Validity and reliability of the lederman Prenatal Self-Evaluation Questionnaire (PSEQ) in Brazil

Janiny Lima E Silva,Íris Do Céu Clara Costa,Ricardo Ney Cobucci,Kleyton Santos De Medeiros,Saionara Maria Aires Câmara,Matheus De Sousa Mata,Ana Katherine Gonçalves

doi:10.1186/s12884-021-03959-3

Janiny Lima E Silva, Íris Do Céu Clara Costa + Show 5 more

Open Access

https://doi.org/10.1186/s12884-021-03959-3

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Abstract

BackgroundThe Lederman Prenatal Self-Evaluation Questionnaire (PSEQ) is used to assess psychosocial adaptation to pregnancy, labor, childbirth, and maternity. The PSEQ is a tool used in various countries and has been translated into Portuguese; however, it needs to be validated in Brazil. This study aimed to analyze the validity and reliability of the PSEQ in Brazilian pregnant women.MethodThis methodological validity study investigated internal consistency and reliability using Cronbach’s alpha and intraclass correlation coefficients. Construct validity was assessed using Pearson’s correlation between domains and confirmatory factor analysis. To assess concurrent validity, Pearson’s correlation between the different domains of the PSEQ and Prenatal Psychosocial Profile-Portuguese Version (PPP-VP) was determined. The level of significance was set at 5%.ResultsThis study included 399 pregnant women in the northeastern region of Brazil. The internal consistency and reliability of the total PSEQ score were high (Cronbach's alpha = 0.89; intraclass correlation coefficient = 0.95). Validity analysis showed positive and significant correlations between all PSEQ domains, ranging from 0.14 to 0.56. Confirmatory factor analysis demonstrated the following values of goodness of fit: RMSEA = 0.05, SRMR = 0.08, CFI = 0.61, χ2/df = 1.77. The discriminant and concurrent validities of the PSEQ were confirmed.ConclusionsThe Portuguese version of the PSEQ has adequate psychometric properties and is a valid and reliable tool to evaluate psychosocial adaptation to pregnancy in Brazilian pregnant women.

Highlights

The Lederman Prenatal Self-Evaluation Questionnaire (PSEQ) is used to assess psychosocial adaptation to pregnancy, labor, childbirth, and maternity
The experience of pregnancy in a woman’s life affects various aspects of her lifestyle, causing changes in her social role and requiring adjustments in her personal behavior. It is a period of maternal psychosocial adjustment, when women may experience ambiguous feelings towards
Poor adaptation to pregnancy can generate several negative effects related to anxiety, depression, and maternal concerns during prenatal care [11], which negatively affect the health and well-being of the child during its life course [12]

Summary

Introduction

The Lederman Prenatal Self-Evaluation Questionnaire (PSEQ) is used to assess psychosocial adaptation to pregnancy, labor, childbirth, and maternity. The experience of pregnancy in a woman’s life affects various aspects of her lifestyle, causing changes in her social role and requiring adjustments in her personal behavior. It is a period of maternal psychosocial adjustment, when women may experience ambiguous feelings towards. Poor adaptation to pregnancy can generate several negative effects related to anxiety, depression, and maternal concerns during prenatal care [11], which negatively affect the health and well-being of the child during its life course [12]

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