Evaluating the factor structure of the pregnancy-related anxiety scale: implications for maternal and infant wellbeing.

IF 2.1 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Frances C Calkins, Lauren M Laifer, Rachel C B Beck, Sarah J Gervais, Rebecca L Brock
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引用次数: 0

Abstract

Aims/background: Although the Pregnancy-Related Anxiety Scale - also referred to as the Pregnancy-Related Thoughts Scale (PRT) - is one of the most widely utilised measures of pregnancy-related anxiety (PrA), there is limited research exploring its factor structure and psychometric properties. The present study sought to (a) explore the factor structure of the PRT and (b) examine whether specific dimensions of PrA differentially predict postpartum outcomes.

Design/methods: A community sample of pregnant women (N = 159) was recruited from a Midwestern city in the United States and completed the PRT alongside other self-report measures of stress and maternal health and mood during pregnancy. Participants also completed measures of maternal health and mood, as well as parenting/infant outcomes, at 1- and 6-months postpartum.

Results: Results provided support for a bifactor model with two unique dimensions of the PRT capturing baby- and self-focused concerns, respectively. Maternal self-focused PrA uniquely predicted postpartum internalising problems (β = .22), worse physical health (β = -.27), and impaired mother-infant bonding (β = .19) when controlling for baby-focused and general PrA.

Conclusion: Findings highlight the utility of screening for specific dimensions of PrA to promote both maternal and infant wellbeing following childbirth. Specifically, evidence suggests that screening for self-focused PrA, above and beyond baby-focused PrA, might facilitate prevention and intervention efforts and allow researchers to better understand antecedents and consequences of unique facets of PrA.

评估孕期焦虑量表的因子结构:对母婴健康的影响。
目的/背景:尽管妊娠相关焦虑量表(又称妊娠相关想法量表(PRT))是最广泛使用的妊娠相关焦虑(PrA)测量方法之一,但对其因子结构和心理测量特性的研究却很有限。本研究旨在:(a)探索 PRT 的因子结构;(b)研究 PrA 的特定维度是否能以不同方式预测产后结果:从美国中西部的一个城市招募了一个孕妇社区样本(N = 159),她们在完成 PRT 的同时还完成了其他有关孕期压力、产妇健康和情绪的自我报告测量。参与者还完成了产后 1 个月和 6 个月的产妇健康和情绪以及养育/婴儿结果的测量:结果:研究结果支持双因素模型,PRT 的两个独特维度分别捕捉了以婴儿和自我为中心的关注点。在控制了以婴儿为中心的PRA和一般PRA的情况下,母亲以自我为中心的PRA可独特地预测产后内化问题(β = .22)、更差的身体健康(β = -.27)和受损的母婴关系(β = .19):结论:研究结果表明,筛查 PrA 的特定维度对促进产后母婴健康非常有用。具体而言,有证据表明,在关注婴儿的 PrA 之外,筛查关注自我的 PrA 可能有助于预防和干预工作,并使研究人员更好地了解 PrA 独特方面的前因后果。
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来源期刊
Journal of Reproductive and Infant Psychology
Journal of Reproductive and Infant Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
6.80
自引率
8.00%
发文量
55
期刊介绍: The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.
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