Varela Pinelopi, Zervas Ioannis, Nanou Christina, Vivilaki Victoria, Lykeridou Aikaterini, Deltsidou Anna
General Hospital of Athens "Alexandra", 11528 Athens, Greece.
Department of Midwifery, University of West Attica, 12243 Athens, Greece.
Healthcare (Basel). 2025 Apr 14;13(8):896. doi: 10.3390/healthcare13080896.
: Postnatal fear of childbirth (FOC) has a significant impact on women's mental health following childbirth. A widely employed tool for evaluating postnatal FOC is the Wijma Delivery Expectancy/Experience Questionnaire version B (W-DEQ-B). This study aimed to validate the Greek version of the W-DEQ-B (GrW-DEQ-B) and confirm its reliability among Greek postpartum women having a low-risk pregnancy. : At four weeks postpartum, 200 mothers after a low-risk pregnancy completed questionnaires, which included the GrW-DEQ-B and the Edinburgh Postnatal Depression Scale (EPDS). : The majority of participants had a vaginal delivery (80%), 52.0% of the sample were primigravida, and the mean gestational age at delivery was 38.8 weeks (SD = 0.8). The exploratory factor analysis yielded six factors ("Lack of self-efficacy", "Lack of positive anticipation", "Lack of feeling lonely", "Concerns about delivery and losing control", "Calmness", and "Concern for the child") of 33 items from the W-DEQ-B. The instrument's multidimensionality was verified by the confirmatory factor analysis (RMSEA = 0.07; CFI = 0.90; TLI = 0.88). All Cronbach's alphas were over 0.7, indicating acceptable reliability of the factors. Almost all factors of the GrW-DEQ-B were significantly correlated with each other ( < 0.001), demonstrating the convergent validity of the tool. Significant correlations were found between almost all dimensions of the GrW-DEQ-B and the EPDS ( < 0.001), indicating the divergent validity of the tool. : This study provides evidence that the Greek version of the W-DEQ-B proved to be a reliable and valid measure of FOC among Greek postpartum women.
产后分娩恐惧(FOC)对产后女性的心理健康有重大影响。一种广泛用于评估产后FOC的工具是Wijma分娩预期/体验问卷B版(W-DEQ-B)。本研究旨在验证W-DEQ-B的希腊语版本(GrW-DEQ-B)并确认其在希腊低风险妊娠产后女性中的可靠性。:产后四周时,200名低风险妊娠后的母亲完成了问卷,其中包括GrW-DEQ-B和爱丁堡产后抑郁量表(EPDS)。:大多数参与者为顺产(80%),样本中52.0%为初产妇,平均分娩孕周为38.8周(标准差=0.8)。探索性因素分析从W-DEQ-B的33个项目中得出了六个因素(“缺乏自我效能感”、“缺乏积极预期”、“缺乏孤独感”、“对分娩和失去控制的担忧”、“平静”和“对孩子的担忧”)。验证性因素分析验证了该工具的多维性(RMSEA = 0.07;CFI = 0.90;TLI = 0.88)。所有克朗巴哈系数均超过0.7,表明各因素的可靠性可接受。GrW-DEQ-B的几乎所有因素之间均显著相关(<0.001),证明了该工具的收敛效度。GrW-DEQ-B的几乎所有维度与EPDS之间均存在显著相关性(<0.001),表明了该工具的区分效度。:本研究提供的证据表明,W-DEQ-B的希腊语版本被证明是希腊产后女性FOC的可靠且有效的测量工具。