{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T05:27:08Z","timestamp":1738733228692,"version":"3.37.0"},"reference-count":26,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Pregnancy is a sensitive period in a woman\u2019s life when psychological distress can have negative consequences for the mother and fetus. Prolonged and intensified symptoms of anxiety and depression caused by the COVID-19 pandemic increase the risk of maternal and fetal health complications. The Pandemic-Related Pregnancy Stress Scale (PREPS) is a thoroughly designed tool that helps determine and analyze stress among pregnant women during pandemics in three domains: Preparedness in childbirth, (2) Infection, and (3) Positive Appraisal. A cross-sectional study included 189 pregnant women attending a community health center, \u201cDr Simo Milo\u0161evi\u0107,\u201d in Belgrade, Serbia, from January to February 2022. Pregnant women anonymously completed a questionnaire as part of the study. The mean scores for those three domains are as follows: Preparedness (2.4 \u00b1 0.9), Infection stress (2.8 \u00b1 1.1), and Positive Appraisal (3.7 \u00b1 0.9). Internal consistency of the PREPS questionnaire for PREPS-Total (\u03b1 = 0.867). An explanatory factor analysis of the PREPS showed that the Serbian version of the Pandemic-Related Pregnancy Stress Scale has good psychometric properties. The Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO) was found to be 0.860, indicating a high degree of sampling adequacy. Additionally, Bartlett\u2019s Test of Sphericity yielded a statistically significant result (\u03c7<jats:sup>2<\/jats:sup> = 1564.206, df = 105, p &lt; 0.001). The CFA showed very good fit indices for the Serbian sample, confirming the factor structure of the original English version. The RMSEA value of 0.056 (0.036\u20130.075) and values for fit indices TLI (0.961) and CFI (0.974) were above the cut-off of \u22650.95, indicating an excellent fit. All standardized factor loadings were statistically significant and ranged from 0.50 to 0.85. The PREPS-SRB questionnaire serves as a valuable tool for Serbian healthcare professionals, allowing them to identify pregnant women experiencing significant stress related to the COVID-19 pandemic.<\/jats:p>","DOI":"10.1371\/journal.pone.0317909","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T18:28:42Z","timestamp":1738693722000},"page":"e0317909","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Serbian version of the Pandemic-Related Pregnancy Stress Scale (PREPS-SRB)\u2013A validation study"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1659-6610","authenticated-orcid":true,"given":"Konstantin","family":"Kosti\u0107","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9871-1701","authenticated-orcid":true,"given":"Aleksandra","family":"Kosti\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandra","family":"Petrovi\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrija","family":"Vasilijevi\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jelena","family":"Milin-Lazovi\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"pone.0317909.ref001","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.jad.2020.07.126","article-title":"Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic","volume":"277","author":"C Lebel","year":"2020","journal-title":"Journal of Affective Disorders"},{"key":"pone.0317909.ref002","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.jad.2021.10.026","article-title":"The mental health impact of perinatal loss: A systematic review and meta-analysis","volume":"297","author":"D Herbert","year":"2022","journal-title":"J Affect Disord"},{"key":"pone.0317909.ref003","doi-asserted-by":"crossref","first-page":"893518","DOI":"10.3389\/fpubh.2022.893518","article-title":"Association between maternal depression and neonatal outcomes: Evidence from a survey of nationally representative longitudinal studies.","volume":"10","author":"H Li","year":"2022","journal-title":"Front Public Health."},{"key":"pone.0317909.ref004","doi-asserted-by":"crossref","first-page":"e0292226","DOI":"10.1371\/journal.pone.0292226","article-title":"The association between maternal infection and intellectual disability in children: A systematic review and meta-analysis.","volume":"18","author":"M Rezaeinejad","year":"2023","journal-title":"PLoS One"},{"key":"pone.0317909.ref005","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.3390\/jcm13041055","article-title":"Maternal Mental Health in Pregnancy and Its Impact on Children\u2019s Cognitive Development at 18 Months, during the COVID-19 Pandemic (CONCEPTION Study).","volume":"13","author":"N Ait Belkacem","year":"2024","journal-title":"J Clin Med."},{"key":"pone.0317909.ref006","article-title":"Maternal Exposure to Stress During Covid-19 and Non-Syndromic Orofacial Clefts: A Cohort Retrospective Study","author":"HJ Sabbagh","year":"2024","journal-title":"Cleft Palate Craniofac J"},{"key":"pone.0317909.ref007","doi-asserted-by":"crossref","first-page":"e2417924","DOI":"10.1001\/jamanetworkopen.2024.17924","article-title":"Prenatal Maternal Psychological Distress During the COVID-19 Pandemic and Newborn Brain Development.","volume":"7","author":"S Weiner","year":"2024","journal-title":"JAMA Netw Open"},{"key":"pone.0317909.ref008","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.jpsychires.2021.02.056","article-title":"Impact of the COVID-19 pandemic on mental health, access to care, and health disparities in the perinatal period","volume":"137","author":"GA Masters","year":"2021","journal-title":"J Psychiatr Res"},{"key":"pone.0317909.ref009","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1037\/pas0001211","article-title":"Development and psychometric validation of the Pandemic-Related Traumatic Stress Scale for children and adults","volume":"35","author":"CK Blackwell","year":"2023","journal-title":"Psychol Assess"},{"key":"pone.0317909.ref010","unstructured":"Coronavirus (COVID-19), infection in pregnancy. 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