Fear of childbirth: Validation study of the Chinese version of Wijma delivery expectancy/experience questionnaire version A
| Autor: | Theodora Hei Tung Lai, Mimi Tin Yan Seto, Shuk Tak Kwok, Ka Wang Cheung, Weilan Wang |
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| Rok vydání: | 2020 |
| Předmět: |
Postpartum depression
China Intraclass correlation Parturition Obstetrics and Gynecology Reproducibility of Results Fear medicine.disease Exploratory factor analysis Distress Convergent validity Cronbach's alpha Pregnancy Surveys and Questionnaires Maternity and Midwifery medicine Childbirth Anxiety Humans Female medicine.symptom Psychology Clinical psychology |
| Zdroj: | Midwifery. 104 |
| ISSN: | 1532-3099 |
| Popis: | Introduction: Fear of childbirth causes significant distress and impact on women's wellbeing. It contributed to the rising trend of non-medically indicated Caesarean births worldwide. The objective of this study was to translate and validate the Chinese version of the Wijma Delivery Expectancy/Experience Questionnaire (Version A) (W-DEQ-A), which is a comprehensive instrument for the assessment of fear of childbirth among antenatal women. Methods: The translated questionnaire was finalised after back-translation and review by an expert panel. Hong Kong Chinese women at an antenatal clinic completed the translated questionnaire, Edinburgh Postpartum Depression Scale (EPDS), and State-trait Anxiety Inventory (STAI). The reliability of the translated questionnaire was analysed using Cronbach's alpha coefficient and intraclass correlation coefficient. Convergent validity was measured by Pearson's correlation between the W-DEQ-A and STAI or EPDS scores. The subscales of the questionnaire were determined using exploratory factor analysis. Results: One hundred and fifty women completed the study. The Cronbach's alpha coefficient and test-retest reliability of the Chinese version were 0.907 and 0.867, respectively. Convergent validity was demonstrated by the moderate correlation between the translated W-DEQ-A and STAI or EPDS. Exploratory factor analysis of the W-DEQ-A revealed a multi-dimensional structure with four factors: sense of isolation, moment of birth, negative emotion, and lack of positive self-evaluation. Using a standard cut-off of 85, 11.3% of women were found to suffer from fear of childbirth. Conclusion: The Chinese version of the Wijma Delivery Expectancy/Experience Questionnaire (Version A) is a reliable and valid instrument to measure antenatal fear of childbirth among Chinese women. |
| Databáze: | OpenAIRE |
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