Development of the Tilburg Pregnancy Distress Scale: the TPDS

BMC Pregnancy and Childbirth

Research Article

Antoinette M Pommer¹  Frans Pouwer¹  Victor JM Pop¹  Hennie AA Wijnen²  Veerle Bergink³  Monica Pop-Purceleanu⁴ 

[1] Department of Medical Health Psychology, University of Tilburg, Postbus 90153, Warandelaan, Tilburg, The Netherlands;Department of Midwifery Science, AVM University, Postbus 1256, Universiteitssingel, Maastricht, The Netherlands;Department of Psychiatry, Erasmus MC, University Medical Centre, ('s - Gravendijkwal), Postbus 2040, Rotterdam, The Netherlands;Department of Psychiatry, Nijmegen MC, University Medical Centre, (Geert Grooteplein - Zuid), Postbus 9101, Nijmegen, The Netherlands;

关键词: Pregnant Woman;    Confirmatory Factor Analysis;    Edinburgh Postnatal Depression Scale;    Standardize Root Mean Square Residual;    Adverse Perinatal Outcome;   

DOI  :  10.1186/1471-2393-11-80

 received in 2011-05-09, accepted in 2011-10-26,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundPregnant women with high levels of stress, depression and/or anxiety are at increased risk for adverse perinatal outcomes and impaired neurologic and emotional development of the offspring. Pregnancy specific instruments to measure psychological functioning during gestation are scarce and do not define items based on in-depth interviews of pregnant and recently delivered women. The current study developed a pregnancy specific scale that measures psychological functioning using in-depth interviews.MethodsThree focus groups were formed to discuss issues most relevant to pregnancy distress; 22 candidate items were derived for pilot testing (study I, n = 419) its psychometric properties by means of explorative factor analyses (EFA). This resulted in a 17-item TPDS which was further explored by confirmatory factor analyses (CFA) and concurrent and construct validity assessment (study II, n = 454).ResultsEFA in study I suggested a two component solution (negative affect (NA) and partner involvement (PI)). CFA in study II resulted in a higher order model of the NA subscale into three more subscales: NA regarding confinement, delivery and general health. TPDS, EPDS and GAD-7 were all significantly correlated.ConclusionsThe TPDS constitutes a valid and user friendly instrument to assess pregnancy distress. In addition to its proven ability to pick up pregnancy specific negative affect it also includes an important sub-scale measuring perceived partner involvement.

【 授权许可】

CC BY   
© Pop et al; licensee BioMed Central Ltd. 2011