Validation of the Anxiety Scale for Pregnancy in a Sample of Iranian Women

Validation of the Anxiety Scale for Pregnancy in a Sample of Iranian Women
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DOI:
10.15296/ijwhr.2018.12
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发表时间:
2018-01-01
影响因子:
0.7
通讯作者:
Akaberi, Arash
Akaberi, Arash
中科院分区:
其他
文献类型:
--
作者:
Mortazavi, Forough;Akaberi, Arash

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目的:妊娠相关焦虑是不良结局的危险因素。本研究的目的是验证波斯语版本的怀孕焦虑量表(ASP)的样本中的伊朗women.Materials和方法:翻译和回译后的ASP,内容效度比(CVR)和内容效度指数(CVI)的每个项目的基础上计算的意见,一个小组的10名专家。400名怀孕晚期的孕妇完成了波斯语版的ASP。对于判别效度,我们比较了ASP平均得分的妇女与低和高水平的分娩恐惧。结果:所有条目的CVR和CVI得分均不低于0.62和0.8。对于拟定的5因素模型,ASP的CFA结果不令人满意(RMSEA = 0.087,SRMR = 0.092,卡方/df = 4.03,CFI = 0.87,GFI = 0.91)。删除项目9后,获得了满意的CFA结果,并确认了结构模型拟合(RMSEA = 0.066(CI [0.053,0.078]),SRMR = 0.069,卡方/df = 2.71,CFI = 0.93,GFI = 0.95)。13项ASP的Cronbach系数为0.703。该量表与Spielberger状态-特质焦虑量表(STAI)和分娩态度问卷(CAQ)评分呈中度相关(分别为0.61、0.59和0.57),并能很好地区分倾向于剖宫产的妇女和要求阴道分娩的妇女。本研究证实了内容效度和结构效度的波斯语版本的13项ASP的妇女在妊娠晚期。
Objectives: Pregnancy-related anxiety is a risk factor for poor outcomes. The aim of this study was to validate the Farsi version of the Anxiety Scale for Pregnancy (ASP) in a sample of Iranian women.Materials and Methods: After translation and back-translation of the ASP, the content validity ratio (CVR) and the content validity index (CVI) of each item were calculated based on the opinions of a panel of 10 experts. Four hundred pregnant women in the third trimester of pregnancy completed the Farsi version of the ASP. For discriminant validity, we compared the ASP mean scores of women with low and high levels of childbirth fear. Confirmatory factor analysis (CFA) was performed to investigate construct validity of the scale.Results: No item had CVR and CVI scores less than 0.62 and 0.8, respectively. The results of the CFA for the ASP were unsatisfactory for the proposed 5-factor model (RMSEA = 0.087, SRMR = 0.092, chi-square/df = 4.03, CFI = 0.87, and GFI = 0.91). After removing item 9, satisfactory CFA results were obtained and the structural model fit was confirmed (RMSEA = 0.066 (CI [0.053, 0.078]), SRMR = 0.069, chi-square/df = 2.71, CFI = 0.93, GFI = 0.95). Cronbach acoefficient for the 13-item ASP was 0.703. The scale showed moderate correlations with the Spielberger State-Trait Anxiety Inventory (STAI) and Childbirth Attitudes Questionnaire (CAQ) scores (0.61, 0.59, and 0.57, respectively) and could differentiate well between women who preferred cesarean and those requesting vaginal delivery.Conclusion: The present study confirmed the content validity and construct validity of the Farsi version of the 13-item ASP for women in the third trimester of pregnancy.