Caparros-Gonzalez Rafael A, Perra Oliver, Alderdice Fiona, Lynn Fiona, Lobel Marci, García-García Inmaculada, Peralta-Ramírez María Isabel
Brain, Mind and Behavior Research Center (CIMCYC), Faculty of Psychology, University of Granada , Granada , Spain.
Department of Obstetrics & Gynaecology, Delivery Ward, Hospital de Poniente , Almeria , Spain.
Women Health. 2019 Sep;59(8):937-952. doi: 10.1080/03630242.2019.1584143. Epub 2019 Mar 5.
The Prenatal Distress Questionnaire (PDQ) was developed among English-speaking women in the United States to assess specific worries and concerns during pregnancy. Our aim was to analyze the factor structure of the PDQ, using confirmatory factor analysis, and assess its convergent validity in Spanish women. A sample of 233 pregnant women with ages ranging from 19 to 42 years in the south of Spain (Europe) (January 2015 - March 2016) completed the translated PDQ, the Perceived Stress Scale (PSS) and the Symptom Checklist-90-revised (SCL-90-R). Confirmatory factor analysis revealed a three-factor structure supporting the original PDQ factor structure (χ (31) = 55.43, p = 0.004; CFI = 0.96; RMSEA = 0.058; WRMR = 0.702). The Spanish PDQ significantly correlated with the PSS and SCL-90-R (r's 0.18-0.49, p's < 0.05), providing evidence of convergent validity. These results illustrate that the stress dimensions investigated by the PDQ adequately represent pregnant women's distress across a different cultural context and corroborate the psychometric properties of this instrument previously demonstrated in English-speaking women. The Spanish version of the PDQ can be used by clinical practitioners to evaluate specific worries and concerns women experience during pregnancy.
产前困扰问卷（PDQ）是在美国说英语的女性群体中开发出来的，用于评估孕期的特定担忧。我们的目的是使用验证性因素分析来分析PDQ的因素结构，并评估其在西班牙女性中的收敛效度。西班牙南部（欧洲）的233名年龄在19至42岁之间的孕妇样本（2015年1月至2016年3月）完成了翻译后的PDQ、感知压力量表（PSS）和症状自评量表-90修订版（SCL-90-R）。验证性因素分析揭示了一个支持原始PDQ因素结构的三因素结构（χ(31)=55.43，p = 0.004；CFI = 0.96；RMSEA = 0.058；WRMR = 0.702）。西班牙版PDQ与PSS和SCL-90-R显著相关（r值为0.18 - 0.49，p值<0.05），提供了收敛效度的证据。这些结果表明，PDQ所研究的压力维度在不同文化背景下充分代表了孕妇的困扰，并证实了该工具先前在说英语的女性中所展示的心理测量特性。临床医生可以使用西班牙版的PDQ来评估女性在孕期经历的特定担忧。
