Cultural adaptation and psychometric validation of the Pregnancy Experience Scale-Brief version (PES-Brief) in Pakistani women with antenatal anxiety symptoms.
Cultural adaptation and psychometric validation of the Pregnancy Experience Scale-Brief version (PES-Brief) in Pakistani women with antenatal anxiety symptoms.
复制标题
对有产前焦虑症状的巴基斯坦妇女进行妊娠经历量表简报版 (PES-Brief) 的文化适应和心理测量验证。
DOI：
10.1016/j.ssmmh.2021.100055
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Malik,Abid
中科院分区：
文献类型：
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作者：
Zaidi,Ahmed;Khan,Aasia;Rowther,Armaan;Nazir,Huma;Perin,Jamie;Rauf,Nida;Mumtaz,Sidra;Naseem,Hina;Atif,Najia;Rahman,Atif;Surkan,PamelaJ;Malik,Abid
背景怀孕经历影响胎儿和出生结果。缺乏本地验证的工具来评估怀孕经历。我们的目的是在有焦虑症状的巴基斯坦孕妇中验证妊娠经历量表简报 (PES-Brief)。方法采用两步过程，包括 1) 通过翻译/回译进行适应，然后对 10 名参与者进行认知访谈，2) 对巴基斯坦拉瓦尔品第的 605 名妇女进行因素分析和验证，这些妇女有轻度中度焦虑症状，曾到产前诊所就诊，妊娠 ≤22 周且≥18 周岁了。我们计算了内部一致性和可靠性，并进行了探索性和验证性因子分析。结果文化适应导致在麻烦子量表中包含一项，在提升子量表中排除一项，从而导致 9 项提升和 11 项麻烦。探索性因子分析支持双因子结构，调整后的项目各自因子的载荷值≥0.24。提升（Cronbach’s alpha = 0.89）和麻烦（Cronbach’s alpha = 0.85）子量表的内部一致性得到了证明。提升强度与医院焦虑和抑郁量表焦虑子量表中度相关（r = 0.54，95% CI：0.30-0.77）。结论乌尔都语 PES 简报是用于治疗患有产前焦虑的巴基斯坦孕妇的可靠且有效的工具。未来需要对没有焦虑症状的女性进行有效性研究。
BackgroundPregnancy experiences influence fetal and birth outcomes. There is scarcity of locally validated tools to assess pregnancy experiences. We aimed to validate the Pregnancy Experience Scale-Brief (PES-Brief) in pregnant Pakistani women with anxiety symptoms.MethodsA two-step process was used including 1) adaptation via translation/back-translation followed by cognitive interviewing with 10 participants and 2) factor analysis and validation with 605 women in Rawalpindi Pakistan who had mild-moderate symptoms of anxiety, attended the antenatal clinic, and were ≤22 weeks of gestation and ≥18 years old. We calculated internal consistency and reliability and conducted exploratory and confirmatory factor analyses.ResultsCultural adaptation led to inclusion of one item of the hassles subscale and exclusion of one item in the uplifts subscale, resulting in 9 uplifts and 11 hassles. Exploratory factor analysis supported a two-factor structure, with the adapted items exhibiting loading values of ≥0.24 for their respective factors. Internal consistency was demonstrated for uplifts (Cronbach’s alpha = 0.89) and hassles (Cronbach’s alpha = 0.85) subscales. Uplift intensity was moderately correlated with the Hospital Anxiety and Depression Scale anxiety subscale (r = 0.54, 95% CI:0.30–0.77).ConclusionThe Urdu PES-Brief is a reliable and valid tool for use in Pakistani pregnant women with antenatal anxiety. Future studies on its validity are needed on women without symptoms anxiety.