The Serbian version of the Pandemic-Related Pregnancy Stress Scale (PREPS-SRB)-A validation study.

Pregnancy is a sensitive period in a woman's life when psychological distress can have negative consequences for the mother and fetus. Prolonged and intensified symptoms of anxiety and depression caused by the COVID-19 pandemic increase the risk of maternal and fetal health complications. The P...

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Main Authors: Konstantin Kostić, Aleksandra Kostić, Aleksandra Petrović, Andrija Vasilijević, Jelena Milin-Lazović
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0317909
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author Konstantin Kostić
Aleksandra Kostić
Aleksandra Petrović
Andrija Vasilijević
Jelena Milin-Lazović
author_facet Konstantin Kostić
Aleksandra Kostić
Aleksandra Petrović
Andrija Vasilijević
Jelena Milin-Lazović
author_sort Konstantin Kostić
collection DOAJ
description Pregnancy is a sensitive period in a woman's life when psychological distress can have negative consequences for the mother and fetus. Prolonged and intensified symptoms of anxiety and depression caused by the COVID-19 pandemic increase the risk of maternal and fetal health complications. The Pandemic-Related Pregnancy Stress Scale (PREPS) is a thoroughly designed tool that helps determine and analyze stress among pregnant women during pandemics in three domains: Preparedness in childbirth, (2) Infection, and (3) Positive Appraisal. A cross-sectional study included 189 pregnant women attending a community health center, "Dr Simo Milošević," in Belgrade, Serbia, from January to February 2022. Pregnant women anonymously completed a questionnaire as part of the study. The mean scores for those three domains are as follows: Preparedness (2.4 ± 0.9), Infection stress (2.8 ± 1.1), and Positive Appraisal (3.7 ± 0.9). Internal consistency of the PREPS questionnaire for PREPS-Total (α = 0.867). An explanatory factor analysis of the PREPS showed that the Serbian version of the Pandemic-Related Pregnancy Stress Scale has good psychometric properties. The Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO) was found to be 0.860, indicating a high degree of sampling adequacy. Additionally, Bartlett's Test of Sphericity yielded a statistically significant result (χ2 = 1564.206, df = 105, p < 0.001). The CFA showed very good fit indices for the Serbian sample, confirming the factor structure of the original English version. The RMSEA value of 0.056 (0.036-0.075) and values for fit indices TLI (0.961) and CFI (0.974) were above the cut-off of ≥0.95, indicating an excellent fit. All standardized factor loadings were statistically significant and ranged from 0.50 to 0.85. The PREPS-SRB questionnaire serves as a valuable tool for Serbian healthcare professionals, allowing them to identify pregnant women experiencing significant stress related to the COVID-19 pandemic.
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spelling doaj-art-8e45a93397574477917af6d5dbc403fc2025-02-09T05:30:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031790910.1371/journal.pone.0317909The Serbian version of the Pandemic-Related Pregnancy Stress Scale (PREPS-SRB)-A validation study.Konstantin KostićAleksandra KostićAleksandra PetrovićAndrija VasilijevićJelena Milin-LazovićPregnancy is a sensitive period in a woman's life when psychological distress can have negative consequences for the mother and fetus. Prolonged and intensified symptoms of anxiety and depression caused by the COVID-19 pandemic increase the risk of maternal and fetal health complications. The Pandemic-Related Pregnancy Stress Scale (PREPS) is a thoroughly designed tool that helps determine and analyze stress among pregnant women during pandemics in three domains: Preparedness in childbirth, (2) Infection, and (3) Positive Appraisal. A cross-sectional study included 189 pregnant women attending a community health center, "Dr Simo Milošević," in Belgrade, Serbia, from January to February 2022. Pregnant women anonymously completed a questionnaire as part of the study. The mean scores for those three domains are as follows: Preparedness (2.4 ± 0.9), Infection stress (2.8 ± 1.1), and Positive Appraisal (3.7 ± 0.9). Internal consistency of the PREPS questionnaire for PREPS-Total (α = 0.867). An explanatory factor analysis of the PREPS showed that the Serbian version of the Pandemic-Related Pregnancy Stress Scale has good psychometric properties. The Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO) was found to be 0.860, indicating a high degree of sampling adequacy. Additionally, Bartlett's Test of Sphericity yielded a statistically significant result (χ2 = 1564.206, df = 105, p < 0.001). The CFA showed very good fit indices for the Serbian sample, confirming the factor structure of the original English version. The RMSEA value of 0.056 (0.036-0.075) and values for fit indices TLI (0.961) and CFI (0.974) were above the cut-off of ≥0.95, indicating an excellent fit. All standardized factor loadings were statistically significant and ranged from 0.50 to 0.85. The PREPS-SRB questionnaire serves as a valuable tool for Serbian healthcare professionals, allowing them to identify pregnant women experiencing significant stress related to the COVID-19 pandemic.https://doi.org/10.1371/journal.pone.0317909
spellingShingle Konstantin Kostić
Aleksandra Kostić
Aleksandra Petrović
Andrija Vasilijević
Jelena Milin-Lazović
The Serbian version of the Pandemic-Related Pregnancy Stress Scale (PREPS-SRB)-A validation study.
PLoS ONE
title The Serbian version of the Pandemic-Related Pregnancy Stress Scale (PREPS-SRB)-A validation study.
title_full The Serbian version of the Pandemic-Related Pregnancy Stress Scale (PREPS-SRB)-A validation study.
title_fullStr The Serbian version of the Pandemic-Related Pregnancy Stress Scale (PREPS-SRB)-A validation study.
title_full_unstemmed The Serbian version of the Pandemic-Related Pregnancy Stress Scale (PREPS-SRB)-A validation study.
title_short The Serbian version of the Pandemic-Related Pregnancy Stress Scale (PREPS-SRB)-A validation study.
title_sort serbian version of the pandemic related pregnancy stress scale preps srb a validation study
url https://doi.org/10.1371/journal.pone.0317909
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