Cultural adaptation and psychometric validation of the Pregnancy Experience Scale-Brief version (PES-Brief) in Pakistani women with antenatal anxiety symptoms.



Zaidi, Ahmed, Khan, Aasia, Rowther, Armaan, Nazir, Huma, Perin, Jamie, Rauf, Nida, Mumtaz, Sidra, Naseem, Hina, Atif, Najia, Rahman, Atif ORCID: 0000-0002-2066-4467
et al (show 2 more authors) (2022) Cultural adaptation and psychometric validation of the Pregnancy Experience Scale-Brief version (PES-Brief) in Pakistani women with antenatal anxiety symptoms. SSM. Mental health, 2. 100055-.

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Abstract

<h4>Background</h4>Pregnancy experiences influence fetal and birth outcomes. There is scarcity of locally validated tools to assess pregnancy experiences. We aimed to validate the Pregnancy Experience Scale-Brief (PES-Brief) in pregnant Pakistani women with anxiety symptoms.<h4>Methods</h4>A two-step process was used including 1) adaptation via translation/back-translation followed by cognitive interviewing with 10 participants and 2) factor analysis and validation with 605 women in Rawalpindi Pakistan who had mild-moderate symptoms of anxiety, attended the antenatal clinic, and were ≤22 weeks of gestation and ≥18 years old. We calculated internal consistency and reliability and conducted exploratory and confirmatory factor analyses.<h4>Results</h4>Cultural adaptation led to inclusion of one item of the hassles subscale and exclusion of one item in the uplifts subscale, resulting in 9 uplifts and 11 hassles. Exploratory factor analysis supported a two-factor structure, with the adapted items exhibiting loading values of ≥0.24 for their respective factors. Internal consistency was demonstrated for uplifts (Cronbach's alpha = 0.89) and hassles (Cronbach's alpha = 0.85) subscales. Uplift intensity was moderately correlated with the Hospital Anxiety and Depression Scale anxiety subscale (r = 0.54, 95% CI:0.30-0.77).<h4>Conclusion</h4>The Urdu PES-Brief is a reliable and valid tool for use in Pakistani pregnant women with antenatal anxiety. Future studies on its validity are needed on women without symptoms anxiety.

Item Type: Article
Uncontrolled Keywords: Cultural adaptation, Factor analysis, PES-Brief, Pregnancy experience, Psychometrics, Validation
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 19 Apr 2023 09:35
Last Modified: 19 Apr 2023 09:35
DOI: 10.1016/j.ssmmh.2021.100055
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3169730