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Open Access 01-12-2021 | Research article

Validity and reliability of the lederman Prenatal Self-Evaluation Questionnaire (PSEQ) in Brazil

Authors: Janiny Lima e Silva, Matheus de Sousa Mata, Saionara Maria Aires Câmara, Íris do Céu Clara Costa, Kleyton Santos de Medeiros, Ricardo Ney Cobucci, Ana Katherine Gonçalves

Published in: BMC Pregnancy and Childbirth | Issue 1/2021

Abstract

Background

The Lederman Prenatal Self-Evaluation Questionnaire (PSEQ) is used to assess psychosocial adaptation to pregnancy, labor, childbirth, and maternity. The PSEQ is a tool used in various countries and has been translated into Portuguese; however, it needs to be validated in Brazil. This study aimed to analyze the validity and reliability of the PSEQ in Brazilian pregnant women.

Method

This methodological validity study investigated internal consistency and reliability using Cronbach’s alpha and intraclass correlation coefficients. Construct validity was assessed using Pearson’s correlation between domains and confirmatory factor analysis. To assess concurrent validity, Pearson’s correlation between the different domains of the PSEQ and Prenatal Psychosocial Profile-Portuguese Version (PPP-VP) was determined. The level of significance was set at 5%.

Results

This study included 399 pregnant women in the northeastern region of Brazil. The internal consistency and reliability of the total PSEQ score were high (Cronbach's alpha = 0.89; intraclass correlation coefficient = 0.95). Validity analysis showed positive and significant correlations between all PSEQ domains, ranging from 0.14 to 0.56. Confirmatory factor analysis demonstrated the following values of goodness of fit: RMSEA = 0.05, SRMR = 0.08, CFI = 0.61, χ²/df = 1.77. The discriminant and concurrent validities of the PSEQ were confirmed.

Conclusions

The Portuguese version of the PSEQ has adequate psychometric properties and is a valid and reliable tool to evaluate psychosocial adaptation to pregnancy in Brazilian pregnant women.

Lederman RP, Weiss K. Psychosocial adaptation to pregnancy: seven dimensions of maternal role development. 3rd ed. New York: Springer; 2009.CrossRef

Umuziga MP, Adejumo O, Hynie M. A cross-sectional study of the prevalence and factors associated with symptoms of perinatal depression and anxiety in Rwanda. BMC Pregnancy Childbirth. 2020;20:68. https://doi.org/10.1186/s12884-020-2747-z.CrossRefPubMedPubMedCentral

Staneva AA, Bogossian F, Wittkowski A. The experience of psychological distress, depression, and anxiety during pregnancy: A meta-synthesis of qualitative research. Midwifery. 2015;31:563–573564. https://doi.org/10.1016/j.midw.2015.03.015.CrossRefPubMed

Class QA, Lichtenstein P, Langstrom N, D’Onofrio BM. Timing of prenatal maternal exposure to severe life events and adverse pregnancy outcomes: a population study of 2.6 million pregnancies. Psychosom Med. 2011;73(3):234–41. https://doi.org/10.1097/PSY.0b013e31820a62ce.CrossRefPubMedPubMedCentral

de Castro F, Place JMS, Billings DL, Rivera L, Frongillo EA. Risk profiles associated with postnatal depressive symptoms among women in a public sector hospital in Mexico: the role of sociodemographic and psychosocial factors. Arch Womens Ment Health. 2015;18:163–471. https://doi.org/10.1007/s00737-014-0472-1.CrossRef

Emmanuel E, St JW. Maternal distress: a concept analysis. J Adv Nurs. 2010;66:2104–15. https://doi.org/10.1111/j.1365-2648.2010.05371.x.CrossRefPubMed

Vollrath ME, Sengpiel V, Landolt MA, Jacobsson B, Latal B. Is maternal trait anxiety a risk factor for late preterm and early term deliveries? BMC Pregnancy Childbirth. 2016;16:286. https://doi.org/10.1186/s12884-016-1070-1.CrossRefPubMedPubMedCentral

Fan F, Zou Y, Zhang Y, Ma X, Zhang J, Liu C, Li J, et al. The relationship between maternal anxiety and cortisol during pregnancy and birth weight of chinese neonates. BMC Pregnancy Childbirth. 2018;18:265. https://doi.org/10.1186/s12884-018-1798-x.CrossRefPubMedPubMedCentral

Li X, Gao R, Dai X, Liu H, Zhang J, Liu X, et al. The association between symptoms of depression during pregnancy and low birth weight: a prospective study. BMC Pregnancy Childbirth. 2020;20:147. https://doi.org/10.1186/s12884-020-2842-1.CrossRefPubMedPubMedCentral

10.

Zambrana IM, Vollrath ME, Sengpiel V, Jacobsson B, Ystrom E. Preterm delivery and risk for early language delays: a sibling-control cohort study. Int J Epidemiol. 2016;45(1):151–9. https://doi.org/10.1093/ije/dyv329.CrossRefPubMed

11.

Gourounti K, Anagnostopoulos F, Lykeridou K. Coping strategies as psychological risk factor for antenatal anxiety. worries. and depression among Greek women. Arch Womens Ment Health. 2013;16:353–61. https://doi.org/10.1007/s00737-013-0338-y.CrossRefPubMed

12.

Latendresse G, Wong B, Dyer J, Wilson B, Baksh L, Hogue C. Duration of maternal stress and depression. Nurs Res. 2015;64(5):331–41. https://doi.org/10.1097/NNR.0000000000000117.CrossRefPubMed

13.

Kumar R, Robson R, Smith A. Development of a self-administered questionnaire to measure maternal adjustment and maternal attitudes during pregnancy and after delivery. J Psychosom. 1984;28:43–51. https://doi.org/10.1016/0022-3999(84)90039-4.CrossRef

14.

Bernazzani O, Marks MN, Bifulco A, Siddle K, Asten P, Conroy S. Assessing psychosocial risk in pregnant/postpartum women using the Contextual Assessment of Maternity Experience (CAME) Recent life adversity, social support and maternal feelings. Soc Psychiatry Psychiatr Epidemiol. 2005;40:497–508. https://doi.org/10.1007/s00127-005-0917-y.CrossRefPubMed

15.

Canadian Task Force on the Periodic Health Examination. The Canadian guide to clinical preventive health care. Ottawa: Health Canada; 1994.

16.

Weissheimer AM, Mamede MV. Prenatal psychosocial profile: translation cross-cultural adaptation and validation to its use in Brazil. Midwifery. 2015;31:1157–62. https://doi.org/10.1016/j.midw.2015.08.001.CrossRefPubMed

17.

Silva JL, Ferreira EF, Medeiros M, Araújo ML, da Silva AGCB, Viana ESR. Assessment of psychosocial adaptation to pregnancy in brazilian pregnant women. Rev bras ginecol. 2011;33:182–7. https://doi.org/10.1590/S0100-72032011000800003.CrossRef

18.

Beydag K, Mete S. Validity and reliability study of the Prenatal Self Evaluation Questionnaire. J Atatürk Univ Nurs High Sch. 2008;11(1):16e24. http://dergipark.ulakbim.gov.tr/ataunihem/article/viewFile/1025000625/1025000617.

19.

Armengol R, Chamarro A, García-Diéz MT. Aspectos psicosociales en la gestación: el Cuestionario de Evaluación Prenatal. An Psicol. 2007;23(1):25–32.

20.

Okayama H, Takahashi M. Developing the Japanese version of the Prenatal SelfEvaluation Questionnaire. J Jpn Soc Psychol Obstet Gynecol. 2002;7:55–63. https://doi.org/10.18977/jspog.7.1_55.CrossRef

21.

Nakamura Y, Yoshizawa T, Atogami F. Assessments of maternal psychosocial adaptation for pre-labor hospitalized pregnant women in Japan. Nursing Rep. 2011:35–39. https://doi.org/10.4081/nursrep.2011.e9

22.

Aba YA, Komürcü N. Antenatal education on pregnant adolescents in Tukey: prenatal adaptation, postnatal adaptation and newborn perceptions. Asian Nurs Res. 2017;11:42–9. https://doi.org/10.1016/j.anr.2017.03.003.CrossRef

23.

Simó S, Zúñiga L, Izquierdo MT, Rodrigo MF. Effects of ultrasound on anxiety and psychosocial adaptation to pregnancy. Arch Womens Ment Health. 2019;22:511–8. https://doi.org/10.1007/s00737-018-0918-y.CrossRefPubMed

24.

Kline P. The Handbook of Psychological Testing. London: Routledge; 1993.

25.

Gulliksen H. Theory of mental tests. Hoboken: Wiley; 1950. p. 108–27 xix.CrossRef

26.

Brasil, Ministério da Saúde, Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Gestação de alto risco: manual técnico / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. 5th ed. Brasília: Editora do Ministério da Saúde; 2010. p. 302 Série A Normas e Manuais Técnicos.

27.

Curry MA, Campbell RA, Christian M. Validity and reliability testing of the Prenatal Psychosocial Profile. Res Nurs Health. 1994;17:127–35. https://doi.org/10.1002/nur.4770170208.CrossRefPubMed

28.

Seyf AA. Measurement, test and educational evaluation. 7th ed. Tehran: Douran; 2016.

29.

Bollen KA, Noble MD. Structural equation models and the quantification of behavior. Proc Natl Acad Sci. 2011;108(Suppl 3):15639–46. https://doi.org/10.1073/pnas.1010661108.CrossRefPubMedPubMedCentral

30.

Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. Boston: Pearson; 2007.

31.

Dancey CP, Reidy J. Statistics without maths for psychology. Harlow: Pearson/Prentice Hall; 2007.

32.

Baghdari N, Sahebzad ES, Kheirkhah M, Azmoude E. The effects of pregnancy-adaptation training on maternal-fetal attachment and adaptation in pregnant women with a history of baby loss. Nurs Midwifery Stud. 2016;5(2):e28949.CrossRef

33.

Chou FH, Avant KC, Kuo SH, Cheng HF. Assessing the psychometric and language equivalency of the Chinese versions of the index of nausea vomiting and retching and the prenatal self-evaluation questionnaire. Kaohsiung J Med Sci. 2005;21(7):314–21. https://doi.org/10.1016/S1607-551X(09)70127-5.CrossRefPubMed

34.

Hattie J. Methodology review: assessing unidimensionality of tests and items. Appl Psychol Meas. 1985;9:139–64.CrossRef

35.

Fernandes LMM, Lansky S, Oliveira BJ, Friche AAL, Bozlak CT, Shaw BA. Changes in perceived knowledge about childbirth among pregnant women participating in the Senses of Birth intervention in Brazil: a cross-sectional study. BMC Pregnancy Childbirth. 2020;20:265. https://doi.org/10.1186/s12884-020-02874-3.CrossRefPubMedPubMedCentral

36.

Keszei AP, Novak M, Streiner DL. Introduction to health measurement scales. J Psychosom Res. 2010;68(4):319–23. https://doi.org/10.1016/j.jpsychores.2010.01.006.CrossRefPubMed

37.

Lin CT, Cheng CP, Kuo SH, Chou FH. Development of a Chinese short form of the Prenatal Self-Evaluation Questionnaire. J Clin Nurs. 2008;18(5):659–66. https://doi.org/10.1111/j.1365-2702.2007.02201.x.CrossRef

38.

Barton K, Redshaw M, Quigley MA, Carson C. Unplanned pregnancy and subsequent psychological distress in partnered women: a cross-sectional study of the role of relationship quality and wider social support. BMC Pregnancy Childbirth. 2017;17(1):44. https://doi.org/10.1186/s12884-017-1223-x.CrossRefPubMedPubMedCentral

39.

Martins GA. Sobre confiabilidade e validade. RBGN. 2006;8(20):1–12.

40.

Martínez-González MA, Sánchez-Villegas A, Fajardo JF. Bioestadistica Amigable. 2nd ed. Ediciones Díaz de Santos, S. A; 2006. p. 866.

41.

Hair JF Jr, Black WC, Babin BJ, Anderson RE, Tatham RL. Multivariate data análysis. 6th ed. Porto Alegre: Bookman; 2009. p. 564.

42.

Johnson SU, Ulvenes PG, Øktedalen T, Hoffart A. Psychometric properties of the GAD-7 in a heterogeneous psychiatric sample. Front Psychol. 2019;10:1713.CrossRef

43.

Saunders TJ, Gray CE, Borghese MM, McFarlane A, Mbonu A, Ferraro ZM, et al. Validity of SC-StepRx pedometer-derived moderate and vigorous physical activity during treadmill walking and running in a heterogeneous sample of children and youth. BMC Public Health. 2014;14:519. http://www.biomedcentral.com/1471-2458/14/519.CrossRef

Title: Validity and reliability of the lederman Prenatal Self-Evaluation Questionnaire (PSEQ) in Brazil
Authors: Janiny Lima e Silva
Matheus de Sousa Mata
Saionara Maria Aires Câmara
Íris do Céu Clara Costa
Kleyton Santos de Medeiros
Ricardo Ney Cobucci
Ana Katherine Gonçalves
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: BMC Pregnancy and Childbirth / Issue 1/2021
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-021-03959-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Validity and reliability of the lederman Prenatal Self-Evaluation Questionnaire (PSEQ) in Brazil

Abstract

Background

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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