ABSTRACT

Background

Due to an absence of maternal stress being measured in routine prenatal care by clinicians, prenatal stress has become a serious problem which is associated with poorer obstetric outcomes, as well as worse maternal and infant health. For that reason, the aim of this study was the translation, validation and adaptation of Prenatal Distress Questionnaire Revised (NuPDQ) in a Spanish sample.

Methods

Three-hundred and seventy-one pregnant women were assessed using the NuPDQ, the Prenatal Distress Questionnaire, Perceived Stress Scale and the Connor–Davidson Resilience Scale. The NuPDQ was translated into Spanish by the backtranslation method and administered to participants.

Results

A confirmatory factor analysis revealed the established unidimensional structure to be a poor fit to data with the Spanish version. An exploratory factor analysis suggested a five-factor structure with 14 items. The instrument had good reliability, convergent and discriminant validity psychometric properties.

Conclusions

The five-factor 14-item NuPDQ is useful to assess pregnancy-specific stress in Spanish pregnant women. It may be appropriate to use this instrument in order to identify pregnant women with high pregnancy-specific stress to try to prevent negative consequences derived from those high levels.

中文翻译：

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产前窘迫问卷修订版 (NuPDQ) 的西班牙验证和因子结构

摘要

背景

由于临床医生在常规产前护理中没有测量产妇压力，产前压力已成为一个严重的问题，与较差的产科结果以及较差的母婴健康有关。出于这个原因，本研究的目的是翻译、验证和改编西班牙样本中的产前窘迫问卷修订版 (NuPDQ)。

方法

使用 NuPDQ、产前窘迫问卷、感知压力量表和康纳-戴维森恢复力量表对 371 名孕妇进行了评估。NuPDQ 通过反向翻译方法翻译成西班牙语并提供给参与者。

结果

验证性因素分析显示，已建立的一维结构与西班牙语版本的数据不匹配。探索性因素分析提出了一个包含 14 个项目的五因素结构。该工具具有良好的信度、收敛效度和判别效度心理测量特性。

结论

五因素 14 项 NuPDQ 有助于评估西班牙孕妇的妊娠特异性压力。使用该工具来识别具有高妊娠特异性压力的孕妇可能是合适的，以试图防止这些高水平产生的负面后果。