A survey on worries of pregnant women - testing the German version of the Cambridge Worry Scale

Institute for General Practice, Johann-Wolfgang Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, 60590 Frankfurt/Main, Germany.
BMC Public Health (Impact Factor: 2.32). 12/2009; 9:490. DOI: 10.1186/1471-2458-9-490
Source: PubMed

ABSTRACT Pregnancy is a transition period in a woman's life characterized by increased worries and anxiety. The Cambridge Worry Scale (CWS) was developed to assess the content and extent of maternal worries in pregnancy. It has been increasingly used in studies over recent years. However, a German version has not yet been developed and validated.The aim of this study was (1) to assess the extent and content of worries in pregnancy on a sample of women in Germany using a translated and adapted version of the Cambridge Worry Scale, and (2) to evaluate the psychometric properties of the German version.
We conducted a cross-sectional study and enrolled 344 pregnant women in the federal state of Baden-Württemberg, Germany. Women filled out structured questionnaires that contained the CWS, the Spielberger-State-Trait-Anxiety Inventory (STAI), as well as questions on their obstetric history. Antenatal records were also analyzed.
The CWS was well understood and easy to fill in. The major worries referred to the process of giving birth (CWS mean value 2.26) and the possibility that something might be wrong with the baby (1.99), followed by coping with the new baby (1.57), going to hospital (1.29) and the possibility of going into labour too early (1.28). The internal consistency of the scale (0.80) was satisfactory, and we found a four-factor structure, similar to previous studies. Tests of convergent validity showed that the German CWS represents a different construct compared with state and trait anxiety but has the desired overlap.
The German CWS has satisfactory psychometric properties. It represents a valuable tool for use in scientific studies and is likely to be useful also to clinicians.

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    ABSTRACT: a wide range of psychosocial variables may influence pregnant women's psychological status. However the association between marital and social support, anxiety and worries during pregnancy is a relatively neglected area of research. Therefore, the aim of this study was to examine the relationship between marital support, social support, antenatal anxiety and pregnancy worries after controlling for the effects of background variables. public hospital in Athens, Greece. a cross-sectional study. 165 pregnant women attending an antenatal clinic for antenatal screening between January 2011 and March 2011. anxiety was measured using the State scale of the State-Trait Anxiety Inventory, pregnancy worries were measured with the Cambridge Worry Scale, social support with the Social Support Questionnaire-6 and marital satisfaction with the Quality of Marriage Index. Pearson's correlation coefficients were calculated among all study variables, followed by hierarchical multiple linear regression. a STAI score of ≥43 was taken as indicative of anxiety and 44.4% of participants responded with a score of 43 or above. Linear regression analysis showed that conception after IVF treatment and low marital satisfaction were both significantly related to anxiety and pregnancy worries. In addition, low income level was significantly related to pregnancy worry whereas low educational level was related to anxiety. the risk factors found in this study could help clinicians target anxiety screening to high-risk populations of pregnant women. Health care professionals and midwives in particular should be trained in the detection and management of anxiety and worries during pregnancy.
    Midwifery 10/2013; 30(6). DOI:10.1016/j.midw.2013.10.008 · 1.71 Impact Factor
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    14th World Congress on Controversies in Obstetrics, Gynecology & Infertility (COGI); 11/2011
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    ABSTRACT: this study examined the psychometric properties of the Cambridge Worry Scale (CWS) and assessed worries in pregnant Turkish women.Designa descriptive, cross sectional study.Settingthe 35 Family Health Centres located in the Yıldırım sub-province of Bursa.Instrumentsthe data were collected using the ‘Pregnant Information Form’, which determines the individual characteristics of the women and the ‘CWS’, which determines worries. The CWS is a Likert-type scale that consists of 16 items and has four sub-dimensions including the women׳s own health, relationships, socio-medical and socio-economic conditions. In the CWS, the total score is not calculated, and each article is evaluated in itself.Findings200 pregnant women were recruited from December 2010 to November 2011. The mean age of the pregnant women was 25.92±5.33, 43.0% had completed primary school, and 69.0% were not in paid employment. It has been determined that the content validity index for the Turkish form is 0.98 and that the internal consistency of Cronbach׳s alpha value of the scale is 0.795. As a result of exploratory factor analysis, it has been concluded that the factor loadings of the scale from 0.435 to 0.902, and it can be used in a particular dimension that is not divided into the components of the scale. On the basis of the confirmatory factor analysis, it has been determined that the Goodness of Fit Index of the one-factor structure is better than four-factor structure, but the values of the goodness fit index in each model are under 0.85 and the inaccuracy of the fit index is high.Conclusionsthe Turkish form of the CWS is an appropriate measurement tool in terms of language and content validity, and its single-factor structure can be applied to Turkish culture and can correctly identify the worries of pregnant women.
    Midwifery 11/2014; 31(3). DOI:10.1016/j.midw.2014.10.003 · 1.71 Impact Factor

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