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Development of a stress scale for pregnant women in the South Asian context: the A-Z Stress Scale
Open accessAbstract
Stress in pregnancy can lead to low-birth-weight and preterm babies and to psychological consequences such as anxiety and depression during pregnancy and the puerperium. Previous scales to measure stress contain items that overlap with the symptoms of pregnancy. A stress scale was developed based on in-depth interviews with pregnant women in Pakistan. Construct validity, test-retest reliability and inter-rater reliability were carried out. Cronbach alpha was 0.82 for the 30 short-listed items, with item-total correlations of 0.2-0.8. Multidimensional scaling determined 2 dimensions: socioenvironmental hassles and chronic illnesses. This was the first scale developed for pregnant women based on stressors in a developing country in South Asia.
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“Construct validity, test-retest reliability and inter-rater reliability, has been established for this tool. Cronbach alpha was 0·82 for the 30 items and the item-total correlations were reported to be 0·2 to 0·8, respectively [25].”
From The association between parity, infant gender, higher level of paternal education and preterm birth in Pakistan: a cohort study (2011) · cites this paper as [25]
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Metadata
- Authors
- Kazi, A., Fatmi, Z., Hatcher, J., Niaz, U., & Aziz, A.
- Affiliations
- Aga Khan University (PK)
- Venue
- Eastern Mediterranean Health Journal
- Published
- 2009-02-01
- Volume
- 15
- Issue
- 2
- Pages
- 353-361
- ISSN
- 1020-3397 (ISSN-L)
- 1687-1634
- OpenAlex
- W2118837887
- Semantic Scholar
- eb7d6c21311bd321c1038d4e17a9432d15dca688
- Cited by
- 22
- References
- 30
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 3 · 2013: 2 · 2012: 2
- FWCI
- 1.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Eastern Mediterranean Health Journal (publishedVersion)
- PubMed (publishedVersion)
- eCommons - AKU (Aga Khan University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Nursing › Research and Theory › Health Education and Validation
- Keywords
- prenatal stress, scale development, pregnant women, chronic disease, low birth weight, preterm birth, postpartum period, South Asia, Pakistan
- MeSH terms
- Adult, Attitude to Health, Developing Countries, Educational Status, Female, Humans, Occupations, Pakistan, Pregnancy, Pregnancy Complications, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Risk Factors, Socioeconomic Factors, Stress, Psychological, Observer Variation, Discriminant Analysis, Spouses, Gravidity, Pregnant People
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