This study developed and validated the Pregnancy Coping Scale (PCS) for women in Pakistan. Fifty-two items were generated from a literature review and interviews with 20 pregnant women. Six psychologists evaluated the content validity. Construct validity was evaluated with 230 pregnant women aged 18–40 recruited from government and private hospitals in Lahore, Pakistan. Principal component analysis produced 35 items across seven factors, with Cronbach’s alphas ranging from 0.52 to 0.72. Convergent and discriminant validity were evaluated in a subsample of 140 participants who completed the Revised Prenatal Coping Inventory (Nu-PCI). A correlational analysis indicated convergence with four Nu-PCI subscales; the remaining subscales supported discriminant validity. The PCS demonstrated acceptable reliability and validity for assessing pregnancy coping in a collectivistic culture.
AfsharHRoohafzaHRKeshteliAH, et al. (2015) The association of personality traits and coping styles according to stress level. Journal of Research in Medical Sciences20(4): 353–358.
2.
AlfiyatussaidahANasirSWahiduddinW, et al. (2020) Coping behavior among mothers age 35 years and over with unwanted pregnancy in the working area of Kassi-Kassi health center Makassar City, Indonesia. Interdisciplinary Journal Papier Human Review1(2): 13–21.
3.
AliRHabibaUUllahH (2018) Women’s lived experience of pregnancy and child birth: Narratives from Pakistan. The Qualitative Report23(4): 758–773.
4.
AshabaSKaidaABurnsBF, et al. (2017) Understanding coping strategies during pregnancy and the postpartum period: A qualitative study of women living with HIV in rural Uganda. BMC Pregnancy and Childbirth17(1): 138.
5.
AshfaqASaleemSKaramatN, et al. (2020) Psychosocial problems in pregnant women: A psychometric study. Rawal Medical Journal45(4): 826.
6.
BischoffMHowlandVKlinger-KönigJ, et al. (2019) Save the children by treating their mothers (PriVileG-M-study) – Study protocol: A sequentially randomized controlled trial of individualized psychotherapy and telemedicine to reduce mental stress in pregnant women and young mothers and to improve child’s health. BMC Psychiatry19(1): 371.
7.
CarverCS (1997) You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine4(1): 92–100.
8.
CarverCSScheierMFWeintraubJK (1989) Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology56(2): 267–283.
9.
CeprnjaDChipchaseLLiamputtongP, et al. (2022) ‘This is hard to cope with’: The lived experience and coping strategies adopted amongst Australian women with pelvic girdle pain in pregnancy. BMC Pregnancy and Childbirth22(1): 96.
10.
ChunCAMoosRHCronkiteRC (2006) Culture: A fundamental context for the stress and coping paradigm. In: WongPTPWongLCJ (eds) Handbook of Multicultural Perspectives on Stress and Coping. New York, NY: Spring Publications, pp.29–53.
11.
Côté-ArsenaultD (2007) Threat appraisal, coping, and emotions across pregnancy subsequent to perinatal loss. Nursing Research56(2): 108–116.
12.
DavisLL (1992) Instrument review: Getting the most from a panel of experts. Applied Nursing Research5(4): 194–197.
13.
DubowEFRubinlichtM (2011) Coping. In: BrownBBPrinsteinMJ (eds) Encyclopedia of Adolescence. New York, NY: Springer, pp.109–118.
14.
FaramarziMPashaHKhafriS, et al. (2017) The factor structure and psychometric properties of the Persian Version of the Revised Prenatal Coping Inventory (Nu-PCI). Journal of Clinical and Diagnostic Research: JCDR11(3): QC17–QC20.
15.
FieldA (2018) Discovering Statistics Using IBM SPSS Statistics. Thousand Oaks, CA: Sage Publications Limited.
16.
FolkmanS (ed.) (2011) The Oxford Handbook of Stress, Health, and Coping. New York, NY: Oxford University Press.
17.
FolkmanSLazarusRS (1988) Ways of Coping Questionnaire (WAYS) (Database record). Washington, DC: APA PsycTests.
18.
FordE.AyersS.BradleyR. (2010). Exploration of a cognitive model to predict post-traumatic stress symptoms following childbirth. Journal of Anxiety Disorders, 24(3), 353–359.
19.
GuardinoCMSchetterCD (2014) Coping during pregnancy: A systematic review and recommendations. Health Psychology Review8(1): 70–94.
20.
HamiltonJGLobelM (2008) Types, patterns, and predictors of coping with stress during pregnancy: Examination of the revised prenatal Coping Inventory in a diverse sample. Journal of Psychosomatic Obstetrics and Gynaecology29(2): 97–104.
21.
HanifMKhalidSRasulA, et al. (2021) Maternal mortality in rural areas of Pakistan: Challenges and prospects. In: BachaU (ed.) Rural Health. London: IntechOpen, pp.111–124.
22.
HuizinkACde MedinaPGRMulderEJH, et al. (2002) Coping in normal pregnancy. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine24(2): 132–140.
23.
IbrahimSMNicoloro-SantaBarbaraJAuerbachMV, et al. (2019) Pregnancy-specific coping and changes in emotional distress from mid-to late pregnancy. Journal of Reproductive and Infant Psychology37(4): 397–412.
24.
JordanB (1992) Birth in Four Cultures: A Crosscultural Investigation of Childbirth in Yucatan, Holland, Sweden, and the United States. Long Grove, IL: Waveland Press.
25.
KaiserHF (1960) The application of electronic computers to factor analysis. Educational and Psychological Measurement20(1): 141–151.
26.
KaziAFatmiZHatcherJ, et al. (2006) Social environment and depression among pregnant women in urban areas of Pakistan: Importance of social relations. Social Science and Medicine63(6): 1466–1476.
27.
LazarusRSFolkmanS (1984) Stress, Appraisal, and Coping. New York, NY: Springer.
28.
LazarusR. S. (2000). Cognitive-motivational-relational theory of emotion. In HaninY. L. (Ed.), Emotions in sport (pp. 39–63). Human Kinetics.
29.
LundgrenI (2012) The meaning of giving birth from a long-term perspective for childbearing women. In: ThomsonGDykesFDowneS (eds) Qualitative Research in Midwifery and Childbirth: Phenomenological Approaches. Oxford: Routledge, pp.115–132.
30.
LynnMR (1986) Determination and quantification of content validity. Nursing Research35(6): 382–385.
31.
MetteJWirthTNienhausA, et al. (2020) ‘I need to take care of myself’: A qualitative study on coping strategies, support and health promotion for social workers serving refugees and homeless individuals. Journal of Occupational Medicine and Toxicology15(1): 19.
32.
MumtazZSalwayS (2009) Understanding gendered influences on women’s reproductive health in Pakistan: Moving beyond the autonomy paradigm. Social Science and Medicine68(7): 1349–1356.
33.
OertherS (2021) Designing interview guides on stress and coping related to parenting pre-teen children: An example from a hermeneutic phenomenological study. Nursing Open8(5): 2142–2152.
RezaeeRFramarziM (2014) Predictors of mental health during pregnancy. Iranian Journal of Nursing and Midwifery Research19(7 Suppl 1): S45–S50.
36.
RowtherAAKaziAKNazirH, et al. (2020) ‘A woman is a puppet.’ Women’s disempowerment and prenatal anxiety in Pakistan: A qualitative study of sources, mitigators, and coping strategies for anxiety in pregnancy. International Journal of Environmental Research and Public Health17(14): 4926.
37.
SkinnerEAZimmer-GembeckMJ (2016) The Development of Coping. New York, NY: Springer.
38.
SnyderCRSympsonSCYbascoFC, et al. (1996) Development and validation of the State Hope Scale. Journal of Personality and Social Psychology70(2): 321–335.
39.
SöderquistJ.WijmaB.ThorbertG.WijmaK. (2009). Risk factors in pregnancy for post-traumatic stress and depression after childbirth. BJOG : an international journal of obstetrics and gynaecology, 116(5), 672–680.
TaberKS (2018) The use of Cronbach’s alpha when developing and reporting research instruments in science education. Research in Science Education48: 1273–1296.
43.
YaliAMLobelM (1999) Coping and distress in pregnancy: An investigation of medically high risk women. Journal of Psychosomatic Obstetrics and Gynaecology20(1): 39–52.
44.
YusoffMSB (2019) ABC of content validation and content validity index calculation. Education in Medicine Journal11(2): 49–54.
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