良性应激量表在妊娠期女性中的汉化、验证和发展

Development and Validation of the Chinese Version of the Eustress Questionnaire in Pregnant Women

摘要: 目的：汉化良性应激量表(Eustress Questionnaire, EQ)，并检验其在妊娠期女性中的信效度，为临床评估良性应激提供工具。方法：采用Brislin翻译模式在取得原作者授权后进行直译、回译和文化调适，经专家评议和预测试形成中文版量表。对某院妊娠期女性进行便利抽样调查，并结合相关压力量表收集资料，运用因素分析、相关分析及内部一致性和重测信度等方法进行心理测量学评估。结果：共回收有效问卷256份，各条目区分度良好，条目与总分相关系数及验证性因子分析拟合指数均达到测量学要求，EQ总分与PSS-10总分呈中度负相关，量表内部一致性和重测信度较高。结论：汉化后的EQ量表在妊娠期女性中具有良好信效度，可作为评估妊娠期女性良性应激水平的可靠工具。

Abstract: Objective: To translate the Eustress Questionnaire (EQ) into Chinese and examine its reliability and validity among pregnant women, so as to provide an instrument for the clinical assessment of eustress. Methods: With permission from the original author, the EQ was translated using the Brislin translation model, including forward translation, back-translation and cultural adaptation, and was finalized through expert review and pilot testing. Pregnant women in a hospital were recruited by convenience sampling and completed the Chinese version of the EQ together with relevant stress scales. Psychometric evaluation included factor analysis, correlation analysis, and the assessment of internal consistency and test-retest reliability. Results: A total of 256 valid questionnaires were collected. All items showed good discrimination, and the item, total correlations as well as the fit indices of confirmatory factor analysis met psychometric criteria. The total EQ score was moderately and negatively correlated with the scores of the stress scales, and the scale demonstrated high internal consistency and satisfactory test-retest reliability. Conclusion: The Chinese version of the EQ shows good reliability and validity among pregnant women and can serve as a reliable tool for evaluating benign stress levels during pregnancy.