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Development of the Paternal Pregnancy-Related Anxiety Scale (PPrAS) Using Rasch Analysis With Australian and USA Samples of Expectant Fathers.

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Authors

Dabb, Carol

Dryer, Rachel

Brunton, Robyn J

Krägeloh, Chris

Moussa, Michele

Yap, Keong

Roach, Vijay J

Medvedev, Oleg

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Elsevier BV

Abstract

Up to 25 % of expectant fathers may experience anxiety symptoms, with potential adverse consequences for themselves and their families. This study developed a psychometrically sound measure of pregnancy-related anxiety for fathers, addressing a current gap in research and practice for psychological scales that specifically assess men's fears, worries, and concerns specific to pregnancy. An item pool encompassing men's pregnancy-related concerns and worries was generated based on findings from a systematic review (Dabb et al., 2023). Following expert panel review, 95 items were evaluated within the framework of the Rasch measurement model, using data from 292 expectant fathers (Mage = 29.9 years, SD = 5.55) from Australia (N = 146) and the USA (N = 146). The resultant 33-item unidimensional scale demonstrated good fit, no evidence for differential item functioning, sound levels of targeting, and excellent internal consistency reliability. The new Paternal Pregnancy-related Anxiety Scale (PPrAS) is a comprehensive measure of pregnancy-related anxiety for expectant fathers, with usefulness in both clinical and research contexts.

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Keywords

Expectant father, Partner, Paternal, Pregnancy anxiety, Pregnancy-related anxiety, Rasch, Scale development, 3215 Reproductive Medicine, 32 Biomedical and Clinical Sciences, 42 Health Sciences, Clinical Research, Mental Health, 11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences, Psychiatry, 32 Biomedical and clinical sciences, 42 Health sciences, 52 Psychology

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J Affect Disord, ISSN: 0165-0327 (Print); 1573-2517 (Online), Elsevier BV, 381, 33-43. doi: 10.1016/j.jad.2025.03.184

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© 2025 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license.

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