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Background <p>Postpartum anxiety is a prevalent emotional disorder affecting approximately 20% of women, often more common than postpartum depression. Despite its high prevalence, the Spanish healthcare system lacks screening programs specifically targeting this condition.</p> Methods <p>This study aimed to develop and validate a short version of the Postpartum Specific Anxiety Scale (PSAS-ES-RSF) to address time constraints in clinical practice and improve its usability as a screening tool. Using confirmatory factor analysis (CFA) on two independent Spanish samples (Sample 1: N = 699; Sample 2: N = 293), a 16-item version was extracted from the original 51-item PSAS-ES.</p> Results <p>The four-factor structure of the PSAS-ES-RSF—addressing maternal competence, infant safety, practical infant care, and psychosocial adjustment—demonstrated strong psychometric properties (CFI &gt; .95, RMSEA &lt; .08). Cultural context and risk factors, such as maternal self-efficacy and the return to work, influenced the selection of items, showing some variation from the English-language short form.</p> Conclusions <p>The PSAS-ES-RSF offers a reliable and efficient tool for exploring postpartum anxiety in Spanish-speaking populations. Further research is needed to explore its applicability in diverse cultural contexts and to continue refining postpartum anxiety screening strategies.</p>

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Validation of the Spanish-language version of the Postpartum Specific Anxiety Scale Research Short Form: PSAS-ES-RSF

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月30日

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  • Natalia Costas-Ramón,
  • Agustina María Vinagre-González,
  • Sergio A. Silverio,
  • Victoria Fallon,
  • Paul Christiansen,
  • Marta Evelia Aparicio-García

摘要

Background

Postpartum anxiety is a prevalent emotional disorder affecting approximately 20% of women, often more common than postpartum depression. Despite its high prevalence, the Spanish healthcare system lacks screening programs specifically targeting this condition.

Methods

This study aimed to develop and validate a short version of the Postpartum Specific Anxiety Scale (PSAS-ES-RSF) to address time constraints in clinical practice and improve its usability as a screening tool. Using confirmatory factor analysis (CFA) on two independent Spanish samples (Sample 1: N = 699; Sample 2: N = 293), a 16-item version was extracted from the original 51-item PSAS-ES.

Results

The four-factor structure of the PSAS-ES-RSF—addressing maternal competence, infant safety, practical infant care, and psychosocial adjustment—demonstrated strong psychometric properties (CFI > .95, RMSEA < .08). Cultural context and risk factors, such as maternal self-efficacy and the return to work, influenced the selection of items, showing some variation from the English-language short form.

Conclusions

The PSAS-ES-RSF offers a reliable and efficient tool for exploring postpartum anxiety in Spanish-speaking populations. Further research is needed to explore its applicability in diverse cultural contexts and to continue refining postpartum anxiety screening strategies.