Evidence map›Paper›PMID 34271249›Full record

ArticleJournal of affective disorders2021

Psychometric properties of the Italian version of the Pandemic-Related Pregnancy Stress Scale (PREPS) and its correlation with anxiety and depression.

Chiara Penengo, Chiara Colli, Marco Garzitto, Lorenza Driul, Alessia Sala, Matilde Degano, Heidi Preis, Marci Lobel, Matteo Balestrieri

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Predictors of COVID-19 Pandemic-Related Pregnancy Stress: Prenatal and Postpartum Experiences in Canada.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Chiara PenengoUnit of Psychiatry, Department of Medicine (DAME), ASUFC, University of Udine, Piazzale Santa Maria della Misericordia, 15, Udine 33100, Italy. Electronic address: chiara.penengo@gmail.com.
Chiara ColliUnit of Psychiatry, Department of Medicine (DAME), ASUFC, University of Udine, Piazzale Santa Maria della Misericordia, 15, Udine 33100, Italy.
Marco GarzittoUnit of Psychiatry, Department of Medicine (DAME), ASUFC, University of Udine, Piazzale Santa Maria della Misericordia, 15, Udine 33100, Italy.
Lorenza DriulObstetric-Gynecologic Clinic, Department of Medicine (DAME), University of Udine, Udine, Italy.
Alessia SalaObstetric-Gynecologic Clinic, Department of Medicine (DAME), University of Udine, Udine, Italy.
Matilde DeganoObstetric-Gynecologic Clinic, Department of Medicine (DAME), University of Udine, Udine, Italy.
Heidi PreisDepartment of Psychology, Stony Brook University, Stony Brook, NY 11794, USA.
Marci LobelDepartment of Psychology, Stony Brook University, Stony Brook, NY 11794, USA.
Matteo BalestrieriUnit of Psychiatry, Department of Medicine (DAME), ASUFC, University of Udine, Piazzale Santa Maria della Misericordia, 15, Udine 33100, Italy.
University of Udine · ITStony Brook University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the beginning of 2020, Italy was the first European country to face the COVID-19 outbreak. Restrictions imposed during the pandemic, social isolation, and the cancellation of medical appointments likely resulted in stress that may have affected pregnant women adversely.

aimsTo determine the psychometric validity of the Italian version of the Pandemic-Related Pregnancy Stress Scale (PREPS) in assessing COVID-19-related stress in pregnant women and to examine correlations between PREPS scales and symptoms of anxiety and depression.

methods232 pregnant women attending the Obstetric-Gynecologic Clinic of an Academic Hospital were assessed with the PREPS, the Revised Prenatal Distress Questionnaire (NuPDQ), the General Anxiety Disorder-7 (GAD-7), and the Patient Health Questionnaire-2 (PHQ-2). We analyzed the internal consistency and factor structure of the PREPS. Convergent validity was examined by comparison with the NuPDQ. PHQ-2 and GAD-7 were used to measure the association with depression and anxiety.

resultsAcceptable-to-good internal consistency was found for the three PREPS scales: Preparedness Stress (PS, α=0.760), Prenatal Infection Stress (PIS, α=0.857), and Positive Appraisal (PA, α=0.747). Correlations of the NuPDQ with both PREPS stress scale scores (PS and PIS) were statistically significant, but on multiple regression analysis only the PS scale was correlated with the NuPDQ. Prenatal infection stress predicted GAD-7 score, while Preparedness stress predicted PHQ-2 score. LIMITATIONS: The main limitations were the small sample size and the cross-sectional design of the study.

conclusionThe Italian PREPS exhibited good psychometric properties and associations with clinical symptoms of anxiety and depression.

Indexed as

COVID-19PandemicsAnxietyAnxiety DisordersCross-Sectional StudiesDepressionFemaleHumansItalyPregnancyPsychometricsReproducibility of ResultsSARS-CoV-2Surveys and QuestionnairesAnxietyCOVID-19DepressionPregnancyPrenatal stressPREPS

Identifiers

PMID34271249
PMCPMC9757146
OpenAlexW3178801538

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.