Abstract

BackgroundAnxiety is one of the most prevalent mental health disorders among mothers during the postpartum period, which can lead to maternal and infant physical and psychological consequences. The Postpartum Specific Anxiety Scale (PSAS) predicts unique variance in postnatal outcomes over and above general anxiety tools. It has never been used in Iran and its validity and reliability have not been assessed either. Therefore, the present study aimed to translate and investigate the psychometric properties of the PSAS-IR.Methods510 women, from six weeks to six months postpartum, were selected through random sampling in 2020. After forward and back-translation, the face validity, content validity, and construct validity of PSAS (through confirmatory factor analysis) were examined. The reliability of the scale was assessed using both internal consistency (Cronbach’s alpha) and test-retest stability methods.ResultsCVI and CVR values of the PSAS tool were 0.89 and 0.88, respectively. The good fit indices confirmed the validity of four-factor structure. Cronbach’s alpha coefficient and Intra Correlation Coefficient (ICC) equaled 0.93 and 0.92, respectively.ConclusionThe Persian version of PSAS is a valid and reliable four-factor scale, it will improve the measurement of postpartum anxiety in an Iranian setting. This will improve the measurement of postpartum anxiety in an Iranian setting.

Highlights

  • Anxiety is one of the most prevalent mental health disorders among mothers during the postpartum period, which can lead to maternal and infant physical and psychological consequences

  • The present research was conducted to determine the psychometric properties of the Postpartum Specific Anxiety Scale (PSAS) for Iranian mothers

  • It was demonstrated that the Persian version of this scale is a valid tool for the assessment of postpartum anxiety in Iranian mothers

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Summary

Introduction

Anxiety is one of the most prevalent mental health disorders among mothers during the postpartum period, which can lead to maternal and infant physical and psychological consequences. The Postpartum Specific Anxiety Scale (PSAS) predicts unique variance in postnatal outcomes over and above general anxiety tools. It has never been used in Iran and its validity and reliability have not been assessed either. Postpartum anxiety is one of the prevalent mental problems among mothers, which occurs more than In these studies, postpartum anxiety in women was measured using general tools such as Spielberger State-. Maternal competence and attachment anxieties subscale have 15 items for example “I have had negative thoughts about my relationship with my baby” and “I have felt that my baby would be better cared for my someone else”. Practical infant care anxieties subscale have 7 items for example “I have worried about my baby’s milk intake” and “I have worried about my baby’s weight”, and psychosocial adjustment to motherhood subscale have 18 items for example “I have felt resentment towards my partner” and “I have felt tired even after a good amount of rest” [2]

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