Gourounti Kleanthi, Kouklaki Eleni, Lykeridou Katerina
Department of Midwifery, Technological Educational Institution of Athens, Greece.
Rea Maternity Clinic, Greece.
Women Birth. 2015 Sep;28(3):e44-51. doi: 10.1016/j.wombi.2015.02.004. Epub 2015 Mar 4.
Fear of childbirth has been found to be a factor that influences women's decision about their choice of delivery. The investigation of psychological factors that relate to fear of childbirth as well as the validation of the Childbirth Attitudes Questionnaire (CAQ) can help identify pregnant women with high fear of childbirth.
This study aimed to (a) translate and validate the Childbirth Attitude Questionnaire in Greek and (b) explore how fear of childbirth was related to childbirth self-efficacy, state anxiety, depression, neuroticism, self-esteem and optimism.
145 nulliparous pregnant women, in late pregnancy, attending routine antenatal visit in a private maternity clinic participated. All participants completed the CAQ (fear of childbirth) and other self-report questionnaires that measured childbirth self-efficacy, self-esteem, optimism, neuroticism, state anxiety and depressive symptomatology. Factor structure was investigated using principal axis factoring. Cronbach's α was used to measure internal consistency reliability. Pearson's correlation coefficients were calculated between all study variables, followed by multiple linear regression.
The factor analysis suggested the existence of one-factor structure. Construct validity was confirmed by computing correlations between the CAQ and childbirth self-efficacy, self-esteem and optimism. Multivariate analysis showed that childbirth self-efficacy, self-esteem and optimism were negatively and significantly associated with fear of childbirth.
The Greek version of the CAQ is a reliable and valid measure. The clinical use of CAQ may enable midwives and other health care professionals to identify pregnant women with low childbirth confidence and to provide information and support.
分娩恐惧已被发现是影响女性分娩方式选择的一个因素。对与分娩恐惧相关的心理因素进行调查以及对分娩态度问卷（CAQ）进行验证，有助于识别出分娩恐惧程度高的孕妇。
本研究旨在（a）将分娩态度问卷翻译成希腊语并进行验证，以及（b）探讨分娩恐惧与分娩自我效能感、状态焦虑、抑郁、神经质、自尊和乐观之间的关系。
145名晚期未生育孕妇参与了在一家私立产科诊所进行的常规产前检查。所有参与者都完成了CAQ（分娩恐惧）以及其他测量分娩自我效能感、自尊、乐观、神经质、状态焦虑和抑郁症状的自我报告问卷。使用主轴因子分析法研究因子结构。使用Cronbach's α来测量内部一致性信度。计算所有研究变量之间的Pearson相关系数，随后进行多元线性回归。
因子分析表明存在单因子结构。通过计算CAQ与分娩自我效能感、自尊和乐观之间的相关性，证实了结构效度。多变量分析表明，分娩自我效能感、自尊和乐观与分娩恐惧呈显著负相关。
CAQ的希腊语版本是一种可靠且有效的测量工具。CAQ在临床上的应用可能使助产士和其他医疗保健专业人员能够识别出分娩信心低的孕妇，并提供信息和支持。
