College of Nursing, Ewha Womans University, Seoul, Republic of Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2023 May;17(2):102-109. doi: 10.1016/j.anr.2023.03.003. Epub 2023 Mar 31.
The study aimed to translate the Paternal Postnatal Attachment Scale (PPAS) into Korean and to evaluate the validity and reliability of the Korean version of the PPAS (K-PPAS).
The PPAS was translated, back-translated, and reviewed by 12 experts and 5 fathers following the World Health Organization's guideline. A convenience sample of 396 fathers with infants in their first 12 months participated in this study. For construct validity, an underlying factor structure and model fit was assessed with an exploratory and confirmatory factor analysis. Convergent and discriminant validity and reliability of the K-PPAS were evaluated.
The construct validity of the K-PPAS with 11 items was identified by two-factor structures: healthy attachment relationship, and patience and tolerance. The final model fit was shown acceptable with the normed chi-square = 1.94, comparative fit index = .94, Tucker-Lewis index = .92, root mean square error of approximation = .07, and standardized root mean square residual = .06. This model had acceptable convergent and discriminant validity for each construct with the values of the composite reliability and heterotrait-monotrait ratio at a satisfactory level. Discriminant validity with known groups showed that fathers with no postnatal depression had significantly higher scores on the K-PPAS than those with postnatal depression. Cronbach's α and McDonald's omega coefficient of the K-PPAS was .84 and .83.
The K-PPAS would be beneficial to measure postnatal attachment among fathers with infants aged 12 months or younger in Korea. However, further studies are suggested to evaluate the applicability of the scale considering the various family structures, such as single or foster parents and multicultural families that exist within the Korean population.
本研究旨在将父爱产后依恋量表（PPAS）翻译为韩语，并评估 PPAS 韩语版（K-PPAS）的效度和信度。
根据世界卫生组织的指南，PPAS 经过翻译、回译和 12 位专家和 5 位父亲的审查。本研究采用方便抽样法，共招募了 396 名婴儿出生后 12 个月内的父亲。为了评估结构效度，采用探索性和验证性因子分析评估潜在的因子结构和模型拟合度。评估了 K-PPAS 的聚合效度、区分效度和信度。
具有 11 个项目的 K-PPAS 的结构效度由两个因子结构确定：健康的依恋关系和耐心与宽容。最终模型的拟合度为可接受的，标准化卡方值为 1.94，比较拟合指数为 0.94，塔克-刘易斯指数为 0.92，近似均方根误差为 0.07，标准化均方根残差为 0.06。该模型对每个结构的聚合效度和异质同质比的判别效度均为可接受水平，复合可靠性和异质同质比的判别效度在可接受水平。与已知群体的判别效度表明，无产后抑郁的父亲在 K-PPAS 上的得分显著高于产后抑郁的父亲。K-PPAS 的克朗巴赫 α 和麦克唐纳 ω 系数分别为 0.84 和 0.83。
K-PPAS 可用于评估韩国 12 个月或以下婴儿的父亲的产后依恋情况。然而，考虑到韩国人群中存在的各种家庭结构，如单身或养父母和多元文化家庭，建议进一步研究评估该量表的适用性。
