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Front Psychiatry. 2021 Jun 22;12:684579. doi: 10.3389/fpsyt.2021.684579. eCollection 2021.

Psychometric Properties of the Perinatal Anxiety Screening Scale Administered to Italian Women in the Perinatal Period.

Frontiers in psychiatry

Alexia Koukopoulos, Cristina Mazza, Lavinia De Chiara, Gabriele Sani, Alessio Simonetti, Georgios D Kotzalidis, Giulia Armani, Gemma Callovini, Marco Bonito, Giovanna Parmigiani, Stefano Ferracuti, Susanne Somerville, Paolo Roma, Gloria Angeletti

Affiliations

  1. Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.
  2. Lucio Bini Centre, Rome, Italy.
  3. Department of Neuroscience, Imaging and Clinical Sciences G. d'Annunzio University of Chieti-Pescara, Chieti, Italy.
  4. Department of Neurosciences, Mental Health, and Sensory Organs (NESMOS), Sapienza University of Rome, Faculty of Medicine and Psychology, Sant'Andrea University Hospital, Rome, Italy.
  5. Institute of Psychiatry, Università Cattolica del Sacro Cuore, Rome, Italy.
  6. Department of Psychiatry, Istituto di Ricovero e Cura a Carattere Scientifico, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
  7. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States.
  8. APC Associazione di Psicologia Cognitiva, Rome, Italy.
  9. Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, "San Camillo de Lellis" National Health System Hospital, Rieti, Italy.
  10. Dipartimento Materno Infantile, San Pietro Fatebenefratelli Hospital, Rome, Italy.
  11. Department of Psychological Medicine, King Edward Memorial Hospital, Subiaco, WA, Australia.

PMID: 34239465 PMCID: PMC8257936 DOI: 10.3389/fpsyt.2021.684579

Abstract

Literature stressed the importance of using valid, reliable measures to assess anxiety in the perinatal period, like the self-rated Perinatal Anxiety Screening Scale (PASS). We aimed to examine the psychometric properties of the Italian PASS version in a sample of Italian women undergoing mental health screening during their third trimester of pregnancy and its diagnostic accuracy in a control perinatal sample of psychiatric outpatients. Sample comprised 289 women aged 33.17 ± 5.08, range 19-46 years, undergoing fetal monitoring during their third trimester of pregnancy, with 49 of them retested 6 months postpartum. Controls were 60 antenatal or postnatal psychiatric outpatients aged 35.71 ± 5.02, range 22-50 years. Groups were assessed through identical self- and clinician-rating scales. Confirmatory Factor Analysis (CFA), Principal Component Analysis (PCA), Pearson's correlations and receiver operating characteristic were conducted for PASS. PCA and CPA confirmed four-factor structure with slight differences from the original version. Construct validity and test-retest reliability were supported. Cut-off was 26. The PASS correlated with principal anxiety scales. Despite small sample size, findings confirm reliability and validity of the Italian PASS version in assessing anxiety symptoms in the perinatal period. Its incorporation in perinatal care will improve future mother and child psychological health.

Copyright © 2021 Koukopoulos, Mazza, De Chiara, Sani, Simonetti, Kotzalidis, Armani, Callovini, Bonito, Parmigiani, Ferracuti, Somerville, Roma and Angeletti.

Keywords: anxiety; factor analysis; perinatal; pregnancy; psychometric properties; screening

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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