The psychometric properties of fear of childbirth instruments: a systematic review.

IF 3.6 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Reproductive Health Pub Date : 2024-11-25 DOI:10.1186/s12978-024-01902-1
Bibi Leila Hoseini, Abbas Ebadi, Ali Mashhadi, Mohammad Hassan Rakhshani, Raheleh Babazadeh
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Abstract

Background: Anxiety disorders with a specific focus on fear of childbirth (FOC) are the most common mental health challenges in perinatal women. The accurate measurement of FOC is important for correctly identifying women with FOC, as well as for identifying the target population for treatment. We aimed to review FOC scales and evaluate their psychometric properties via the COSMIN methodology to identify the most suitable available instruments.

Methods: We conducted this systematic review via a comprehensive search of databases, including PubMed, Web of Science, Scopus, Science Direct and ProQuest, to identify articles published from inception to May 2024 via combined keywords related to tools that assess FOC in women during pregnancy or postpartum period. The quality of the psychometric properties of the included studies was evaluated via the COSMIN checklist.

Results: Of the 1160 records found initially, 47 articles were included in this review, 24 of which were related to the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ). According to the recommended categorization of the COSMIN methodology, among the 18 assessed scales, the Fear of Childbirth Questionnaire (FCQ) was categorized as A, and 11 scales, including the Fear-of-delivery Questionnaire (FDQ), W-DEQ-A & B, Delivery Fear Scale (DFS), Fear of Birth Scale (FOBS), Birth Anticipation Scale (BAS), Childbirth Fear Questionnaire (CFQ), Childbirth Fear Scale (CSF), Slade-Pais Expectations of Childbirth Scale (SPECS), and unnamed tools by Melender et al. (2005) and Eriksson et al. (2005) were categorized as B.

Conclusion: According to the findings, the FCQ can be recommended for evaluating pregnant women with FOC. The measures categorized as B are potentially recommended for use, but further research is needed to evaluate the quality of this group.

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分娩恐惧工具的心理测量特性:系统回顾。
背景:以分娩恐惧(FOC)为重点的焦虑症是围产期妇女最常见的心理健康问题。准确测量分娩恐惧对于正确识别患有分娩恐惧的妇女以及确定治疗目标人群非常重要。我们旨在通过 COSMIN 方法回顾 FOC 量表并评估其心理测量特性,以确定最适合的可用工具:方法:我们通过全面检索数据库(包括 PubMed、Web of Science、Scopus、Science Direct 和 ProQuest)来进行此次系统性综述,通过与评估孕期或产后妇女 FOC 的工具相关的组合关键词来确定从开始到 2024 年 5 月期间发表的文章。纳入研究的心理测量学特性质量通过 COSMIN 检查表进行评估:在最初找到的 1160 条记录中,有 47 篇文章被纳入本综述,其中 24 篇与威玛分娩预期/体验问卷(W-DEQ)有关。根据 COSMIN 方法的建议分类,在 18 个评估量表中,分娩恐惧量表(FCQ)被归类为 A,11 个量表,包括分娩恐惧量表(FDQ)、W-DEQ-A 和 B、分娩恐惧量表 (DFS)、分娩恐惧量表 (FOBS)、分娩预期量表 (BAS)、分娩恐惧问卷 (CFQ)、分娩恐惧量表 (CSF)、Slade-Pais 分娩预期量表 (SPECS) 以及 Melender 等人 (2005) 和 Eriksson 等人 (2005) 的未命名工具。(结论:结论:根据研究结果,FCQ 可被推荐用于评估患有无痛分娩的孕妇。结论:根据研究结果,FCQ 可推荐用于评估患有膀胱结石的孕妇。被归类为 B 级的测量方法有可能被推荐使用,但还需要进一步的研究来评估这组测量方法的质量。
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来源期刊
Reproductive Health
Reproductive Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.00
自引率
5.90%
发文量
220
审稿时长
>12 weeks
期刊介绍: Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access. Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.
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