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Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

Psychometric Properties of the Antenatal Psychosocial Stress Scale in Turkish Pregnant Women

Author(s): Nuran Nur Aypar Akbag*, Yasemin Sanli and Gamze Göke Arslan

Volume 20, Issue 5, 2024

Published on: 06 September, 2023

Article ID: e010923220621 Pages: 8

DOI: 10.2174/1573404820666230901123419

Price: $65

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Abstract

Background: Minimizing the stress levels of pregnant women is important to giving healthy birth and raising healthy generations. Therefore, there is a need for effective methods to diagnose stress early in pregnancy.

Objective: The purpose of this research was to examine the psychometric features of the Antenatal Psychosocial Stress Scale (APSS) in pregnant Turkish women.

Methods: This methodological study was conducted on 290 pregnant women.

Results: The Turkish version of the APSS based on Exploratory Factor Analysis was found to have 70.215 percent of the total variance. It had a Cronbach's alpha coefficient of 0.78. After the confirmatory factor analysis, the following were determined: χ2/df: 1.663, CFI: 0.978, RMSEA: 0.048, GFI: 0. 972.

Conclusion: The Turkish sample found the APSS to be a valid and trustworthy assessment instrument for pregnant women.

Graphical Abstract

[1]
Sis Celik, A.; Atasever, I. Determination of the level of perceived stress and affecting factors in pregnant women. Anadolu Hemsire. Saglik Bilim. Derg., 2020, 23(2), 267-276.
[2]
Kaya, Y.; Sayik, D.; Kaya Usta, E.; Palas Karaca, P.; Bilgin, M. Effect of pregnancy school on distress during pregnancy. Osmangazi. J. Med., 2020, 42(2), 188-194.
[http://dx.doi.org/10.20515/otd.537863]
[3]
Daglar, G.; Nur, N. Level of mother-baby bonding and influencing factors during pregnancy and postpartum period. Psychiatr. Danub., 2108, 30(4), 433-440.
[http://dx.doi.org/10.24869/psyd.2018.433] [PMID: 30439803]
[4]
Genç Koyucu, R.; Ülkar, D.; Erdem, B. Comparison of Pregnancy Stresses in Primiparous and Multiparous Pregnants. Journal of İnönü University Vocational School of Health Services, 2020, 8(3), 652-663.
[http://dx.doi.org/10.33715/inonusaglik.745511]
[5]
Çapık, C.; Gözüm, S.; Aksayan, S. Intercultural scale adaptation stages, language and culture adaptation: Updated guideline. Florence Nightingale J Nurs, 2018, 26, 199-210.
[http://dx.doi.org/10.26650/FNJN397481]
[6]
Bahadır Yılmaz, E.; Sahin, E. Factors associated with prenatal distress levels of pregnant women. J. Psychiatr. Nurs., 2019, 10(3), 197-203.
[http://dx.doi.org/10.14744/phd.2019.17363]
[7]
Coşkun, A.M.; Okcu, G.; Arslan, S. The impact of distress experienced during pregnancy on prenatal attachment. J. Perinatol., 2019, 27(2), 49-55.
[http://dx.doi.org/10.2399/prn.19.0272001]
[8]
García-Blanco, A.; Monferrer, A.; Grimaldos, J.; Hervás, D.; Balanzá-Martínez, V.; Diago, V.; Vento, M.; Cháfer-Pericás, C. A preliminary study to assess the impact of maternal age on stress-related variables in healthy nulliparous women. Psychoneuroendocrinology, 2017, 78, 97-104.
[http://dx.doi.org/10.1016/j.psyneuen.2017.01.018] [PMID: 28187401]
[9]
Atasever, İ.; Sis Çelik, A. The validity and reliability of the Antenatal Perceived Stress Inventory Turkish version: A methodological study. Health Care Women Int., 2018, 39(10), 1140-1157.
[http://dx.doi.org/10.1080/07399332.2018.1469635] [PMID: 29893628]
[10]
Guardino, C.M.; Dunkel Schetter, C. Coping during pregnancy: A systematic review and recommendations. Health Psychol. Rev., 2014, 8(1), 70-94.
[http://dx.doi.org/10.1080/17437199.2012.752659] [PMID: 24489596]
[11]
Chang, H.C.; Chen, S.Y.; Chen, C.H. Predictors of antenatal psychosocial stress in Taiwanese women. J. Nurs. Res., 2016, 24(3), 193-200.
[http://dx.doi.org/10.1097/jnr.0000000000000122] [PMID: 26584041]
[12]
Davis, E.P.; Glynn, L.M.; Schetter, C.D.; Hobel, C.; Chicz-Demet, A.; Sandman, C.A. Prenatal exposure to maternal depression and cortisol influences infant temperament. J. Am. Acad. Child Adolesc. Psychiatry, 2007, 46(6), 737-746.
[http://dx.doi.org/10.1097/chi.0b013e318047b775] [PMID: 17513986]
[13]
Berkowitz, G.S.; Wolff, M.S.; Janevic, T.M.; Holzman, I.R.; Yehuda, R.; Landrigan, P.J. The World Trade Center disaster and intrauterine growth restriction. JAMA, 2003, 290(5), 595-a-596.
[http://dx.doi.org/10.1001/jama.290.5.595-b] [PMID: 12902358]
[14]
Riedstra, J.P.; Aubuchon-Endsley, N.L. A moderated mediation model of maternal perinatal stress, anxiety, ınfant perceptions and breastfeeding. Nutrients, 2019, 11(12), 2981.
[http://dx.doi.org/10.3390/nu11122981] [PMID: 31817574]
[15]
Fisher, J.; Cabral de Mello, M.; Patel, V.; Rahman, A.; Tran, T.; Holton, S.; Holmes, W. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull. World Health Organ., 2012, 90(2), 139-149H.
[http://dx.doi.org/10.2471/BLT.11.091850] [PMID: 22423165]
[16]
Howard, L.M.; Molyneaux, E.; Dennis, C.L.; Rochat, T.; Stein, A.; Milgrom, J. Non-psychotic mental disorders in the perinatal period. Lancet, 2014, 384(9956), 1775-1788.
[http://dx.doi.org/10.1016/S0140-6736(14)61276-9] [PMID: 25455248]
[17]
Van den Bergh, B Prenatal developmental origins of behavior and mental health: The influence of maternal stress in pregnancy. Neurosci. Biobehav. Rev., 2017, 117, 26-64.
[http://dx.doi.org/10.1016/j.neubiorev.2017.07.003] [PMID: 28757456]
[18]
Loomans, E.M.; van Dijk, A.E.; Vrijkotte, T.G.M.; van Eijsden, M.; Stronks, K.; Gemke, R.J.B.J.; Van den Bergh, B.R.H. Psychosocial stress during pregnancy is related to adverse birth outcomes: results from a large multi-ethnic community-based birth cohort. Eur. J. Public Health, 2013, 23(3), 485-491.
[http://dx.doi.org/10.1093/eurpub/cks097] [PMID: 22850187]
[19]
Nagandla, K.; Nalliah, S.; Yin, L.; Majeed, Z.; Ismail, I.; Zubaidah, S.; Ragavan, U.; Krishnan, S. Prevalence and associated risk factors of depression, anxiety and stress in pregnancy. Int. J. Reprod. Contracept. Obstet. Gynecol., 2016, 5, 2380-2388.
[http://dx.doi.org/10.18203/2320-1770.ijrcog20162132]
[20]
Kartal, M.; Bardakçı, S. Reliability and validity analysis with SPSS and AMOS applied examples; Akademisyen Publishing: Ankara, 2018.
[21]
Schreiber, J.B.; Nora, A.; Stage, F.K.; Barlow, E.A.; King, J. Reporting structural equation modeling and confirmatory factor analysis results: A review. J. Educ. Res., 2006, 99(6), 323-338.
[http://dx.doi.org/10.3200/JOER.99.6.323-338]
[22]
Devisree, R.; Nirmala, C.; Indu, P.S.; Remadevi, S. Development of antenatal psychosocial stress scale for pregnant women in Kerala, India. Int. J. Reprod. Contracept. Obstet. Gynecol., 2018, 7(4), 1473.
[http://dx.doi.org/10.18203/2320-1770.ijrcog20181338]
[23]
DeVellis, R.F. Scale development, theory and applications;Sage Publication:; California, USA, 2012, p. 31e59.
[24]
Sencan, H. Reliability and validity of the social and behavioral measurement;Seçkin Publishing: Ankara (Turkey), 2005, p. 360-745e60b.
[25]
Polit, D.F.; Beck, C.T.; Owen, S.V. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res. Nurs. Health, 2007, 30(4), 459-467.
[http://dx.doi.org/10.1002/nur.20199] [PMID: 17654487]
[26]
Terwee, CB; Bot, SD; de Boer, MR; van der Windt, DA; Knol, DL; Dekker, J. Quality criteria were proposed for measurement properties of health status questionnaires. J. Clin. Epidemiol., 2007, 60(1), 34-42.
[http://dx.doi.org/10.1016/j.jclinepi.2006.03.012]
[27]
Finch, H.W. Exploratory factor analysis; SAGE Publications, 2019.
[28]
Çam, M.O.; Baysan-Arabacı, L. Qualitative and quantitative steps on attitude scale construction. Journal of Research and Development in Nursing, 2010, 12(2), 59-71.
[29]
Çı̇tı̇l Canbay, F.; Çı̇tı̇l, E.T. The content analysis of the articles published regarding violence in pregnancy in Turkey: 2010-2020. Saglik Bilim. Derg., 2021, 6(3), 557-572.
[http://dx.doi.org/10.47115/jshs.971184]
[30]
Brown, T.A. Confirmatory factor analysis for applied research (Secon edition); The Guilford Press, 2015.
[31]
Xia, Y.; Yang, Y. RMSEA, CFI, and TLI in structural equation modeling with ordered categorical data: The story they tell depends on the estimation methods. Behav. Res. Methods, 2019, 51(1), 409-428.
[http://dx.doi.org/10.3758/s13428-018-1055-2] [PMID: 29869222]
[32]
Marsh, H.W.; Guo, J.; Dicke, T.; Parker, P.D.; Craven, R.G. Confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), and set-ESEM: Optimal balance between goodness of fit and parsimony. Multivariate Behav. Res., 2020, 55(1), 102-119.
[http://dx.doi.org/10.1080/00273171.2019.1602503] [PMID: 31204844]
[33]
Nunnally, J.C.; Bernstein, I.H. Psychometric theory; Mc Graw Hill India, 2010.
[34]
Büyüköztürk, Ş. Data Analysis Handbook for Social Sciences: Statistics, Research Design, SPSS Practices and İnterpretation, 27th ed; Pegem Academy: Ankara, Turkey, 2020, pp. 179-194.

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