ArticleEuropean journal of midwifery2026
Validation of the adapted pregnancy-related anxiety scale in Northern Ghana (PrAS-NG).
Article in European journal of midwifery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Negative Pregnancy Experiences and Psychological Distress: Associations with Active Coping and Marital Satisfaction.Medicina (Kaunas, Lithuania) · 2026Article
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5 authors.
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Abstract
introductionPregnancy-related anxiety refers to anxiety experienced throughout pregnancy, including concerns about labor, maternal and fetal wellbeing, healthcare access, and parental readiness. Pregnancy-related anxiety has significant adverse effects on maternal and neonatal outcomes, distinct from other mental health conditions during pregnancy. However, research in low- and middle-income countries, notably Ghana, remains limited, in part because of lack of culturally relevant, high-quality measures. This study aims to validate the adapted PrAS for use in Northern Ghana (PrAS-NG).
methodsUsing survey data from 586 pregnant women, we conducted a pre-registered assessment of the reliability and validity of the PrAS-NG. Reliability was evaluated using Cronbach's alpha and test-retest analyses. For internal validity, we conduct exploratory factor analysis and confirmatory factor analysis. Convergent and divergent validity were assessed through Pearson correlation analysis.
resultsFollowing an exploratory factor analysis of the initial 52-item scale, a refined, 22-item, 9-factor version (PrAS-NG22) was developed. A confirmatory factor analysis validated the scale with a comparative fit index of 0.96. The scale demonstrated full invariance across age, gestational age, and parity. Internal (α=0.90) and test-retest reliability were strong (ICC=0.81). The PrAS-NG22 was related to anxiety and psychological distress during pregnancy, suggestive of convergent validity.
conclusionsThe results suggest the PrAS-NG22 is a valid, reliable, and culturally sensitive tool for pregnancy-related anxiety screening in Northern Ghana.
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