Article

Journal of Clinical Psychology in Medical Settings

, Volume 14, Issue 4, pp 330-334

Predictors of Satisfaction with Obstetric Care in High-risk Pregnancy: The Importance of Patient–Provider Relationship

  • Sheera F. LermanAffiliated withDepartment of Psychology, Ben-Gurion University of the Negev Email author 
  • , Golan ShaharAffiliated withDepartment of Psychology, Ben-Gurion University of the NegevDepartment of Psychiatry, Yale University School of Medicine
  • , Kathryn A. CzarkowskiAffiliated withDepartment of Psychiatry, Yale University School of Medicine
  • , Naamit KurshanAffiliated withDepartment of Psychiatry, Yale University School of Medicine
  • , Urania MagriplesAffiliated withDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine
  • , Linda C. MayesAffiliated withYale Child Study Center
  • , C. Neill EppersonAffiliated withDepartment of Psychiatry, Yale University School of MedicineDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

The study set out to examine the predictive effects of patients’ emotional distress and their relationships with their health care providers on satisfaction with obstetric services in high-risk pregnancies. Participants were 104 pregnant women with a history of recurrent losses, fetal demise, previous or current fetal genetic abnormality, advanced maternal age, or obstetric or medical complications of the present pregnancy. Self-report measures of emotional distress and the quality of their relationships with their medical provider were administered. Hierarchical multiple regression analyses were conducted to assess the predictive effect of these variables on satisfaction with services. Provision of information, constructive communication, and good relationships predicted elevated satisfaction with health services. Provision of information also buffered against the adverse effect of emotional distress on satisfaction with health services. These findings elucidate the central role of provider–patient interaction, particularly as it is related to provision of information, in high-risk pregnancy.

Keywords

High-risk pregnancy Patient–doctor relationships Emotional distress Medical information Women’s health