Psychometric properties of the Pandemic-Related Pregnancy Stress Scale (PREPS).
Psychometric properties of the Pandemic-Related Pregnancy Stress Scale (PREPS).
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DOI：
10.1080/0167482x.2020.1801625
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Lobel M
中科院分区：
文献类型：
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作者：
Preis H;Mahaffey B;Lobel M
孕妇正面临许多与COVID-19相关的负担，包括社会孤立、经济不安全、病毒对胎儿发育影响的不确定性以及产前护理限制。我们测试了一种新工具的心理测量特性，该工具旨在评估孕妇所经历的流行病相关压力的程度和类型。来自美国各地的4，451名孕妇通过社交媒体招募，并于2020年4月至5月完成了在线问卷调查。调查问卷包括心理、社会人口和产科因素的测量以及新的流行病相关妊娠压力量表（PREPS）。PREPS的解释性因素分析显示了极好的模型拟合。围产期感染应激（5项）、准备应激（7项）和积极评价（3项）三个因素与预期的心理因素收敛和发散，由这些因素创建的量表显示出可接受的良好信度（α = 0.68-0.86）。此外，平均PREPS评分与感知的感染风险以及与COVID-19相关的财务和职业负担相关。PREPS是评估多维COVID-19大流行产前压力的有力工具。这是一个宝贵的工具，为未来的研究，以检查脆弱性，流行病的压力，以及这种压力如何可能影响妇女和他们的后代。
Pregnant women are facing numerous COVID-19 related burdens including social isolation, financial insecurity, uncertainty about the impact of the virus on fetal development, and prenatal care restrictions. We tested the psychometric properties of a new instrument designed to assess the extent and types of pandemic-related stress experienced by pregnant women. 4,451 pregnant women from across the U.S. were recruited via social media and completed an online questionnaire in April-May 2020. The questionnaire included measures of psychological, sociodemographic, and obstetric factors and the new Pandemic-Related Pregnancy Stress Scale (PREPS). Confirmatory factor analyses of the PREPS showed excellent model fit. Three factors -- Perinatal Infection Stress (5 items), Preparedness Stress (7 items), and Positive Appraisal (3 items) -- converged and diverged with expected psychological factors, and scales created from these factors demonstrated acceptable to good reliability (α’s 0.68-0.86). In addition, mean PREPS scores were associated with perceived risk of infection, and with financial and vocational COVID-19 related burdens. The PREPS is a robust instrument to assess multidimensional COVID-19 pandemic prenatal stress. It is a valuable tool for future research to examine vulnerability to pandemic stress and how this stress may affect women and their offspring.