Factor structure, validity and reliability of the Cambridge Worry Scale in a pregnant population

J Health Psychol. 2003 Nov;8(6):753-64. doi: 10.1177/13591053030086008.


This article presents the Cambridge Worry Scale (CWS), a content-based measure for assessing worries, and discusses its psychometric properties based on a longitudinal study of 1,207 pregnant women. Principal components analysis revealed a four-factor structure of women's concerns during pregnancy: socio-medical, own health, socio-economic and relational. The measure demonstrated good reliability and validity. Total CWS scores were strongly associated with state and trait anxiety (convergent validity) but also had significant and unique predictive value for mood outcomes (discriminant validity). The CWS discriminated better between women with different reproductive histories than measures of state and trait anxiety. We conclude that the CWS is a reliable and valid tool for assessing the extent and content of worries in specific situations.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Anxiety / diagnosis*
  • Anxiety / psychology
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Longitudinal Studies
  • Pregnancy / psychology
  • Pregnant Women / psychology*
  • Principal Component Analysis
  • Psychological Tests / statistics & numerical data*
  • Psychometrics
  • Reproducibility of Results
  • Stress, Psychological / diagnosis*
  • Stress, Psychological / psychology