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Background Internet psychology services are rapidly increasing and that implies online assessment. To guarantee the results of these new online evaluation procedures, it is necessary to have reliable and valid assessment tools.Objective In this work we analyzed the online versions of two popular psychopathology screening questionnaires: the General Health Questionnaire-28 (GHQ-28) and the Symptoms Check-List-90-Revised (SCL-90-R).Methods A total of 185 psychology students were recruited from two universities in Madrid, Spain. All of them had Internet access at home. A test-retest situation and factorial analysis were used to generate reliability and validity data. Both paper-and-pencil questionnaires (test) and their online versions (retest) were completed by 100 participants (median gap = 17 days).Results Results suggest that both online questionnaires were fairly equivalent to their paper-and-pencil versions, with higher reliability values for the SCL-90-R. Factorial analysis tended to reproduce the structure shown in former investigations of both questionnaires, replicating the four-factor structure of the GHQ-28 but failing to do so with the nine-factor structure of the SCL-90-R. Instead, a large unrotated factor appeared.Conclusions Further research should be carried out to confirm these data, but our work supports the online use of both assessment tools. The psychometric properties of the online version of GHQ-28 is similar to the paper-and-pencil and we can recommend its utilization in a Web environment. In contrast, SCL-90-R can only be recommended as a global index for psychological distress, using the Global Severity Index (GSI), not necessarily its subscales; and it should be considered that the online scores were lower than the ones with the paper-and-pencil version.

Results are consistent with previous findings, and contribute to give support to the reliability and validity of the Inventory. The findings provide an additional and useful insight into practical ways of enhancing a woman's confidence to coping with childbirth: self-efficacy can be strengthened through persuasion by healthcare professionals, childbirth educators, and family and friends who offer support to the pregnant woman.

Objective: To analyze the relationship between self-efficacy expectancies, the use of coping behavior strategies during labor and satisfaction after childbirth. Methods: A quantitative observational design was applied as part of a correlational study conducted in the maternity unit of a Hospital Complex that welcomes nearly 4,000 births each year at Vigo, Spain, between 2014 and 2015. A total of 276 low-risk pregnant women were recruited to undertake a self-assessment of their childbirth experience at two stages: within the last three months of pregnancy and within two weeks after labor. Data were collected through the Childbirth Self-Efficacy Inventory to measure self-efficacy expectancies as well as coping, along with a 6 items, 10-point Likert scale to measure satisfaction after childbirth. Results and conclusions: Pearson product-moment correlation supported the positive association of self-efficacy expectancies scores with coping during labor. Multivariate regression analysis also revealed gains in satisfaction after childbirth associated with coping during labor. Women with larger scores in self-efficacy were found to use coping strategies during labor, had a more positive evaluation of the childbirth experience and showed significant gains in satisfaction after childbirth. The study supports the efforts of healthcare professionals to increase satisfaction with the childbirth experience by helping to enhance self-efficacy and coping in pregnant women.

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