mental health conditions, disproportionately affecting women. The value of perinatal AD screening is well established but there is very limited evidence to support the applicability of existing anxiety screening instruments. To our knowledge, no previous studies...
Article
Full-text available
Objective Epidemiological research plays an important role in public health, facilitated by the meta‐analytic aggregation of epidemiological trials into a single, more powerful estimate. This form of aggregation is complicated when estimating the prevalence of a superordinate category of disorders (e.g., “any anxiety disorder,” “any cardiac disorde...
Article
Background: Unwanted intrusive thoughts of intentionally harming one's infant (intrusive harm thoughts) are common distressing experiences among postpartum mothers and fathers. Aim: To understand infant crying as a stimulus for intrusive harm thoughts and associated emotional responses in prepartum and postpartum mothers and fathers in response...
Article
Full-text available
Approximately 33% of normal-length (21⁻35 days) cycles have subclinical ovulatory disturbances and lack sufficient progesterone, although their normal length ensures enough estrogen. Subclinical ovulatory disturbances are related to significant premenopausal spine bone loss (-0.86%/year). Molimina, non-distressing premenstrual experiences, may dete...
Article
Purpose: To investigate the observation that perpetrators of abusive head trauma engage in repeated shakings because shaking "works" to quiet the infant. Methods: Sixty first-time parent couples individually cared for a programmable model infant in two consecutive 7-min trials. After six minutes of consolable followed by inconsolable crying, par...
Article
Full-text available
Background: Unwanted, intrusive thoughts of infant-related harm are a normal, albeit distressing experience for most new mothers. The occurrence of these thoughts can represent a risk factor for the development of obsessive compulsive disorder (OCD). As the early postpartum period represents a time of increased risk for OCD development, the transi...
Article
Introduction: The purpose of this study was to assess how preferences for place of birth and mode of birth relate to different dimensions of childbirth fear and whether there is an association between Canadian women's prenatal fear of childbirth and the type and quality of prenatal care they received. Methods: A link to an online survey was post...
Article
Full-text available
Objective: The objective of the current study was to investigate the relationship between the newly developed Childbirth Fear Questionnaire (CFQ) and demographic and reproductive variables. Background: The CFQ was developed in an effort to improve measurement and understanding of women’s childbirth fears. To our knowledge the CFQ is the only multid...
Article
Full-text available
Background: Despite a sharp increase in the number of publications that report on treatment options for pregnancy-specific anxiety and fear of childbirth (PSA/FoB), no systematic review of nonpharmacological prenatal interventions for PSA/FoB has been published. Our team addressed this gap, as an important first step in developing guidelines and r...
Article
Full-text available
Over 20% of pregnancies involve medical difficulties that pose some threat to the health and well-being of the mother, her developing infant, or both. We report on the first comparison of the prevalence and incidence of maternal anxiety disorders (AD) in pregnancy and the postpartum, across levels of medical risk in pregnancy. Pregnant women (N = 3...
Article
This study explored the critical incidents that facilitated and hindered the development and maintenance of polyamorous relationships. The first author conducted semi-structured, open-ended interviews with eleven people who had been in a polyamorous relational dynamic for a minimum of one year in the two years prior. Participants were asked to repo...
Article
Full-text available
Mood and anxiety and related disorders (AD) account for a significant proportion of mental health conditions, with close to 30 % of the population (28.8 %) suffering from an AD at some time in their life, and over fifteen percent (16.2 %) suffering from a mood disorder. The existing empirical literature leaves a number of important gaps with respec...
Article
Full-text available
Ninety-eight mothers of healthy firstborn infants 0 to 6 months old were randomly assigned to listen to 10-min of infant crying or infant cooing while continuously rating subjective feelings of frustration. Participants completed pre-test measures of depressed mood, empathy, and trait anger and post-test measures of infant-related harm thoughts, ne...
Article
Full-text available
Background Available birth settings have diversified in Canada since the integration of regulated midwifery. Midwives are required to offer eligible women choice of birth place; and 25-30% of midwifery clients plan home births. Canadian provincial health ministries have instituted reimbursement schema and regulatory guidelines to ensure access to m...
Article
Full-text available
Prolonged inconsolable crying bouts in the first months of life are frustrating to parents and may lead to abuse. There is no empirical description of frustration trajectories during prolonged crying, nor of their emotional predictors or emotional and behavioural sequelae. Frustration responses and their relationships were explored in an analogue c...
Article
Full-text available
Using an experimental design, this study assessed knowledge, attitudes, and intentions regarding infant feeding practices among Canadian female university undergraduates (N = 285). Participants completed a survey of knowledge, attitudes, and intentions with respect to infant-feeding practices. Two versions of the survey were randomly distributed to...
Article
Full-text available
At 30 percent, British Columbia has the highest cesarean section rate in Canada. Little is known about the childbirth views and birthing preferences of college-aged women and men. The objectives of this study were to document (a) the prevalence of cesarean versus vaginal delivery as the preferred mode of delivery among nonpregnant university studen...
Article
Female fertility declines with age; however, women are increasingly delaying childbearing until later in their reproductive years. One of the factors that may contribute to this trend is a general lack of knowledge about the decline in fertility with age. Self-report survey. Questions pertained to participant demographics and childbearing intention...
Article
Full-text available
Although fatigue is a common experience for pregnant women and new mothers, few measures of fatigue have been validated for use with this population. To address this gap, the authors assessed psychometric properties of the Multidimensional Assessment of Fatigue (MAF) scale, which was used in 2 independent samples of pregnant women. Results indicate...
Article
Full-text available
There are few published studies of new mothers' experiences of intrusive thoughts of harm related to the newborn. Evidence-based information about the normal phenomenology of intrusive thoughts of harm related to the newborn is needed to facilitate appropriate clinical decision-making. The objective of this project was to assess the phenomenology,...
Article
This prospective study examined psychological and obstetrical predictors of enduring postpartum symptoms of depression and post-traumatic stress disorder. Contrary to prediction, prenatal fear of childbirth did not significantly predict symptoms of depression or post-traumatic stress disorder at one month postpartum, but anxiety sensitivity was an...
Article
Research on emotional disturbance during pregnancy and the postpartum period has focused primarily on mood disorders and psychosis, yet preliminary evidence suggests that early parenthood is also associated with an increased risk for the development and exacerbation of obsessional problems. In this article we describe the nature of "postpartum obse...
Article
We investigated a major component of the Ehlers-Clark theory of post-traumatic stress disorder (PTSD) in a sample of 50 female victims of sexual assault. In particular, we tested the hypothesis that the victims' appraisals of the trauma and its consequences contribute significantly to the persistence of PTSD symptoms. The results indicated that the...
Article
An experiment was carried out in order to test the hypothesis that feelings of mental pollution can be induced without physical contact. A sample of 121 female university undergraduates were asked to imagine experiencing a non-consensual kiss at a party, as described on an audiotape, or a consensual kiss described on a comparable audiotape. The man...
Article
Full-text available
To examine the relation between the mood and anxiety of pregnant, psychiatrically treated women and neonatal health outcomes after birth. We prospectively assessed 46 women treated with psychotropic medications for anxiety and depression during pregnancy. We compared measures of maternal mental health with infant outcomes, in particular, the outcom...
Article
This paper describes an investigation of the phenomenon of mental pollution in a sample of 50 female victims of sexual assault. Feelings of mental pollution were assessed using an interview and a questionnaire. An experimental procedure was employed to determine if feelings of dirtiness and the urge to wash could be provoked by deliberate attention...
Article
Full-text available
Most North American universities offer sexual assault prevention programs focusing on attitude change. However, the few program outcome evaluations suggest that these programs may not be effective. This review summarizes the research on sexual assault program evaluation. It is apparent that the most promising avenue for sexual assault prevention ma...
Article
Full-text available
An important early work by the French psychiatrist, Paul Hartenberg, Les Timides et la Timidité, published in 1901, has been overlooked in the English language literature on Social Phobia. Hartenberg's understanding of the phenomenology of social phobia is surprisingly similar to modern conceptualizations of the disorder. His description of the dis...
Article
Full-text available
Thesis (Ph. D.)--University of British Columbia, 2002. Includes bibliographical references.
Article
Full-text available
This study examined the status of sociotropy,autonomy, and self-discrepancy in clinically depressed(N = 28), remitted depressed (N = 20), and controlindividuals (N = 20). Results from the Personal Style Inventory (PSI)and the Selves Questionnaireindicated that depressed, remitted, and controlparticipants differed significantly in their levels ofsoc...

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