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

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 hea...

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Main Authors: 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
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2021.684579/full
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author Alexia Koukopoulos
Alexia Koukopoulos
Cristina Mazza
Lavinia De Chiara
Lavinia De Chiara
Gabriele Sani
Gabriele Sani
Alessio Simonetti
Alessio Simonetti
Alessio Simonetti
Georgios D. Kotzalidis
Georgios D. Kotzalidis
Giulia Armani
Giulia Armani
Gemma Callovini
Gemma Callovini
Marco Bonito
Giovanna Parmigiani
Stefano Ferracuti
Susanne Somerville
Paolo Roma
Gloria Angeletti
Gloria Angeletti
author_facet Alexia Koukopoulos
Alexia Koukopoulos
Cristina Mazza
Lavinia De Chiara
Lavinia De Chiara
Gabriele Sani
Gabriele Sani
Alessio Simonetti
Alessio Simonetti
Alessio Simonetti
Georgios D. Kotzalidis
Georgios D. Kotzalidis
Giulia Armani
Giulia Armani
Gemma Callovini
Gemma Callovini
Marco Bonito
Giovanna Parmigiani
Stefano Ferracuti
Susanne Somerville
Paolo Roma
Gloria Angeletti
Gloria Angeletti
author_sort Alexia Koukopoulos
collection DOAJ
description 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.
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spelling doaj.art-ac1fabe3ba9d4084baebe5b03758dbd12022-12-21T22:52:56ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-06-011210.3389/fpsyt.2021.684579684579Psychometric Properties of the Perinatal Anxiety Screening Scale Administered to Italian Women in the Perinatal PeriodAlexia Koukopoulos0Alexia Koukopoulos1Cristina Mazza2Lavinia De Chiara3Lavinia De Chiara4Gabriele Sani5Gabriele Sani6Alessio Simonetti7Alessio Simonetti8Alessio Simonetti9Georgios D. Kotzalidis10Georgios D. Kotzalidis11Giulia Armani12Giulia Armani13Gemma Callovini14Gemma Callovini15Marco Bonito16Giovanna Parmigiani17Stefano Ferracuti18Susanne Somerville19Paolo Roma20Gloria Angeletti21Gloria Angeletti22Department of Human Neuroscience, Sapienza University of Rome, Rome, ItalyLucio Bini Centre, Rome, ItalyDepartment of Neuroscience, Imaging and Clinical Sciences G. d'Annunzio University of Chieti-Pescara, Chieti, ItalyLucio Bini Centre, Rome, ItalyDepartment of Neurosciences, Mental Health, and Sensory Organs (NESMOS), Sapienza University of Rome, Faculty of Medicine and Psychology, Sant'Andrea University Hospital, Rome, ItalyInstitute of Psychiatry, Università Cattolica del Sacro Cuore, Rome, ItalyDepartment of Psychiatry, Istituto di Ricovero e Cura a Carattere Scientifico, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyDepartment of Human Neuroscience, Sapienza University of Rome, Rome, ItalyLucio Bini Centre, Rome, ItalyMenninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United StatesLucio Bini Centre, Rome, ItalyDepartment of Neurosciences, Mental Health, and Sensory Organs (NESMOS), Sapienza University of Rome, Faculty of Medicine and Psychology, Sant'Andrea University Hospital, Rome, ItalyDepartment of Neurosciences, Mental Health, and Sensory Organs (NESMOS), Sapienza University of Rome, Faculty of Medicine and Psychology, Sant'Andrea University Hospital, Rome, ItalyAPC Associazione di Psicologia Cognitiva, Rome, ItalyLucio Bini Centre, Rome, ItalyDepartment of Mental Health, Psychiatric Service of Diagnosis and Treatment, “San Camillo de Lellis” National Health System Hospital, Rieti, Italy0Dipartimento Materno Infantile, San Pietro Fatebenefratelli Hospital, Rome, ItalyDepartment of Neurosciences, Mental Health, and Sensory Organs (NESMOS), Sapienza University of Rome, Faculty of Medicine and Psychology, Sant'Andrea University Hospital, Rome, ItalyDepartment of Human Neuroscience, Sapienza University of Rome, Rome, Italy1Department of Psychological Medicine, King Edward Memorial Hospital, Subiaco, WA, AustraliaDepartment of Human Neuroscience, Sapienza University of Rome, Rome, ItalyLucio Bini Centre, Rome, ItalyDepartment of Neurosciences, Mental Health, and Sensory Organs (NESMOS), Sapienza University of Rome, Faculty of Medicine and Psychology, Sant'Andrea University Hospital, Rome, ItalyLiterature 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.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.684579/fullpregnancyscreeningpsychometric propertiesfactor analysisanxietyperinatal
spellingShingle Alexia Koukopoulos
Alexia Koukopoulos
Cristina Mazza
Lavinia De Chiara
Lavinia De Chiara
Gabriele Sani
Gabriele Sani
Alessio Simonetti
Alessio Simonetti
Alessio Simonetti
Georgios D. Kotzalidis
Georgios D. Kotzalidis
Giulia Armani
Giulia Armani
Gemma Callovini
Gemma Callovini
Marco Bonito
Giovanna Parmigiani
Stefano Ferracuti
Susanne Somerville
Paolo Roma
Gloria Angeletti
Gloria Angeletti
Psychometric Properties of the Perinatal Anxiety Screening Scale Administered to Italian Women in the Perinatal Period
Frontiers in Psychiatry
pregnancy
screening
psychometric properties
factor analysis
anxiety
perinatal
title Psychometric Properties of the Perinatal Anxiety Screening Scale Administered to Italian Women in the Perinatal Period
title_full Psychometric Properties of the Perinatal Anxiety Screening Scale Administered to Italian Women in the Perinatal Period
title_fullStr Psychometric Properties of the Perinatal Anxiety Screening Scale Administered to Italian Women in the Perinatal Period
title_full_unstemmed Psychometric Properties of the Perinatal Anxiety Screening Scale Administered to Italian Women in the Perinatal Period
title_short Psychometric Properties of the Perinatal Anxiety Screening Scale Administered to Italian Women in the Perinatal Period
title_sort psychometric properties of the perinatal anxiety screening scale administered to italian women in the perinatal period
topic pregnancy
screening
psychometric properties
factor analysis
anxiety
perinatal
url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.684579/full
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