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Psychometric Properties of the Spanish Version of the Pregnancy Related Anxiety Questionnaire (PRAQ)

Published online by Cambridge University Press:  03 December 2018

M. Belén Vázquez ,
Beatriz Pereira  and
M. Carmen Míguez
M. Belén Vázquez
Affiliation:
Universidade de Santiago de Compostela (Spain)
Beatriz Pereira
Affiliation:
Universidade de Santiago de Compostela (Spain)
M. Carmen Míguez*
Affiliation:
Universidade de Santiago de Compostela (Spain)
*
*Correspondence concerning this article should be addressed to M. Carmen Míguez Varela. Departamento de Psicología Clínica y Psicobiología. Facultad de Psicología. Universidade de Santiago de Compostela. 15782 Santiago de Compostela, A Coruña (Spain). E-mail: [email protected]
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Abstract

Although pregnancy increases the vulnerability to anxiety, no specific assessment instruments are usually used to detect it. The objective of this study was to adapt the Pregnancy Related Anxiety Questionnaire (PRAQ) to Spanish population, as well as analyze its validity and reliability. A sample of 367 nulliparous pregnant women with a normal risk status filled in a socio-demographic and obstetric-gynaecological questionnaire, the PRAQ, the Edinburgh Postnatal Depression Scale (EPDS) and the State-Trait Anxiety Inventory (STAI). After performing a factorial analysis, a five-factor model that explains 53.1% of the variance was obtained. Estimates of internal consistency reliability were adequate (range = .78 to .93) for the five factors included in the final confirmatory factor analysis, and for the total scale (.97). Significant correlation among PRAQ, EPDS, and STAI was found (p < .001). The 85th percentile (score 234 or more) was used as a cut-off point to identify those women with high pregnancy-specific anxiety. In accordance with the results obtained, the PRAQ can be considered a useful screening tool to evaluate pregnancy-related anxiety among the Spanish population.

Keywords

adaptation testpregnancy-related anxietypsychometrictest reliabilitytest validity
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 21 , 2018 , E64
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2018 

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Footnotes

Our most sincere gratitude to Dr. Bea Van den Bergh for authorising us to use the PRAQ in Spain. We would also like to thank mid wives and gynaecologists that have facilitated the development of this study in the obstetric consultations of the University Hospital Complex of Ourense. We sincerely appreciate the support and statistical advice of Maite Alves Pérez via the College of Nursing of Ourense. Lastly, we would like to show our gratitude especially to the pregnant women for their patience and generous collaboration in this study.

How to cite this article:

Vázquez, M. B., Pereira, B., & Míguez, M. C. (2018). Psychometric properties of the Spanish version of the Pregnancy Related Anxiety Questionnaire (PRAQ). The Spanish Journal of Psychology, 21. e64. Doi:10.1017/sjp.2018.67

References

Alipour, Z., Lamyian, M., & Hajizadeh, E. (2012). Anxiety and fear of childbirth as predictors of postnatal depression in nulliparous women. Women and Birth: Journal of the Australian College of Midwives, 25(3), e37–e43. https://doi.org/10.1016/j.wombi.2011.09.002CrossRefGoogle ScholarPubMed
Andersson, L., Sundström-Poromaa, I., Bixo, M., Wulff, M., Bondestam, K., & Åström, M. (2003). Point prevalence of psychiatric disorders during the second trimester of pregnancy: A population-based study. American Journal of Obstetrics and Gynecology, 189(1), 148–154. https://doi.org/10.1067/mob.2003.336CrossRefGoogle ScholarPubMed
Areskog, B., Uddenberg, N., & Kjessler, B. (1981). Fear of childbirth in late pregnancy. Gynecologic and Obstetric Investigation, 12(5), 262–266. https://doi.org/10.1159/000299611CrossRefGoogle ScholarPubMed
Beck, C. T., & Gable, R. K. (2000). Postpartum Depression Screening Scale: Development and psychometric testing. Nursing Research, 49, 272–282. https://doi.org/10.1097/00006199-200009000-00006CrossRefGoogle ScholarPubMed
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry: The Journal of Mental Science, 150, 782–786.CrossRefGoogle ScholarPubMed
Dayan, J., Creveuil, C., Marks, M. N., Conroy, S., Herlicoviez, M., Dreyfus, M., & Tordjman, S. (2006). Prenatal depression, prenatal anxiety, and spontaneous preterm birth: A prospective cohort study among women with early and regular care. Psychosomatic Medicine, 68(6), 938–946. http://doi.org/10.1097/01.psy.0000244025.20549.bdCrossRefGoogle ScholarPubMed
Dubber, S., Reck, C., Müller, M., & Gawlik, S. (2015). Postpartum bonding: The role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Archives of Women’s Mental Health, 18(2), 187–195. https://doi.org/10.1007/s00737-014-0445-4CrossRefGoogle ScholarPubMed
Dunkel Schetter, C., & Tanner, L. (2012). Anxiety, depression and stress in pregnancy: Implications for mothers, children, research, and practice. Current Opinion in Psychiatry, 25(2), 141–148. https://doi.org/10.1097/YCO.0b013e3283503680CrossRefGoogle Scholar
Figueiredo, B., & Conde, A. (2011). Anxiety and depression symptoms in women and men from early pregnancy to 3-months postpartum: Parity differences and effects. Journal of Affective Disorders, 132(1–2), 146–157. https://doi.org/10.1016/j.jad.2011.02.007CrossRefGoogle ScholarPubMed
Garcia-Esteve, L., Ascaso, C., Ojuel, J., & Navarro, P. (2003). Validation of the Edinburgh Postnatal Depression Scale (EPDS) in Spanish mothers. Journal of Affective Disorders, 75(1), 71–76. https://doi.org/10.1016/S0165-0327(02)00020-4CrossRefGoogle Scholar
Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics & Gynecology, 106, 1071–1083. https://doi.org/10.1097/01.AOG.0000183597.31630.dbCrossRefGoogle Scholar
George, D., & Mallery, P. (1995). SPSS/PC+ step by step: A simple guide and reference. Belmont, CA: Wadsworth Publishing Company.Google Scholar
Gutteling, B. M., de Weerth, C., Willemsen-Swinkels, S. H. N., Huizink, A. C., Mulder, E. J. H., Visser, G. H. A., & Buitelaar, J. K. (2005). The effects of prenatal stress on temperament and problem behavior of 27-month-old toddlers. European Child & Adolescent Psychiatry, 14(1), 41–51. https://doi.org/10.1007/s00787-005-0435-1CrossRefGoogle ScholarPubMed
Huizink, A. C., Robles de Medina, P. G., Mulder, E. J. H., Visser, G. H. A., & Buitelaar, J. K. (2002). Psychological measures of prenatal stress as predictors of infant temperament. Journal of the American Academy of Child and Adolescent Psychiatry, 41(9), 1078–1085. https://doi.org/10.1097/00004583-200209000-00008CrossRefGoogle ScholarPubMed
Huizink, A. C., Delforterie, M. J., Scheinin, N. M., Tolvanen, M., Karlsson, L., & Karlsson, H. (2015). Adaptation of pregnancy anxiety questionnaire-revised for all pregnant women regardless of parity: PRAQ–R2. Archives of Women’s Mental Health, 19(1), 125–132. https://doi.org/10.1007/s00737-015-0531-2CrossRefGoogle Scholar
Huizink, A. C., Mulder, E. J. H., Robles de Medina, P. G., Visser, G. H. A., & Buitelaar, J. K. (2004). Is pregnancy anxiety a distinctive syndrome? Early Human Development, 79(2), 81–91. https://doi.org/10.1016/j.earlhumdev.2004.04.014CrossRefGoogle ScholarPubMed
Huizink, A. C., Robles de Medina, P. G., Mulder, E. J. H., Visser, G. H. A., & Buitelaar, J. K. (2003). Stress during pregnancy is associated with developmental outcome in infancy. The Journal of Child Psychology and Psychiatry, and Allied Disciplines, 44(6), 810–818. https://doi.org/10.1111/1469-7610.00166CrossRefGoogle ScholarPubMed
Lee, A. M., Lam, S. K., Sze Mun Lau, S. M., Chong, C. S. Y., Chui, H. W., & Fong, D. Y. T. (2007). Prevalence, course, and risk factors for antenatal anxiety and depression. Obstetrics & Gynecology, 110(5), 1102–1112. https://doi.org/10.1097/01.AOG.0000287065.59491.70CrossRefGoogle ScholarPubMed
Levin, J. S. (1991). The factor structure of the pregnancy anxiety scale. Journal of Health and Social Behavior, 32(4), 368–381. https://doi.org/10.2307/2137104CrossRefGoogle ScholarPubMed
Martini, J., Knappe, S., Beesdo-Baum, K., Lieb, R., & Wittchen, H.-U. (2010). Anxiety disorders before birth and self-perceived distress during pregnancy: Associations with maternal depression and obstetric, neonatal and early childhood outcomes. Early Human Development, 86(5), 305–310. https://doi.org/10.1016/j.earlhumdev.2010.04.004CrossRefGoogle ScholarPubMed
Matthey, S., & Ross-Hamid, C. (2012). Repeat testing on the Edinburgh Depression Scale and the HADS-A in pregnancy: Differentiating between transient and enduring distress. Journal of Affective Disorders, 141(2–3), 213–221. https://doi.org/10.1016/j.jad.2012.02.037CrossRefGoogle ScholarPubMed
Matthey, S., Valenti, B., Souter, K., & Ross-Hamid, C. (2013). Comparison of four self-report measures and a generic mood question to screen for anxiety during pregnancy in English-speaking women. Journal of Affective Disorders, 148(2–3), 347–351. https://doi.org/10.1016/j.jad.2012.12.022CrossRefGoogle Scholar
Melville, J. L., Gavin, A., Guo, Y., Fan, M. Y., & Katon, W. J. (2010). Depressive disorders during pregnancy: Prevalence and risk factors in a large urban sample. Obstetrics & Gynecology, 116(5), 1064–1070. https://doi.org/10.1097/AOG.0b013e3181f60b0aCrossRefGoogle Scholar
Míguez, M. C., Fernández, V., & Pereira, B. (2017). Depresión postparto y factores asociados en mujeres con embarazos de riesgo [Postpartum depression and associated risk factors among women with risk pregnancies]. Behavioral Psychology / Psicología Conductual, 25(1), 47–64.Google Scholar
Norhayati, M. N., Nik Hazlina, N. H., Asrenee, A. R., & Wan Emilin, W. M. A. (2015). Magnitude and risk factors for postpartum symptoms: A literature review. Journal of Affective Disorders, 175, 34–52. https://doi.org/10.1016/j.jad.2014.12.041CrossRefGoogle ScholarPubMed
Reck, C., Zimmer, K., Dubber, S., Zipser, B., Schlehe, B., & Gawlik, S. (2013). The influence of general anxiety and childbirth-specific anxiety on birth outcome. Archives of Women’s Mental Health, 16(5), 363–369. https://doi.org/10.1007/s00737-013-0344-0CrossRefGoogle ScholarPubMed
Roesch, S. C., Dunkel Schetter, C., Woo, G., & Hobel, C. J. (2004). Modeling the types and timing of stress in pregnancy. Anxiety, Stress & Coping, 17(1), 87–102. https://doi.org/10.1080/1061580031000123667CrossRefGoogle Scholar
Ross, L. E., Gilbert Evans, S. E., Sellers, E. M., & Romach, M. K. (2003). Measurement issues in postpartum depression part 1: Anxiety as a feature of postpartum depression. Archives of Women’s Mental Health, 6(1), 51–57. https://doi.org/10.1007/s00737-002-0155-1CrossRefGoogle ScholarPubMed
Saisto, T., Salmela-Aro, K., Nurmi, J.-E., & Halmesmäki, E. (2001). Psychosocial characteristics of women and their partners fearing vaginal childbirth. BJOG: An International Journal of Obstetrics and Gynaecology, 108(5), 492–498. https://doi.org/10.1111/j.1471-0528.2001.00122.xGoogle ScholarPubMed
Smith, M. V., Shao, L., Howell, H., Lin, H., & Yonkers, K. A. (2011). Perinatal depression and birth outcomes in a healthy start project. Maternal and Child Health Journal, 15(3), 401–409. https://doi.org/10.1007/s10995-010-0595-6CrossRefGoogle Scholar
Sote, A. (2005). Principios de estadística [Principles of statistics]. Caracas, Venezuela: Panapo de Venezuela.Google Scholar
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologist Press (Spanish version, Madrid, Ediciones Tea,1982).Google Scholar
Standley, K., Soule, B., & Copans, S. A. (1979). Dimensions of prenatal anxiety and their influence on pregnancy outcome. American Journal of Obstetrics and Gynecology, 135(1), 22–26.Google ScholarPubMed
Stein, G., & van den Akker, O. (1992). The retrospective diagnosis of postnatal depression by questionnaire. Journal of Psychosomatic Research, 36, 67–75. https://doi.org/10.1016/0022-3999(92)90115-ICrossRefGoogle ScholarPubMed
Tendais, I., Costa, R., Conde, A., & Figueiredo, B. (2014). Screening for depression and anxiety disorders from pregnancy to postpartum with the EPDS and STAI. The Spanish Journal of Psychology, 17(7), E17. https://doi.org/10.1017/sjp.2014.7CrossRefGoogle ScholarPubMed
Tolvanen, M., Hagqvist, O., Luoto, A., Rantavuori, K., Karlsson, L., Karlsson, H., & Lahti, S. (2013). Changes over time in adult dental fear and correlation to depression and anxiety: A cohort study of pregnant mothers and fathers. European Journal of Oral Sciences, 121, 264–269 https://doi.org/10.1111/eos.12026CrossRefGoogle ScholarPubMed
Van Bussel, J. C. H., Spitz, B., & Demyttenaere, K. (2009). Anxiety in pregnant and postpartum women. An exploratory study of the role of maternal orientations. Journal of Affective Disorders, 114(1–3), 232–242. https://doi.org/10.1016/j.jad.2008.07.018CrossRefGoogle ScholarPubMed
Van den Bergh, B. R. H. (1990). The influence of maternal emotions during pregnancy on fetal and neonatal behavior. Journal of Prenatal & Perinatal Psychology & Health, 5(2), 119–130.Google Scholar
Van den Bergh, B. R. H., & Marcoen, A. (2004). High antenatal maternal anxiety is related to ADHD symptoms, externalizing problems, and anxiety in 8- and 9-year-olds. Child Development, 75(4), 1085–1097. https://doi.org/10.1111/j.1467-8624.2004.00727.xCrossRefGoogle ScholarPubMed
Van den Bergh, B. R. H., Mennes, M., Oosterlaan, J., Stevens, V., Stiers, P., Marcoen, A., & Lagae, L. (2005). High antenatal maternal anxiety is related to impulsivity during performance on cognitive tasks in 14- and 15-year-olds. Neuroscience and Biobehavioral Reviews, 29(2), 259–269. https://doi.org/10.1016/j.neubiorev.2004.10.010CrossRefGoogle ScholarPubMed
Van den Bergh, B. R. H., van Calster, B., Smits, T., van Huffel, S., & Lagae, L. (2008). Antenatal maternal anxiety is related to HPA-axis dysregulation and self-reported depressive symptoms in adolescence: A prospective study on the fetal origins of depressed mood. Neuropsychopharmacology, 33(3), 536–545. https://doi.org/10.1038/sj.npp.1301450CrossRefGoogle ScholarPubMed
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.xCrossRefGoogle ScholarPubMed