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Spanish validation of an inventory of daily hassles and uplift scale in a population of pregnant women

Gustavo Izbizky1, Mario Sebastiani2

  • 1Médico, Magister en Efectividad Clínica, Servicio de Obstetricia, Hospital Italiano de Buenos Aires. Departamento de Clínica Tocoginecológica, Universidad del Hospital Italiano de Buenos Aires, Argentina. gustavo.izbizky@hospitalitaliano.org.ar.

Vertex (Buenos Aires, Argentina)
|July 14, 2026
PubMed
Summary

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This study validated the Spanish version of the Daily Hassles and Uplifts Inventory for Pregnant Individuals (CDHUS) to assess psychosocial stress. The CDHUS demonstrates good reliability and construct validity for use in research on adverse gestational outcomes.

Area of Science:

  • Psychosocial Stress
  • Perinatal Health
  • Psychometrics

Background:

  • Maternal stress is linked to adverse perinatal outcomes.
  • Research often focuses on stressors, neglecting coping interactions.
  • The Daily Hassles and Uplifts Inventory for Pregnant Individuals (CDHUS) offers a broad assessment of daily stressors and positive factors.

Purpose of the Study:

  • To perform cross-cultural adaptation and validation of the CDHUS in Spanish-speaking pregnant individuals.
  • To evaluate the psychometric properties of the Spanish CDHUS for research on psychosocial stress during pregnancy.

Main Methods:

  • Forward-backward translation procedure for cross-cultural adaptation.
  • Cross-sectional study with 257 pregnant women (aged 19-45).
Keywords:
maternal stresspregnancy complicationsstress measurementcross cultural validation

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  • Convergent validity assessed against anxiety, stress, and quality of life measures.

    • Main Results:

    • Content validity index of 0.61.
    • Moderate correlations between CDHUS and other psychometric scales.
    • Cronbach's alpha for the problems scale was 0.89; principal component analysis revealed six factors.

    Conclusions:

    • A Spanish version of the CDHUS was successfully developed.
    • The Spanish CDHUS exhibits good reliability and construct validity.
    • This validated instrument can be utilized in future research on psychosocial stress and adverse gestational outcomes.