Introduction and purpose: Pregnancy anxiety is a strong predictor of negative birth outcomes. Therefore, carrying out adequate assessment of pregnancy-related anxiety as well as conducting extensive research on this area is of paramount importance and this, in turn, necessitates the provision of specific reliable, valid tools. For instance, Pregnancy-Related Anxiety Questionnaire – Revised 2 (PRAQ–R2) is a widely used instrument. Taking a step in this perspective, the present study is aimed at determining psychometric properties of PRAQ-R2 for a sample of primiparous women in Iran. Method: This descriptive-cross sectional study was undertaken based on 183 primiparous women in Tehran, Iran. The convenience sampling method using is Google Form. To this aim, PRAQ–R2, Five-Facet Mindfulness Questionnaire (FFMQ), the Wijma Delivery Expectancy-Experience Questionnaire (W-DEQ) along with the required demographic information were entered and transformed into a Google-Form survey and distributed among primiparous, pregnant women through social networks. Results: Internal consistency that measured with Cronbach's alpha was 0.85. The alpha coefficient for the subscales was also higher than 0.77. PRAQ-R2 questionnaire has a positive and significant relationship with W-DEQ and has a negative and significant relationship with FFMQ, which indicates the appropriate convergent and divergent validity of the questionnaire. Finally, Confirmatory Factor Analysis (CFA) showed that the three-factor model enjoys an acceptable fit. Discussion and conclusion: PRAQ-R2, suggesting acceptable validity and reliability measures for assessing primiparous women’s pregnancy-related anxiety, thus, can be used for research and clinical purposes.
Keywords: anxiety, pregnancy, validity, reliability