Validation of the insomnia assessment scale – adapted in a community sample of portuguese pregnant women

2016 ◽  
Vol 33 (S1) ◽  
pp. s269-s269
Author(s):  
M. Marques ◽  
A.T. Pereira ◽  
J. Azevedo ◽  
S. Xavier ◽  
E. Bento ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Community Sample ◽  
Reliability And Validity ◽  
Principal Component ◽  
Perinatal Period ◽  
Assessment Scale ◽  
Good Reliability ◽  
Competing Interest ◽  
Insomnia Symptoms ◽  
Sleep Difficulties

IntroductionPregnancy is characterized by important changes in sleep and some of them (as insomnia) predict negative outcomes, like depression, through all the perinatal period. There are few Portuguese adapted and validated instruments assessing insomnia in pregnancy.ObjectiveTo validate the Insomnia Assessment Scale in a sample of Portuguese pregnant women.Methods419 pregnant women (mean age: 32.51 ± 4.759; weeks of gestation: 17.32 ± 4.803) answered the Insomnia Assessment Scale (IAS), constructed according to the DSM-V and the ICSD-3 criteria and presenting fourteen items: three evaluating insomnia symptoms (1 to 3); one assessing if sleep difficulties were present although there were adequate conditions to sleep (item 4); one assessing if sleep difficulties occurred three times/week (item 5); one evaluating if sleep was not restorative (item 6); three assessing daily impairment associated to insomnia symptoms (7 to 9); two assessing the use of prescribed and/or homemade medication (10 and 11); three excluding that sleep difficulties were not due to another sleep disorder, substance use, a physical condition or a mental disorder) (12 to 14).ResultsThe IAS Kuder-Richardson alpha was very good (α=0.85) and none of the items increased the alpha if removed. A principal component analysis revealed a three factors solution, explaining a variance/EV of 63,74%: F1/Insomnia symptoms (items 1 to 6) (EV 36.02%; α=0.81); F2/Daily impairment associated to insomnia symptoms (items 7 to 9) (EV 18.67%; α=0.79); F3/Differential diagnosis (items 12 to 14) (EV 8.38%; α=0.81).ConclusionsThe IAS adapted for Portuguese pregnant women presented good reliability and validity.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Validation of the Depression, Anxiety and Stress Scale–DASS-21 in a community sample of Portuguese pregnant women

2016 ◽  
Vol 33 (S1) ◽  
pp. s239-s239 ◽  
Author(s):  
S. Xavier ◽  
E. Bento ◽  
J. Azevedo ◽  
M. Marques ◽  
M.J. Soares ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Pregnant Women ◽  
Community Sample ◽  
Perinatal Period ◽  
Good Reliability ◽  
Stress Scale ◽  
Two Factors ◽  
Competing Interest ◽  
Pearson Correlations ◽  
Postpartum Depression Screening Scale

IntroductionThe Depressive Anxiety and Stress Scale (DASS-21; Antony et al., 1998) had been widely used to measure psychological distress among clinical and non-clinical populations, including in Portugal (Pais-Ribeiro et al., 2004). Although DASS-21 has been considered useful to evaluate psychological distress in the perinatal period, studies reporting on its psychometrics are scarce (Brunton et al., 2015).ObjectiveTo investigate the psychometric properties of the DASS-21 in a Portuguese sample of pregnant women.MethodsFour hundred and twenty-seven pregnant women (mean age: 32.56 ± 4.785 years) in their second trimester of pregnancy (17.34 ± 4.790 weeks of gestation) completed the Portuguese versions of DASS-21 and of Postpartum Depression Screening Scale (PDSS-24; Pereira et al., 2013).ResultsThe DASS-21 Cronbach's alpha was “very good” (a = 0.92). Following the Kaiser and the Cattel Scree Plot criteria, two factorial structures were explored. Three factors structure (explained variance/EV = 57.18%): F1-stress (included 8 items; α = 0.89); F2-Anxiety (7 items; α = 0.79); F3-Depression (6 items; α = 0.82). In the two factors structure (EV = 50.96), the Stress and Anxiety items load in the same factor (F1: 15 items; α = 0.91) and the F2 is composed of the Depression items (F2: 6 items; α = 0.82). Pearson correlations between DASS-21 total and dimensional scores and the PDSS-24 scores were all significant, positive and moderate to high (@.50).ConclusionsThe Portuguese version of DASS-21 has good reliability, construct and concurrent validity when used with pregnant women. Its factorial structure significantly overlaps with the original, with only one item loading in another factor. DASS-21 could be very useful in diverse settings in the perinatal period.Disclosure of interestThe authors have not supplied their declaration of competing interest.

An Evaluation of the German Relationship Assessment Scale

2005 ◽  
Vol 64 (4) ◽  
pp. 259-263 ◽  
Author(s):  
Andreas Dinkel ◽  
Friedrich Balck
Keyword(s):  
Community Sample ◽  
Reliability And Validity ◽  
Principal Component ◽  
Dyadic Adjustment ◽  
Assessment Scale ◽  
General Factor ◽  
Satisfaction Scale ◽  
Different Types ◽  
Relationship Assessment ◽  
The Relationship

The Relationship Assessment Scale (RAS) is a short seven-item measure for the assessment of relationship satisfaction. It can be used with different types of relationships. We aimed to investigate the psychometric properties of the German version of the RAS in a community sample of N = 145 persons. The principal component analysis revealed one general factor, which accounted for more than 60 per cent of the variance. The internal consistency of the RAS was high (α = .89). While there were no significant associations between RAS scores and age or gender, several other sociodemographic parameters had an impact on the RAS, e. g. presence of children. The RAS correlated significantly with scales of the Dyadic Adjustment Scale (DAS), most impressively with the DAS satisfaction scale (r = .87). Persons living in a distressing relationship, as indicated by a DAS total score below 100, also had lower scores on the RAS. In conclusion, our results extend the evidence on the reliability and validity of the RAS.

Bedtime Counterfactual Processing Questionnaire (BCPQ): Validation of the Portuguese version

2016 ◽  
Vol 33 (S1) ◽  
pp. s239-s240
Author(s):  
J. Borges ◽  
D. Borges ◽  
A.T. Pereira ◽  
A.S. Cabral ◽  
J. Azevedo ◽  
...  
Keyword(s):  
Community Sample ◽  
Temporal Stability ◽  
Reliability And Validity ◽  
Extended Version ◽  
Good Reliability ◽  
Portuguese Version ◽  
Significant Difference ◽  
Explained Variance ◽  
Competing Interest ◽  
Pearson Correlations

IntroductionCounterfactual thinking is a set of mental representations of alternatives to the past actions. When it focuses on personal decisions, the emotion that results is regret, which has important implications for psychological distress (Borges et al., 2015). The Bedtime Counterfactual Processing Questionnaire (BCPQ; Schmidt and Linden, 2009) was developed to assess the frequency of regret-related counterfactual thoughts during the pre-sleep period.ObjectiveTo investigate the psychometric properties of the BCPQ (extended version) Portuguese version.MethodsA community sample composed of 108 university students and 79 employees (78.1% females; mean age = 33.16 ± 13.175; range: 17-62) answered the Portuguese preliminary versions of the BCPQ and Regret Scale (Schwartz et al., 2002). To study the temporal stability, 31 participants (83.9% females; mean age = 26.54 ± 18.761) answered the BCPQ again after 6 weeks.ResultsThe BCPQ2 Cronbach alpha was “very good” (a = 0.81). All the items contributed to the internal consistency. The test-retest correlation coefficient was high, positive and significant (0.78; P = 0.05); there was not significant difference between test and re-test scores [29.87 ± 5.309 vs. 30.13 ± 5.353, t (30) = −0.204, P = 0.840]. Following the Kaiser and the Cattel's Scree Plot criteria, two meaningful factors were extracted which explained variance (EV) was of 65.06%: F1 Regret (EV 43.17%; a = 0.88), F2 low pride (21.88%; a = 0.88). Pearson correlations of EA total score with BCPQ2 and F1 were significant and moderate ([email protected]) and with F2 was non-significant.ConclusionsAlthough the Portuguese version of the extended version of BCPQ has good reliability and validity, the low pride-related dimension seems to be relatively independent of regret.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Portuguese validation of the Version of the Regret Scale

2016 ◽  
Vol 33 (S1) ◽  
pp. s239-s239
Author(s):  
D. Borges ◽  
A.T. Pereira ◽  
J. Borges ◽  
A.S. Cabral ◽  
S. Xavier ◽  
...  
Keyword(s):  
Negative Emotion ◽  
Community Sample ◽  
Temporal Stability ◽  
Reliability And Validity ◽  
Good Reliability ◽  
Portuguese Version ◽  
Competing Interest ◽  
The Relationship ◽  
Pearson Correlations ◽  
Ongoing Project

IntroductionRegret is defined as an aversive negative emotion associated to specific cognitive contents, felt when we consider that our current situation could be better, if we had taken a different decision (Zeelenberg and Pieters 1997). Regret Scale/RS corresponds to the regret-trait dimension of Regret and Maximization Scale developed by Schwartz et al. (2002).ObjectiveTo investigate the psychometric properties of the RS Portuguese version.MethodsA community sample composed of 108 university students and 79 employees (78.1% females; mean age = 33.16 ± 13.175; range: 17-62) answered the Portuguese preliminary versions of the RS and Bedtime Counterfactual Processing Questionnaire (BCPQ) and also the Profile of Mood States to evaluate Negative Affect/NA. To study the temporal stability, 31 participants (83.9% females; mean age = 26.54 ± 18.761) answered the RAFS again after 6 weeks.ResultsThe EA Cronbach alpha was “very good” (a = 0.72). All the items contributed to the internal consistency. The test-retest correlation coefficient was high, positive and significant (0.72; P < 0.001). Following Kaiser and Cattel Scree Plot criteria, only one factor was extracted, meaning that the scale is unidimensional. Pearson correlations of EA and BCPQ2 and NA were significant and high ([email protected]).ConclusionsThe Portuguese version of RS has good reliability and validity. It could be very useful both in clinical and research contexts, namely in an ongoing project on the relationship between regret, personality and psychological distress.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Personality Dark Triad: Portuguese Validation of the Dirty Dozen

2017 ◽  
Vol 41 (S1) ◽  
pp. S711-S711
Author(s):  
A. Macedo ◽  
A.I. Araújo ◽  
C. Cabaços ◽  
M.J. Brito ◽  
L. Mendonça ◽  
...  
Keyword(s):  
Community Sample ◽  
Temporal Stability ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Dark Triad ◽  
Good Reliability ◽  
Portuguese Version ◽  
Dirty Dozen ◽  
Competing Interest ◽  
The Relationship

IntroductionThe Dark Triad is a term used to describe a constellation of three socially undesirable personality traits: narcissism, psychopathy, and Machiavellianism. Contrary to Altruism (the desire to help others with no personal reward or gain), these traits are harmful to others. Given the increased scientific interest on the dark triad, Jonason and Webster developed a shorter questionnaire to evaluate these three independent-yet-related constructs with only 12 items – Dirty Dozen (D12).ObjectiveTo investigate the psychometric properties of the Portuguese version of the Dirty Dozen.MethodsA community sample composed of 286 university students (69.2% females; mean age = 21.09 ± 2.133; range: 17–33) answered the Portuguese preliminary versions of the Dirty Dozen and of the Altruism dimension from HEXACO-100. To study the temporal stability, 30 participants (66.7% females) answered the D12 again after six weeks.ResultsThe EA Cronbach alpha was “very good” (a = 0.72). Following Kaiser and Cattel Scree Plot criteria, three meaningful factors were extracted which explained variance (EV) was of 54.64%: F1 Machiavellianism (EV 32.07%; a = 0.73), F2 Narcissism (13.665%; a = 0.74), F3 Psychopathy (8.90%; a = 0.64). The test-retest correlation coefficients were high, positive and significant for the total D12 and its dimensions (r > 0.70; P < 0.001). Pearson correlations of D12 total and dimensional scores and Altruism were negative, moderate and significant (r@ − 0.30).ConclusionsThe Portuguese version of Dirty Dozen has good reliability and validity. It could be very useful both in clinical and research contexts, namely in an ongoing project on the relationship between dark triad and perfectionism traits.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Facets Mindfulness Questionnaire-10 – A shorter Portuguese version to evaluate mindfulness dimensions in pregnant women

2016 ◽  
Vol 33 (S1) ◽  
pp. S571-S571
Author(s):  
J. Azevedo ◽  
E. Bento ◽  
S. Xavier ◽  
M. Marques ◽  
V. Freitas ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Psychometric Properties ◽  
Stress Reduction ◽  
Reliability And Validity ◽  
Five Facet Mindfulness Questionnaire ◽  
Good Reliability ◽  
Portuguese Version ◽  
Competing Interest ◽  
Acting With Awareness ◽  
Mindfulness Facets

IntroductionMindfulness refers to the capacity of being present and aware, without feeling the need to react or judge that experience (Kabat Zinn, 1990). This ability is associated with mental health and stress reduction (Baer, 2014; Teasdale et al., 2014). Five Facet Mindfulness Questionnaire (FFMQ) is widely used to measure mindfulness and its relation to psychopathology (Gregorio and Gouveia, 2011).ObjectiveTo analyze the psychometric properties of the Portuguese 15 items FFMQ (Baer; Gregório et al., authors’ manuscript) in a Portuguese sample of pregnant women.MethodsA total of 427 pregnant women (Mean age: 32.56 ± 4.785 years) in their second trimester of pregnancy (17.34 ± 4.790 weeks of gestation) completed the Portuguese version of FFMQ-15.ResultsThe FFMQ-15 Cronbach's alpha was unsatisfactory (α = 0.62) and five items presented low (< 0.20) correlations and had the effect of increasing Cronbach alpha if removed. Without these items, α increased to a satisfactory level (0.72) and all the ten items contributed to internal consistency. The factorial analysis of these ten items resulted in a three factors solution, which explained variance (EV) was of 53.9%. Based on items content, the meaningful three factors were denominated as follows: F1 Nonjudging of experience (EV 27.69%; α = 0.77), F2 Acting with awareness (18.00%; α = 0.77) and F3 Observing and describing (8.21%; α = 0.73).ConclusionsAlthough the FFMQ-15 has shown good psychometric properties in other samples, in this sample of pregnant women a 10-items FMQ (Facets of Mindfulness Questionnaire) version performed better, presenting good reliability and validity in evaluating three mindfulness facets.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Development and validation of Nurses’ Moral Courage Scale

2018 ◽  
Vol 26 (7-8) ◽  
pp. 2438-2455 ◽  
Author(s):  
Olivia Numminen ◽  
Jouko Katajisto ◽  
Helena Leino-Kilpi
Keyword(s):  
Internal Consistency ◽  
Reliability And Validity ◽  
Principal Component ◽  
Moral Courage ◽  
Face Validity ◽  
University Hospital ◽  
Moral Competence ◽  
Good Reliability ◽  
Cross Sectional ◽  
Convenience Sample

Background: Moral courage is required at all levels of nursing. However, there is a need for development of instruments to measure nurses’ moral courage. Objectives: The objective of this study is to develop a scale to measure nurses’ self-assessed moral courage, to evaluate the scale’s psychometric properties, and to briefly describe the current level of nurses’ self-assessed moral courage and associated socio-demographic factors. Research design: In this methodological study, non-experimental, cross-sectional exploratory design was applied. The data were collected using Nurses’ Moral Courage Scale and analysed statistically. Participants and research context: The data were collected from a convenience sample of 482 nurses from four different clinical fields in a major university hospital in Finland for the final testing of the scale. The pilot comprised a convenience sample of 129 nurses. Ethical considerations: The study followed good scientific inquiry guidelines. Ethical approval was obtained from the university ethics committee and permission to conduct the study from the participating hospital. Findings: Psychometric evaluation showed that the 4-sub-scale, 21-item Nurses’ Moral Courage Scale demonstrates good reliability and validity at its current state of development showing a good level of internal consistency for a new scale, the internal consistency values ranging from 0.73 to 0.82 for sub-scales and 0.93 for the total scale, thus well exceeding the recommended Cronbach’s alpha value of >0.7. Principal component analysis and confirmatory factor analysis supported the theoretical construct of Nurses’ Moral Courage Scale. Face validity and expert panel assessments markedly contributed to the relevance of items in establishing content validity. Discussion and conclusion: Nurses’ Moral Courage Scale provides a new generic instrument intended for measuring nurses’ self-assessed moral courage. Recognizing the importance of moral courage as a part of nurses’ moral competence and its assessment offers possibilities to develop interventions and educational programs for enhancement of moral courage. Research should focus on further validation measures of Nurses’ Moral Courage Scale in international contexts.

Mindfulness and insomnia at pregnancy

2016 ◽  
Vol 33 (S1) ◽  
pp. s269-s269
Author(s):  
M. Marques ◽  
A.T. Pereira ◽  
E. Bento ◽  
S. Xavier ◽  
J. Azevedo ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Pregnant Women ◽  
Mean Value ◽  
Inner Experience ◽  
The Mean ◽  
Competing Interest ◽  
Acting With Awareness ◽  
The Impact ◽  
Insomnia Symptoms ◽  
In Pregnancy

IntroductionThe impact of mindfulness in improving insomnia symptoms is documented in different samples (e.g. anxiety disorders; insomnia samples) and mindfulness based programs for pregnancy refer the association between mindfulness development and the reduction of insomnia symptoms/improvement of sleep.ObjectiveTo explore differences in the Facets Mindfulness Questionnaire-10 (FMQ-10; Azevedo et at. 2015), between sleep groups, in Portuguese pregnant women.MethodsFour hundred and nineteen pregnant women (mean age: 32.51 ± 4.759; weeks of gestation: 17.32 ± 4.803) answered the Facets Mindfulness Questionnaire-10 and the Insomnia Assessment Scale (IAS, Marques et al., 2015). Three sleep groups were created considering all the IAS items: good sleepers (no insomnia symptoms; no associated daily impairment); insomnia symptoms groups (one/more insomnia symptoms; no associated daily impairment; exclusion of other conditions/disorders explaining the symptoms); insomniacs (one/more insomnia symptoms; one/more daily associated impairment; exclusion of other conditions/disorders explaining the symptoms).ResultsThere were significant differences in the total FMQ-10 score, the F1/Nonjudging of inner experience and the F2/acting with awareness, between sleep groups [respectively, F (2.402) = 6,933; P = 0.001; F (2.406) = 10.243; P = 0.001; F (2.406) = 37.431; P = 0.002]. Tukey tests indicated that the mean total FMQ-10 and F1/Nonjudging of inner experience scores of good sleepers and insomnia symptoms group were significantly higher than of the insomniacs. The mean value of F2/acting with awareness in the good sleepers was significantly higher than of the insomniacs.ConclusionsIt seems important to develop mindfulness to improve sleep in pregnancy or reduce the impact of insomnia symptoms (common at pregnancy).Disclosure of interestThe authors have not supplied their declaration of competing interest.

Self-compassion and insomnia at pregnancy

2016 ◽  
Vol 33 (S1) ◽  
pp. s268-s268 ◽  
Author(s):  
M. Marques ◽  
A.T. Pereira ◽  
V. Freitas ◽  
E. Bento ◽  
J. Azevedo ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Pregnant Women ◽  
The Self ◽  
Common Humanity ◽  
Self Compassion ◽  
Competing Interest ◽  
The Impact ◽  
Compassion Scale ◽  
Insomnia Symptoms ◽  
In Pregnancy

IntroductionMindfulness based programs during pregnancy (some including self-compassion components) increase self-compassion, mindfulness and maternal self-efficacy, and reduce anxiety, stress and psychological distress in pregnant women. According to our knowledge, there are no studies about the association between self-compassion and sleep outcomes in pregnancy.ObjectiveTo explore differences in self-compassion, between three sleep groups, in a sample of Portuguese pregnant women.MethodsFour hundred and nineteen pregnant women (mean age: 32.51 ± 4.759; weeks of gestation: 17.32 ± 4.803) completed the Self-Compassion Scale (SCS, Bento et al., 2015), presenting six dimensions (self-kindness, self-judgment, common humanity, isolation, mindfulness and over-identification) and the Insomnia Assessment Scale (Marques et al., 2015). Three sleep groups were formed: good sleepers (no insomnia symptoms; no associated daily impairment); insomnia symptoms groups (one/more insomnia symptoms; no associated daily impairment); insomniacs (one/more insomnia symptoms; daily associated impairment).ResultsThere were significant differences in the total SCS, self-judgment, isolation and over-identification scores, between sleep groups [respectively, F (2,396) = 7,926, P ≤ 0,001; F (2,409) = 19,155, P ≤ 0,001; F (2,410) = 13,016, P ≤ 0,001; F (2,412) = 11,258, P ≤ 0,001]. Self-judgement, isolation and over-identification scores of good sleepers and insomnia symptoms group were higher than of insomniacs. Total SCS score of good sleepers was higher than of insomniacs and the same score of symptoms of insomnia group was also higher than of insomniacs.ConclusionsResults seem to show the importance of developing self-compassion to improve sleep in pregnancy or reduce the impact of insomnia symptoms (common at pregnancy).Disclosure of interestThe authors have not supplied their declaration of competing interest.

Validation of the self-compassion scale in a community sample of Portuguese pregnant women

2016 ◽  
Vol 33 (S1) ◽  
pp. s238-s238 ◽  
Author(s):  
E. Bento ◽  
S. Xavier ◽  
J. Azevedo ◽  
M. Marques ◽  
V. Freitas ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Factor Model ◽  
Community Sample ◽  
Perinatal Period ◽  
The Self ◽  
Common Humanity ◽  
Internal Reliability ◽  
Portuguese Version ◽  
Self Compassion ◽  
Compassion Scale

IntroductionIn recent years, researchers and clinicians have shown an increasing interest in self-compassion. Indeed, several studies have suggested that self-compassion is a positive factor for mental and physical health. The Self-Compassion Scale (SCS; Neff, 2003) has been widely used to assess six dimensions of self-compassion (self-kindness, self-judgment, common humanity, isolation, mindfulness and over-identification) among diverse populations. Recently, it has also been used in perinatal samples but its psychometric properties in pregnant women is still unexplored.ObjectiveThis study aims was to investigate the reliability and the validity of the SCS using Confirmatory Factor Analysis in a sample of Portuguese pregnant women.MethodsParticipants were 417 pregnant women with a mean age of 33 years old (SD = 4.74) in their second trimester of pregnancy (M = 17.26, SD = 4.78, weeks of gestation). Participants completed the Portuguese version of the SCS while waiting for the routine prenatal consultation in Maternity Hospital, Portugal.ResultsA was tested and results showed that the six-factor model had a good fit to the data (TLI = 0.93, CFI = 0.94, RMSEA = 0.06). The total SCS presented a good internal reliability (α = 0.91) and their subscales showed Cronbach's alphas ranging between adequate (α = 0.77) and good (α = 0.87).ConclusionsOverall, these findings suggest that the Portuguese version of the SCS is a valid and reliable measure to assess self-compassion among pregnant women. Thus, SCS could be useful in diverse settings in the perinatal period.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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