Development and validation of the Prenatal Diagnostic Procedures Anxiety Scale

Košec, Vesna; Radoš, Sandra Nakić; Gall, Vesna

doi:10.1002/pd.4365

Cited by 8 publications

(11 citation statements)

References 45 publications

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“…They showed that women having an amniocentesis had a higher procedure-induced anxiety than women having an ultrasound examination. However, the women experienced the same level of fear of having an abnormal result [ 33 ]. Regarding NIPT, the procedure-induced anxiety will likely be lower than for amniocentesis as it is not associated with any risk for the fetus, but probably higher than for ultrasound examination as having to wait for the result is an anxiety-inducing factor [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

Positive Attitudes towards Non-Invasive Prenatal Testing (NIPT) in a Swedish Cohort of 1,003 Pregnant Women

et al. 2016

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ObjectiveThe clinical utilization of non-invasive prenatal testing (NIPT) for identification of fetal aneuploidies is expanding worldwide. The aim of this study was to gain an increased understanding of pregnant women’s awareness, attitudes, preferences for risk information and decision-making concerning prenatal examinations with emphasis on NIPT, before its introduction into Swedish healthcare.MethodPregnant women were recruited to fill in a questionnaire, including multiple-choice questions and Likert scales, at nine maternity clinics located in different areas of Stockholm, Sweden.ResultsIn total, 1,003 women participated in the study (86% consent rate). The vast majority (90.7%) considered examinations aiming to detect fetal abnormalities to be good. Regarding NIPT, 59.8% stated that they had heard about the method previously, yet 74.0% would like to use the test if available. The main factor affecting the women’s decision to undergo prenatal chromosomal screening was worry about the baby’s health (82.5%), followed by the urge to have as much information as possible about the fetus (54.5%). Most women (79.9%) preferred to receive NIPT information orally.ConclusionThe overwhelming majority of a cohort of 1,003 pregnant women considered prenatal examinations good. Moreover, the majority had a positive attitude towards NIPT and would like to use the test if available.

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Section: Resultsmentioning

confidence: 99%

Positive Attitudes towards Non-Invasive Prenatal Testing (NIPT) in a Swedish Cohort of 1,003 Pregnant Women

et al. 2016

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“…Over the past decade, fetal cardiology has rapidly developed from a primarily diagnostic field to a field that encompasses prenatal counseling and therapy . Early and improved diagnoses combined with effective counseling can impact morbidity, mortality and the emotional well‐being of the family . Effective counseling does not simply mean providing an accurate diagnosis, a clear picture of the prognosis and management and treatment options to women because mothers would feel shocked and scared and only focus on questions such as: ‘Will the baby be all right’, ‘What can I do for my baby’, and ‘Does the abnormality affect the intelligence’.…”

Section: Discussionmentioning

confidence: 99%

“…31 Early and improved diagnoses combined with effective counseling can impact morbidity, mortality and the emotional well-being of the family. 34,35 Effective counseling does not simply mean providing an accurate diagnosis, a clear picture of the prognosis and management and treatment options to women because mothers would feel shocked and scared and only focus on questions such as: 'Will the baby be all right', 'What can I do for my baby', and 'Does the abnormality affect the intelligence'. Our sample demonstrates that the results are quite different when mothers recognize that a doctor has suffered from similar difficulties.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of medical self‐experience counseling in pregnant women after echocardiographic detection of a suspected fetal heart anomaly: A longitudinal study

Zhu

Liang

Feng

et al. 2016

J of Obstet and Gynaecol

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“…The association between anxiety and prenatal diagnostic procedures is common, seeking to provide information on fetal gestation and development 23 . Obstetric ultrasonography, although not invasive, increases anxiety in pregnant women because of the potential to indicate fetal changes 24 .…”

Section: Introductionmentioning

confidence: 99%

“…Several instruments are used to measure anxiety in women in the perinatal period, but only the Pregnancy Anxiety Scale 26 was specifically designed for this use 27 . Nevertheless, none was developed to study anxiety prior to the conduction of diagnostic procedures, when concerns about fetal health and development are evident 23 .…”

Section: Introductionmentioning

confidence: 99%

Validation of an anxiety scale for prenatal diagnostic procedures

2019

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OBJECTIVE: To perform a cross-cultural adaptation of the Prenatal Diagnostic Procedures Anxiety Scale questionnaire for application in the Brazilian cultural context. METHODS: The translation and back translation processes followed internationally accepted criteria. A committee of experts evaluated the semantic, idiomatic, experimental and conceptual equivalence, proposing a pre-final version that was applied in 10.0% of the final sample. Afterwards, the final version was approved for the psychometric analysis. At that stage, 55 pregnant women participated which responded to the proposed Brazilian version before taking an ultrasound examination at a public hospital in Santa Catarina, in the year of 2017. The Edinburgh Postnatal Depression Scale was used as an external reliability parameter. The internal consistency of the instrument was obtained by Cronbach’s alpha. Validation was performed by exploratory factorial analysis with extraction of principal components by the Kaiser-Guttman method and Varimax rotation. RESULTS: The Cronbach’s alpha value of the total instrument was 0.886, and only the percentage of variance from item 2 (0.183) was not significant. The Kaiser-Guttman criterion defined three factors responsible for explaining 78.5% of the variance, as well as the Scree plot. Extraction of the main components by the Varimax method presented values from 0.713 to 0.926, with only item 2 being allocated in the third component. CONCLUSIONS: The Brazilian version is reliable and valid for use in the diagnosis of anxiety related to the performance of ultrasound procedures in prenatal care. Due to the lack of correlation with the rest of the construct, it is suggested that item 2 be removed from the final version.

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Development and validation of the Prenatal Diagnostic Procedures Anxiety Scale

Abstract: The PDPAS has good internal consistency and concurrent validity with satisfactory psychometric characteristics. As a short measure of situation-specific anxiety, it can be used as a screening tool in prenatal clinical settings.

Cited by 8 publications

References 45 publications

Positive Attitudes towards Non-Invasive Prenatal Testing (NIPT) in a Swedish Cohort of 1,003 Pregnant Women

Positive Attitudes towards Non-Invasive Prenatal Testing (NIPT) in a Swedish Cohort of 1,003 Pregnant Women

Effectiveness of medical self‐experience counseling in pregnant women after echocardiographic detection of a suspected fetal heart anomaly: A longitudinal study

Validation of an anxiety scale for prenatal diagnostic procedures

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