Reliability and validity of three shortened versions of the State Anxiety Inventory scale during the perinatal period

Reliability and validity of three shortened versions of the State Anxiety Inventory scale during the perinatal period
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DOI:
10.3109/0167482x.2014.950218
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发表时间:
2014-09-01
影响因子:
3.1
通讯作者:
Tough, Suzanne
Tough, Suzanne
中科院分区:
医学3区
文献类型:
--
作者:
Bayrampour, Hamideh;McDonald, Sheila;Tough, Suzanne

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由于时间和知识的限制,产科环境中的焦虑筛查一直是具有挑战性的。简单、有效和可靠的工具可以为卫生保健专业人员提供一种快速、简单的方法来评估焦虑。编制了状态焦虑问卷的三个六个条目的量表。本研究的目的是评估和比较这些简短版本在围产期的心理测量学特性。数据来自加拿大艾伯塔省的一个纵向妊娠队列。对缩短版本的内部一致性进行了评估。验证性因素分析用于评估和比较孕期、产后4个月和12个月的适合度指标。各简化量表均显示出较高的内部一致性和信度,α系数在0.81~0.85之间。所有的拟合指数都大于0.93,这意味着每个模型与我们的数据之间都有很好的拟合。在模型比较中,Marteau和Bekker量表对怀孕期间和产后早期获得的数据提供了更稳健的拟合。在产后12个月,Chlan等人。Form展示了三个版本中最适合的版本。缩短的量表似乎具有可接受的心理测量学特性。简明量表有可能提供一种评估围产期焦虑的经济手段,并可被视为全面版的同等替代品。
The screening for anxiety in obstetric settings has been challenging due to time and knowledge constraints. Brief, valid, and reliable instruments can provide health care professionals with a quick and easy method to assess anxiety. Three six-item forms of the State Anxiety Inventory scale have been constructed. The purpose of this study was to evaluate and compare the psychometric properties of these short versions in the perinatal period. Data were drawn from a longitudinal pregnancy cohort in Alberta, Canada. Internal consistency of the shortened versions was assessed. Confirmatory factor analysis was conducted to estimate and compare indicators of fit during pregnancy and at 4 and 12 months postpartum. All shortened scales demonstrated high internal consistency and reliability, with alphas ranging from 0.81 to 0.85. All fit indices were greater than 0.93, implying a good fit between each model and our data. In the model comparisons, the Marteau and Bekker scale provided a more robust fit to data obtained during pregnancy and the early postpartum period. At 12 months postpartum, the Chlan et al. form demonstrated the best fit of the three versions. The shortened scales appear to have acceptable psychometric properties. Brief scales have the potential to provide an economical means of assessing perinatal anxiety and can be considered as equivalent alternatives to the full-scale version.