Turkish adaptation of the antenatal risk questionnaire-revised: study of validity and reliability

Abstract Objective This study sought to translate the Antenatal Risk Questionnaire-Revised (ANRQ-R) into Turkish and evaluate its psychometric properties for assessing psychosocial vulnerabilities among Turkish-speaking pregnant women. Methods The ANRQ-R was translated into Turkish following standar...

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Main Authors: Ali Cetin, Filiz Yarsilikal Guleroglu, Melike Punduk, Tuba Ucar, Osman Tayyar Celik, Zehra Golbasi, Emine Fusun Akyuz Cim, Sinem Tekin, Nicole Reilly
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Language:English
Published: BMC 2024-10-01
Series:BMC Psychology
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Online Access:https://doi.org/10.1186/s40359-024-02112-x
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author Ali Cetin
Filiz Yarsilikal Guleroglu
Melike Punduk
Tuba Ucar
Osman Tayyar Celik
Zehra Golbasi
Emine Fusun Akyuz Cim
Sinem Tekin
Nicole Reilly
author_facet Ali Cetin
Filiz Yarsilikal Guleroglu
Melike Punduk
Tuba Ucar
Osman Tayyar Celik
Zehra Golbasi
Emine Fusun Akyuz Cim
Sinem Tekin
Nicole Reilly
author_sort Ali Cetin
collection DOAJ
description Abstract Objective This study sought to translate the Antenatal Risk Questionnaire-Revised (ANRQ-R) into Turkish and evaluate its psychometric properties for assessing psychosocial vulnerabilities among Turkish-speaking pregnant women. Methods The ANRQ-R was translated into Turkish following standard linguistic adaptation procedures. Psychometric properties were then examined using a cross-sectional study design, involving 156 pregnant women recruited from antenatal clinics in Turkey. Participants completed the Turkish ANRQ-R and the Edinburgh Postnatal Depression Scale (EPDS). Statistical analyses, including intraclass correlation coefficients (ICC) for test-retest reliability, Pearson correlation analysis for item-total test correlations, and Receiver Operating Characteristic (ROC) analysis for diagnostic accuracy, were conducted. Results The ANRQ-R Turkish version showed high test-retest reliability with an ICC of 0.888 for the total score. Moderate to good ICCs were obtained for individual Likert-type items (0.572–0.849). Criterion-related validity was established via moderate correlations with the EPDS and its anxiety subscale EPDS-3 A (r = 0.537 and r = 0.431, respectively). ROC analysis demonstrated good discriminatory power (Area Under the Curve = 0.75) with an optimal cut-off score of 17, yielding 78% sensitivity and 65% specificity for identifying potential depression cases. Conclusions This study provides preliminary evidence of the overall reliability of the Turkish version of the ANRQ-R as a measure of psychosocial risk among Turkish-speaking women during pregnancy. Despite some limitations in item-level internal consistency indicators, integration of the ANRQ-R into routine antenatal care could enhance early identification and intervention strategies, potentially improving maternal health outcomes. Future research should aim to further validate the scale across diverse populations and settings, using a diagnostic tool as the reference standard.
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spelling doaj-art-8b3d1debec814409a8dad768d644ba112025-08-20T02:11:49ZengBMCBMC Psychology2050-72832024-10-0112111110.1186/s40359-024-02112-xTurkish adaptation of the antenatal risk questionnaire-revised: study of validity and reliabilityAli Cetin0Filiz Yarsilikal Guleroglu1Melike Punduk2Tuba Ucar3Osman Tayyar Celik4Zehra Golbasi5Emine Fusun Akyuz Cim6Sinem Tekin7Nicole Reilly8Division of Perinatology, Department of Obstetrics and Gynecology, Haseki Training and Research Hospital affiliated with University of Health SciencesDivision of Perinatology, Department of Obstetrics and Gynecology, Haseki Training and Research Hospital affiliated with University of Health SciencesDivision of Perinatology, Department of Obstetrics and Gynecology, Haseki Training and Research Hospital affiliated with University of Health SciencesDepartment of Midwifery, Faculty of Health Sciences, Inonu UniversityDepartment of Child Development, Faculty of Health Sciences, Inonu UniversityDepartment of Nursing, Faculty of Health Sciences, Lokman Hekim UniversityDepartment of Psychiatry, Florence Nightingale Hospital, Faculty of Medicine, Demiroglu Bilim UniversityDivision of Perinatology, Department of Obstetrics and Gynecology, Haseki Training and Research Hospital affiliated with University of Health SciencesGraduate School of Medicine, Faculty of Science, Medicine and Health, University of WollongongAbstract Objective This study sought to translate the Antenatal Risk Questionnaire-Revised (ANRQ-R) into Turkish and evaluate its psychometric properties for assessing psychosocial vulnerabilities among Turkish-speaking pregnant women. Methods The ANRQ-R was translated into Turkish following standard linguistic adaptation procedures. Psychometric properties were then examined using a cross-sectional study design, involving 156 pregnant women recruited from antenatal clinics in Turkey. Participants completed the Turkish ANRQ-R and the Edinburgh Postnatal Depression Scale (EPDS). Statistical analyses, including intraclass correlation coefficients (ICC) for test-retest reliability, Pearson correlation analysis for item-total test correlations, and Receiver Operating Characteristic (ROC) analysis for diagnostic accuracy, were conducted. Results The ANRQ-R Turkish version showed high test-retest reliability with an ICC of 0.888 for the total score. Moderate to good ICCs were obtained for individual Likert-type items (0.572–0.849). Criterion-related validity was established via moderate correlations with the EPDS and its anxiety subscale EPDS-3 A (r = 0.537 and r = 0.431, respectively). ROC analysis demonstrated good discriminatory power (Area Under the Curve = 0.75) with an optimal cut-off score of 17, yielding 78% sensitivity and 65% specificity for identifying potential depression cases. Conclusions This study provides preliminary evidence of the overall reliability of the Turkish version of the ANRQ-R as a measure of psychosocial risk among Turkish-speaking women during pregnancy. Despite some limitations in item-level internal consistency indicators, integration of the ANRQ-R into routine antenatal care could enhance early identification and intervention strategies, potentially improving maternal health outcomes. Future research should aim to further validate the scale across diverse populations and settings, using a diagnostic tool as the reference standard.https://doi.org/10.1186/s40359-024-02112-xANRQ-RPerinatal mental healthPsychometric evaluationTurkish adaptationReliabilityValidity
spellingShingle Ali Cetin
Filiz Yarsilikal Guleroglu
Melike Punduk
Tuba Ucar
Osman Tayyar Celik
Zehra Golbasi
Emine Fusun Akyuz Cim
Sinem Tekin
Nicole Reilly
Turkish adaptation of the antenatal risk questionnaire-revised: study of validity and reliability
BMC Psychology
ANRQ-R
Perinatal mental health
Psychometric evaluation
Turkish adaptation
Reliability
Validity
title Turkish adaptation of the antenatal risk questionnaire-revised: study of validity and reliability
title_full Turkish adaptation of the antenatal risk questionnaire-revised: study of validity and reliability
title_fullStr Turkish adaptation of the antenatal risk questionnaire-revised: study of validity and reliability
title_full_unstemmed Turkish adaptation of the antenatal risk questionnaire-revised: study of validity and reliability
title_short Turkish adaptation of the antenatal risk questionnaire-revised: study of validity and reliability
title_sort turkish adaptation of the antenatal risk questionnaire revised study of validity and reliability
topic ANRQ-R
Perinatal mental health
Psychometric evaluation
Turkish adaptation
Reliability
Validity
url https://doi.org/10.1186/s40359-024-02112-x
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