Zhong Xiaoying, He Mei, Guo Xiujing, Li Xixi, Wang Bangjun, Pan Changqing, Hu Rong, Wu Hongjing
Department of Nursing, West China Second University Hospital, Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Sichuan University, Ministry of Education, Chengdu, Sichuan, China.
Department of Nursing, School of Medicine, Mianyang Central Hospital, University of Electronic Science and Technology of China, Mianyang, China.
BMC Psychiatry. 2025 Mar 11;25(1):230. doi: 10.1186/s12888-025-06670-1.
Anxiety disorders are increasing worldwide, untreated anxiety is linked to maternal and child health outcomes. The purpose of this study is to test psychometric properties of the Perinatal Anxiety Screening Scale (PASS) among Chinese women.
The PASS was translated into Chinese following Beaton's intercultural debugging guide. A total of 494 women in the antenatal and postnatal phase participated ( 268 antenatal and 186 postnatal ) were recruited between March 2023 and July 2023 from two hospitals in Sichuan Province, China. The instruments included the demographic characteristics form, PASS, Edinburgh Postnatal Depression Scale (EPDS), and Generalized Anxiety Disorder-7 (GAD-7). The confirmatory factor analysis (CFA), internal consistency reliability and convergent validity were assessed.
The mean age of the participant was 31.67 years (SD = 3.78; range from 23 to 49). The CFA showed that four-factor model of the Chinese-PASS had an excellent fit to the data ( χ2 = 1481.2477; df = 425; χ2/df = 3.485; RMSEA = 0.071; CFI = 0.871; NNFI = 0.828; TLI = 0.859; and IFI = 0.871). The Cronbach's alpha coefficient of total scale was 0.950, and the split-half reliability of total scale was 0.907. The PASS significantly correlated with EPDS (r = 0.732) and GAD-7 (r = 0.763). The area under the ROC curve for PASS scores was 0.91 (SE = 0.01; 95% CI = 0.89-0.94). At cut-off score of ≥ 19.5, the sensitivity was 0.87. The area under the ROC curve for GAD-7 scores was 0.89 (SE = 0.02; 95% CI = 0.86-0.92). At cut-off score of ≥ 3.5, the sensitivity was 0.82.
The result of this study show that the Chinese-PASS had a reasonably adequate validity and reliability and can be used to screen for anxiety disorder among women during the perinatal period.
焦虑症在全球范围内呈上升趋势，未经治疗的焦虑与母婴健康结局相关。本研究旨在检验围产期焦虑筛查量表（PASS）在中国女性中的心理测量特性。
按照比顿的跨文化调试指南将PASS翻译成中文。2023年3月至2023年7月期间，从中国四川省的两家医院招募了494名处于产前和产后阶段的女性（268名产前女性和186名产后女性）。所使用的工具包括人口统计学特征表、PASS、爱丁堡产后抑郁量表（EPDS）和广泛性焦虑障碍-7（GAD-7）。评估了验证性因素分析（CFA）、内部一致性信度和收敛效度。
参与者的平均年龄为31.67岁（标准差=3.78；范围为23至49岁）。CFA结果显示，中文版PASS的四因素模型与数据拟合良好（χ2=1481.2477；自由度=425；χ2/自由度=3.485；RMSEA=0.071；CFI=0.871；NNFI=0.828；TLI=0.859；IFI=0.871）。总量表的克朗巴哈α系数为0.950，总量表的分半信度为0.907。PASS与EPDS（r=0.732）和GAD-7（r=0.763）显著相关。PASS得分的ROC曲线下面积为0.91（标准误=0.01；95%置信区间=0.89-0.94）。在临界值≥19.5时，敏感度为0.87。GAD-7得分的ROC曲线下面积为0.89（标准误=0.02；95%置信区间=0.86-0.92）。在临界值≥3.5时，敏感度为0.82。
本研究结果表明，中文版PASS具有合理充分的效度和信度，可用于筛查围产期女性的焦虑症。
