González-de la Torre Héctor, Domínguez-Gil Adela, Padrón-Brito Cintia, Rosillo-Otero Carla, Berenguer-Pérez Miriam, Verdú-Soriano José
Research Unit, Insular Maternal and Child University Hospital Complex of Gran Canaria, Canary Health Service, 35016 Las Palmas de Gran Canaria, Spain.
Department of Nursing, Nursing School La Palma, University of La Laguna, 38200 San Cristóbal de La Laguna, Spain.
J Clin Med. 2022 Mar 26;11(7):1843. doi: 10.3390/jcm11071843.
The fear of childbirth is a topical concern, yet the issue has barely been studied in Spain, and only one fear of childbirth measurement instrument has been validated in the country. The aim of this study was to translate, adapt and validate the Fear of Childbirth Questionnaire (CFQ) for use in Spain, as well as to describe and evaluate the psychometric properties of the Spanish version of this instrument. In a first phase, a methodological study was carried out (translation-backtranslation and cross-cultural adaptation), and pilot study was carried out in the target population. In addition, content validation of the instrument was obtained (CFQ-e) from 10 experts. In the second phase, a cross-sectional study was carried out at several centres in Gran Canaria Island to obtain a validation sample. The evaluation of the psychometric properties of the CFQ-e, including construct validity through exploratory factor analysis and confirmatory factor analysis, the calculation of reliability via factor consistency using the ORION coefficients as well as alpha and omega coefficients were carried out. The CFQ-e showed evidence of content validity, adequate construct validity and reliability. The CFQ-e is composed of 37 items distributed in four subscales or dimensions: "fear of medical interventions"; "fear of harm and dying"; "fear of pain" and "fears relating to sexual aspects and embarrassment". The CFQ-e constitutes a valid and reliable tool to measure the fear of childbirth in the Spanish pregnant population.
对分娩的恐惧是一个备受关注的话题，但在西班牙，这个问题几乎没有得到研究，该国仅有一份分娩恐惧测量工具得到了验证。本研究的目的是翻译、改编并验证用于西班牙的分娩恐惧问卷（CFQ），并描述和评估该工具西班牙语版本的心理测量特性。在第一阶段，进行了一项方法学研究（翻译-回译和跨文化改编），并在目标人群中开展了预试验。此外，还从10位专家那里获得了该工具的内容效度（CFQ-e）。在第二阶段，在大加那利岛的几个中心开展了一项横断面研究，以获取一个验证样本。对CFQ-e的心理测量特性进行了评估，包括通过探索性因素分析和验证性因素分析来评估结构效度，使用ORION系数以及α和ω系数通过因素一致性来计算信度。CFQ-e显示出内容效度、足够的结构效度和信度的证据。CFQ-e由37个项目组成，分布在四个分量表或维度中：“对医疗干预的恐惧”；“对伤害和死亡的恐惧”；“对疼痛的恐惧”以及“与性方面和尴尬相关的恐惧”。CFQ-e是测量西班牙孕妇分娩恐惧的一个有效且可靠的工具。
