{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:19:10Z","timestamp":1790695150934,"version":"4.1.0"},"reference-count":59,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Pathological worry is a major feature of anxiety in the peripartum, and we sought to examine the factor structure, validity, and reliability in the peripartum of a scale used to measure worry in the general population (the Penn State Worry Questionnaire, PSWQ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Pregnant\/postpartum women (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u2009295) were followed at up to six visits, which included completion of the PSWQ and other psychological scales. Principal components analysis, descriptive statistics, paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests, chi-square tests, and mixed linear regression models were used to evaluate scale reliability and validity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Most participants (63%) reported a history of a mood disorder, 40% an anxiety disorder, and 18% both. Mean PSWQ score at entry was 47.19 (of a possible 80). PSWQ scores were positively correlated with conceptually related measures (correlations 0.55\u20130.76, all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and were most closely aligned with the TRAIT scale of Spielberg State\u2013Trait Anxiety Scale. Participants with a history of any mood or anxiety disorder had significantly higher worry scores (\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      s range\u2009=\u20093.70\u20136.69,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      s\u2009&lt;\u20090.01). Individuals with a current diagnosis were more likely to be high worriers (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20098.26,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004 and \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200934.99,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001 for major depressive disorder and generalized anxiety disorder, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The PSWQ correlated well with all psychological scales, especially TRAIT anxiety. Worry appears to be a major component of perinatal anxiety, and the PSWQ may be a valuable tool for more precise specification of the clinical phenotypes of perinatal anxiety. Limitations include a study population that was largely Caucasian and well educated, so study results require replication in a more diverse population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2020.8669","type":"journal-article","created":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T17:48:57Z","timestamp":1610473737000},"page":"1761-1768","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Using the Penn State Worry Questionnaire in the Peripartum"],"prefix":"10.1177","volume":"30","author":[{"given":"Kristin","family":"Voegtline","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Payne","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences, and Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."},{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay R.","family":"Standeven","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences, and Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridget","family":"Sundel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences, and Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meeta","family":"Pangtey","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences, and Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren M.","family":"Osborne","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences, and Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."},{"name":"Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,12,16]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31821187a7"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.187179"},{"key":"e_1_3_5_4_2","first-page":"1","article-title":"Perinatal depression: Prevalence, screening accuracy, and screening outcomes. 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