Validity and reliability of an Arabic-language version of the postpartum specific anxiety scale research short-form in Jordan

Birth. 2024 Dec;51(4):708-718. doi: 10.1111/birt.12840. Epub 2024 May 20.

Abstract

Objective: The English-language Postpartum Specific Anxiety Scale (PSAS) is a valid, reliable measure for postpartum anxiety (PPA), but its 51-item length is a limitation. Consequently, the PSAS Working Group developed the PSAS Research Short-Form (PSAS-RSF), a statistically robust 16-item tool that effectively assesses PPA. This study aimed to assess and validate the reliability of an Arabic-language version of the PSAS-RSF in Jordan (PSAS-JO-RSF).

Methods: Using a cross-sectional methodological design, a sample of Arabic-speaking mothers (N = 391) with infants aged up to 6 months were recruited via convenience sampling from a prominent tertiary hospital in northern Jordan. Factor analysis, composite reliability (CR), average variance extracted (AVE), McDonald's ω, and inter-item correlation measures were all examined.

Results: Explanatory factor analysis revealed a four-factor model consistent with the English-language version of the PSAS-RSF, explaining a cumulative variance of 61.5%. Confirmatory factor analysis confirmed the good fit of the PSAS-JO-RSF (χ2/df = 1.48, CFI = 0.974, TLI = 0.968, RMSEA = 0.039, SRMR = 0.019, p < 0.001). The four factors demonstrated acceptable to good reliability, with McDonald's ω ranging from 0.778 to 0.805, with 0.702 for the overall scale. The CR and AVE results supported the validity and reliability of the PSAS-JO-RSF.

Conclusion: This study establishes an Arabic-language version of the PSAS-JO-RSF as a valid and reliable scale for screening postpartum anxieties in Jordan.

Keywords: maternal mental health; postpartum anxiety; postpartum women; scale development.

Publication types

  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Anxiety* / diagnosis
  • Anxiety* / psychology
  • Cross-Sectional Studies
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Infant
  • Jordan
  • Language
  • Postpartum Period* / psychology
  • Psychiatric Status Rating Scales / standards
  • Psychometrics*
  • Reproducibility of Results
  • Surveys and Questionnaires / standards
  • Translations
  • Young Adult