A Protocol for the International Translation and Validation of the Postpartum Specific Anxiety Scale for Preterm Birth [PSAS-PTB] and Neonatal Intensive Care Unit [PSAS-NICU] Contexts

Int J Methods Psychiatr Res. 2026 Mar;35(1):e70065. doi: 10.1002/mpr.70065.

Abstract

Objectives: To describe the process for the translation and validation of the Postpartum Specific Anxiety Scale-Preterm Birth [PSAS-PTB] and the Postpartum Specific Anxiety Scale-Neonatal Intensive Care Unit [PSAS-NICU].

Methods: We outline a four-stage process for translation and validation of the 10-item PSAS-PTB and the 16-item PSAS-NICU.

Results: The protocol outlines a multi-stage translation and validation process, including (1) independent forward translation, (2) independent back translation, (3) final approval following review, and (4) validity and reliability study.

Conclusions: Culturally and contextually relevant assessment of postpartum anxiety is vital, particularly in vulnerable populations. Following standardised procedures will support broader applicability across diverse populations, providing a reliable self-report tool for both research and clinical use.

Keywords: NICU; cross‐cultural validity; postpartum anxiety; preterm birth; psychometrics; translation.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Anxiety* / diagnosis
  • Female
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal*
  • Postpartum Period* / psychology
  • Premature Birth* / psychology
  • Psychiatric Status Rating Scales* / standards
  • Psychometrics* / instrumentation
  • Psychometrics* / standards
  • Puerperal Disorders* / diagnosis
  • Reproducibility of Results
  • Translations