Psychiatry and Clinical Psychopharmacology 
DOI: 10.1080/24750573.2018.1506247 
Perinatal Anxiety Screening Scale validiy and reliability study 
in Turkish (PASS-TR validity and reliability) 
Esra Yazıcıa, Tugba Mutu Peka, Hilal Uslu Yuvacıb, Elif Kösec, Serhan Cevrioglub, Ahmet Bulent Yazıcıa, Ali Savaş Çilli a, Atila 
Erola and Nazan Aydın d* 
aDepartment of Psychiatry, Medical Faculty, Sakarya University, Sakarya, Turkey; bDepartment of Obstetrics and Gynechology, Medical Faculty, 
Sakarya University, Sakarya, Turkey; cDepartment of Public Health, Medical Faculty, Training and Research Hospital, Sakarya University, Sakarya, 
Turkey; dBakırköy Training and Reseacrh Hospital of Nerveus and Mental Health, Psychiatry Clinic, Istanbul, Turkey 
ABSTRACT
BACKGROUND: Anxiety disorders are common in women. This sensitivity extends into the perinatal 
period as well. Thus, screening for anxiety disorders during the aforementioned period is important for the 
proper management and treatment of conditions. This study was conducted to assess the validity and 
reliability of the Perinatal Anxiety Screening Scale, which was determined to be beneficial for the purposes 
listed above. 
METHOD: For this study, the “Perinatal Anxiety Screening Scale” (PASS) was translated into Turkish and 
relabelled “Perinatal Anksiyete Tarama Ölçeği” (PASS-TR). 312 perinatal women were then evaluated with: 
the ICD 10 diagnosis system, SCID-1, the Hamilton Anxiety Scale, Hamilton Depression Scale, Beck 
Anxiety Scale, and PASS-TR. The resulting data was examined using Pearson Correlation analysis, 
Reliability tests, ROC analysis, and Factor analysis. The generated sub-dimensions were re-examined again 
by confirmatory factor analysis and Root Mean Square Error of Approximation (RMSEA), Root Mean 
Square Residual (RMR), Standardized Root Mean Square Residual (SRMR) χ2/sd, the Goodness of Fit 
Index (GFI), Adjusted Goodness of Fit Index (AGFI), Comparative Fit Index (CFI), Akaike’s Information 
Criterion (AIC), and the Bayesian Information Criterion (BIC). 
RESULTS: In this assessment, Cronbach’s Alpha value for the scale is = 0.95, and the sub- dimensions 
obtained by explanatory factor analysis are: (1) general anxiety and specific fear, (2) perfectionism and 
control, (3) social anxiety and adjustment disorder, (4) acute anxiety and trauma. The cut-off score for the 
scale is 16. As a result, it was determined that PASS-TR is an accurate method for the scanning of anxiety 
disorders in the perinatal period. CONCLUSION: PASS-TR can be validly and reliably used to scan for 
anxiety disorders amongst perinatal women. 
KEY WORDS: Anxiety, pregnancy, postpartum, perinatal, Turkey, depression