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Anxiety disorders are very frequent during pregnancy. Anxiety control is a generalized psychological vulnerability for its development. The aim of this study is to explore the psychometric properties of the Anxiety Control Questionnaire Revised (ACQ-R) in Spanish pregnant women. 275 women responded to measures of anxiety, depression, affect, and quality of life. The original three-factor solution of the ACQ-R (emotional, threat, and stress control) was replicated by confirmatory analysis. The model fit improved when item 15 was changed from the emotional to the stress scale. Significant associations between ACQ-R scores and depression, anxiety, affect, and quality of life were found. During pregnancy, the measurement of risk factors for the development of anxiety disorders is needed. The ACQ-R is a short and valid instrument that assesses anxiety control perception during pregnancy, which can be a mechanism underlying anxiety progression, and hence a potential target for treatment., Author(s): Verónica Martínez-Borba [sup.1] [sup.2] , Jorge Osma [sup.2] [sup.3] [sup.4] , Carlos Suso-Ribera [sup.1] , Laura Andreu-Pejó [sup.2] [sup.5] Author Affiliations: (1) grid.9612.c, 0000 0001 1957 9153, Department of [...]

Background: Women's dissatisfaction with perinatal health care services is associated with poor postpartum outcomes for the mother and the baby. The Mackey Childbirth Satisfaction Rating Scale is a frequently used measure of women's childbirth satisfaction. However, its factor structure has been inconsistent across investigations. The goal of this study was to evaluate the psychometric properties of the scale (i.e., factor structure and sources of validity evidence). Methods: This study is a descriptive prospective investigation. Participants included 106 pregnant women (mean age = 31.86, SD = 4.12) recruited from a public university hospital situated in South Madrid. Sources of construct validity of the Mackey were explored with the Women's View of Birth Labor Satisfaction Questionnaire. Sources of criterion validity were investigated with measures of pain (labor, delivery, and just after birth) and post‐traumatic stress symptoms. Results: Minor adaptations in item distribution resulted in an adequate fit of the original six‐factor solution of the Mackey scale (i.e., oneself, the partner, the baby, the nurse, the physician, and overall satisfaction). Sources of validity evidence supported the construct and criterion validity of the scale. Conclusions: Obtaining a psychometrically and conceptually sound factor solution is fundamental when validating a scale. With the present study, researchers and clinicians (e.g., midwives) will be able to measure women's childbirth satisfaction in a more robust manner. Both antecedents and consequences of satisfaction were found to correlate with several satisfaction subscales, which might help guide prevention programs in mother care in a more efficient way. [ABSTRACT FROM AUTHOR]

Early experiences appear to influence the sense of unpredictability and uncontrollability of both life events and emotions in vulnerable individuals. The perception of low control has been considered a general psychological vulnerability factor in emotional disorders. One of the most commonly used measures of perceived control is the Anxiety Control Questionnaire-Revised (ACQ-R). However, its internal structure has shown structural inconsistencies among several studies finding two or three factors. Our aim is to analyze the internal structure of the Portuguese adaptation of the ACQ-R in a general population sample of 267 individuals, in a confirmatory way, as well as to explore sources of validity evidence (i.e., correlations with the Depression Anxiety Stress Scales and the Positive and Negative Affect Schedule). A three-factor solution showed the best data fit([chi].sup.2 = 150.12, degrees of freedom = 87, p < .0001, Root Mean Square Error Approximation = 0.052, 90% Confidence Interval = 0.038-0.066, Confirmatory Fit Index = 0.935, Tucker Lewis Index = 0.921). We found moderate positive correlations between the ACQ-R dimensions and anxiety, depression, stress, and negative affect, as well as between small and moderate negative associations with positive affect. All measures presented satisfactory Cronbach alphas (from .77 to .92). The Portuguese version of the ACQ-R showed good psychometric properties and the same internal structure of its original version., Author(s): Carlos Suso-Ribera [sup.1] , Antónia Maria Jimenez Ros [sup.2] , Jorge Osma [sup.3] Author Affiliations: (1) grid.9612.c, 0000 0001 1957 9153, Universitat Jaume I, , Castellón, Spain (2) grid.7157.4, [...]

Emotional regulation-based transdiagnostic interventions provide positive but limited evidence regarding efficacy with people living with human immunodeficiency virus (HIV). In the present study, 10 participants living with HIV with emotional disorders completed a five-session transdiagnostic group intervention to improve their emotional regulation skills (Unified Protocol). Changes at pre-treatment, post-treatment and three-month follow-up were explored at the population (mean-rank) and the individual level (reliable change index). Compared to pre-treatment, participants improved significantly in anxiety, depression, negative affect and quality of life. Changes were maintained at the three-month follow-up. Emotion regulation, particularly the confusion factor, improved when comparing pre-treatment with the three-month follow-up. At the three-month follow-up, the percentage of normalized scores was the largest in maladjustment (70%), followed by depression, negative affect, and lack of control (50%). All participants indicated high treatment satisfaction and perceived benefits. These promising results suggest that brief emotion regulation interventions might be feasible and effective in the public health settings for people living with HIV suffering emotional disorders. [ABSTRACT FROM AUTHOR]

The objective of this work is to explore whether the relationship between pain after delivery and postpartum depression is increased or decreased by the use of religion as a coping strategy (moderation). A longitudinal cohort study was conducted. The sample was evaluated on three occasions: third trimester of pregnancy (religious coping), after birth (pain severity) and four months after delivery (postpartum depression). Participants were 122 women (mean age = 31.29; SD = 4.9: range = [22, 42 years]) with low obstetric risk. Both pain severity and religious coping contributed to postpartum depression (r =.20, p =.029 and r =.28, p =.04, respectively). Religious coping exacerbated the relationship between pain after delivery and postpartum depression (B = −0.11, t = −2.48, p =.014, [−0.20, −0.02]). Depression was highest in participants using religious coping irrespective of pain severity levels. These findings support the importance of person-environment interaction studies and provide new evidence on the deleterious role of religious coping in the well-being of women after childbirth. [ABSTRACT FROM AUTHOR]

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