2019, Number 5
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Salud Mental 2019; 42 (5)
Psychometric properties of the Scale of Attitudes towards Pregnancy and Weight Gain in Mexican population
Guzman-Ortiz E, Cárdenas-Villarreal VM, Moral RJ, Meza PC
Language: English
References: 35
Page: 217-225
PDF size: 251.16 Kb.
ABSTRACT
Introduction. Physical changes during pregnancy trigger a positive or negative emotional response to
the body image of the future mother. Since this response can affect the health of the mother and the
fetus, it is necessary to have valid instruments to evaluate body image in pregnant women.
Objective.
To validate in Spanish the Scale of Attitudes towards Pregnancy and Weight Gain in Mexican population.
Method. The study was conducted in two phases: it was culturally adapted to determine the linguistic
validity and then its psychometric properties were verified through confirmatory exploratory factor analysis.
Results. Participants included 520 pregnant women over 18 attending prenatal consultation, with
a mean age of 23.56 ± 5.89 and with a mean of 33.20 ± 6.69 gestation weeks. The exploratory analysis
defined five components that explain 56.04% of the total variance of the 18 items with acceptable internal
consistency (α = 78). Factor analysis confirmed five factors (negative attitude towards the increase of
gestational weight, positive body image, control of gestational weight, concern over gestational weight
and restrictive behavior in response to gestational weight) with adequate fit indices (χ
2/gl = 2.57, IFI = .90,
CFI = .90, RMSEA = .05 (90% CI [.048, .062],
p =.12), SRMR = .05)
Discussion and conclusion. The
instrument has good psychometric properties and is recommended as a valid tool for assessing attitudes
toward body image in Mexican women during the period of pregnancy.
REFERENCES
Bagheri, M., Dorosty, A., Sadrzadeh-Yeganeh, H., Eshraghian, M., Amiri, E., & Khamoush-Cheshm, N. (2013). Pre-pregnancy body size dissatisfaction and excessive gestational weight gain. Maternal and Child Health Journal, 17(4), 699-707. doi: 10.1007/s10995-012-1051-6
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191. doi: 10.1097/00007632-200012150-00014
Bergbom, I., Modh, C., Lundgren, I., & Lindwall, L. (2017). First-time pregnant women’s experiences of their body in early pregnancy. Scandinavian Journal of Caring Sciences, 31(3), 579-586. doi: 10.1111/scs.12372
Bobadilla-Suárez, S., & López-Avila, A. (2014). Distorsión de imagen corporal percibida e imaginada. Un posible factor para la obesidad y el sobrepeso en mexicanos. Revista Médica del Instituto Mexicano del Seguro Social, 52(4), 408-414.
Cash, T. F., & Smolak, L. (2011). Body image: A handbook of science, practice, and prevention. (2nd. Ed). NY: The Guilford Press.
Costello, A. B., & Osborne, J. W. (2003). Exploring best practices in factor analysis: Four mistakes applied researchers make. Paper presented at the Annual Meeting of the American Educational Research Association, Chicago, IL.
Cronbach, L. J., & Shavelson, R. J (2004). My current thoughts on coefficient alpha and successor procedures. Educational and Psychological Measurement, 64(3), 391-418. doi: 10.1177/0013164404266386
DiPietro, J. A., Millet, S., Costigan, K. A., Gurewitsch, E., & Caulfield, L. E. (2003). Psychosocial influences on weight gain attitudes and behaviors during pregnancy. Jornual American Dietetic Association, 103(10), 1314-1319. doi: 10.1016/S0002-8223(03)01070-8
Erkaya, R., Karabulutlu, Ö., & Calik, K. Y. (2018). The effect of maternal obesity on self-esteem and body image. Saudi Journal of Biological Sciences, 25(6), 1079- 1084. doi: 10.1016/j.sjbs.2018.02.003
Fahami, F., Amini-Abchuyeh, M., & Aghaei, A. (2018). The relationship between psychological wellbeing and body image in pregnant women. Iranian Journal of Nursing and Midwifery Research, 23(3), 167-171. doi: 10.4103/ijnmr. IJNMR_178_16
Fuller-Tyszkiewicz, M., Skouteris, H., Watson, B. E., & Hill, B. (2013). Body dissatisfaction during pregnancy: A systematic review of cross-sectional and prospective correlates. Journal of Health Psychology, 18(11), 1411-1421. doi: 10.1177/1359105312462437
Harrison, M. E., Obeid, N., Haslett, K., McLean, N., & Clarkin, C. (2019). Embodied motherhood: Exploring body image in pregnant and parenting youth. Journal of Pediatric and Adolescent Gynecology, 32(1), 44-50. doi: 10.1016/j. jpag.2018.08.007
Hartley, E., Hill, B., Bailey, C., Fuller-Tyszkiewicz, M., & Skouteris, H. (2018). The associations of weight status and body attitudes with depressive and anxiety symptoms across the first year postpartum. Women´s Health Issues, 28(6), 530- 538. doi: 10.1016/j.whi.2018.07.002
Hartley, E., McPhie, S., Fuller-Tyszkiewicz, M., Hill, B., & Skouteris, H. (2016). Psychosocial factors and excessive gestational weight gain: The effect of parity in an Australian cohort. Midwifery, 32, 30-37. doi: 10.1016/j.midw.2015.09.009
Hartley, E., McPhie, S., Skouteris, H., Fuller-Tyszkiewicz, M., & Hill, B. (2015). Psychosocial risk factors for excessive gestational weight gain: A systematic review. Women and Birth, 28(4), e99-e109. doi: 10.1016/j.wombi.2015.04.004
Hodgkinson, E. L., Smith, D. M., & Wittkowski, A. (2014). Women’s experiences of their pregnancy and postpartum body image: a systematic review and metasynthesis. BMC Pregnancy and Childbirth, 14(1), 330. doi: 10.1186/1471- 2393-14-330
Kendall, A., Olson, C. M., & Frongillo Jr, E. A. (2001). Evaluation of psychosocial measures for understanding weight-related behaviors in pregnant women. Annals of Behavioral Medicine, 23(1), 50-58. doi: 10.1207/S15324796ABM2301_8
Landero Hernández, R., & González Ramírez, M. T. (2006). Estadística con SPSS y metodología de la investigación. México: Trillas. ISBN: 968-24-7551-1 978- 968-24-7551-1
Lee, M. F., Williams, S. L., & Burke, K. J. (2019). Striving for the thin ideal post-pregnancy: a cross-sectional study of intuitive eating in postpartum women. Journal of Reproductive and Infant Psychology, 1-12. doi: 10.1080/02646838.2019.1607968
Meireles, J. F. F., Neves, C. M., de Carvalho, P. H. B., & Ferreira, M. E. C. (2015a). Body dissatisfaction among pregnant women: an integrative review of the literature. Ciencia & Saude Coletiva, 20(7), 2091-2103. doi: 10.1590/1413- 81232015207.05502014
Meireles, J. F. F., Neves, C. M., de Carvalho, P. H. B., & Ferreira, M. E. C. (2015b). Body image of pregnant women: association with sociodemographic, anthropometric, and obstetric variables. Revista Brasileira de Ginecologia e Obstetrícia, 37(7), 319-324. doi: 10.1590/S0100-720320150005388
Meza Peña, C., & Pompa Guajardo, E. (2018). Distorsión e insatisfacción con la imagen corporal en una muestra de mexicanos. Revista de Psicología y Ciencias del Comportamiento de la Unidad Académica de Ciencias Jurídicas y Sociales, 9(2), 120-131. doi: 10.29365/rpcc.20181207-75
Nagl, M., Jepsen, L., Linde, K., & Kersting, A. (2019). Measuring body image during pregnancy: psychometric properties and validity of a German translation of the Body Image in Pregnancy Scale (BIPS-G). BMC Pregnancy and Childbirth, 19(1), 244. doi: 10.1186/s12884-019-2386-4
Palmer, J. L., Jennings, G. E., & Massey, L. (1985). Development of an assessment form: attitude toward weight gain during pregnancy. Journal of the American Dietetic Association, 85(8), 946-949.
Phillips, J., King, R., & Skouteris, H. (2014). The influence of psychological distress during pregnancy on early postpartum weight retention. Journal of Reproductive and Infant Psychology, 32(1), 25-40. doi: 10.1080/02646838.2013.845873
Roomruangwong, C., Kanchanatawan, B., Sirivichayakul, S., & Maes, M. (2017). High incidence of body image dissatisfaction in pregnancy and the postnatal period: Associations with depression, anxiety, body mass index and weight gain during pregnancy. Sexual & Reproductive Healthcare, 13, 103-109. doi: 10.1016/j.srhc.2017.08.002
Rousseau, A., Bouillon, A., Lefebvre, L., Séjourné, N., & Denis, A. (2016). Corporal image and pregnancy: A look at psychometric properties of the French translation of the Pregnancy and Weight Gain Attitude Scale. L’Encephale, 42(4), 333-339. doi: 10.1016/j.encep.2015.08.002
Secretaría de Salud (1987). Reglamento de la ley general de salud en materia de investigación para la Salud. México, D. F.: Editorial SSA.
Shloim, N., Hetherington, M. M., Rudolf, M., & Feltbower, R. G. (2015). Relationship between body mass index and women’s body image, self-esteem and eating behaviours in pregnancy: A cross-cultural study. Journal Health Psychology, 20(4), 413-426. doi: 10.1177/1359105313502568
Silveira, M. L., Ertel, K. A., Dole, N., & Chasan-Taber, L. (2015). The role of body image in prenatal and postpartum depression: A critical review of the literature. Archives Women´s Mental Health, 18(3), 409-421. doi: 10.1007/s00737-015- 0525-0
Sui, Z., Turnbull, D., & Dodd, J. (2013). Effect of body image on gestational weight gain in overweight and obese women. Women and Birth, 26(4), 267-272. doi: 10.1016/j.wombi.2013.07.001
Vartanian, L. R., & Porter, A. M. (2016). Weight stigma and eating behavior: A review of the literature. Appetite, 102, 3-14. doi: 10.1016/j.appet.2016.01.034
Watson, B., Fuller-Tyszkiewicz, M., Broadbent, J., & Skouteris, H. (2015). The meaning of body image experiences during the perinatal period: A systematic review of the qualitative literature. Body Image, 14(3), 102-113. doi: 10.1016/j. bodyim.2015.04.005
Watson, B., Fuller-Tyszkiewicz, M., Broadbent, J., & Skouteris, H. (2017). Development and validation of a tailored measure of body image for pregnant women. Psychological Assessment, 29(11), 1363-1375. doi: 10.1037/ pas0000441
World Medical Association. (2001). World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bulletin of the World Health Organ, 79(4), 373-374. Retrieved from https:// apps.who.int/iris/handle/10665/268312