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Updated: Jul 26, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[A new German Scale for Assessing Parental Stress after Preterm Birth (PSS:NICU_German/2-scales)]
P Urlesberger1, A Schienle2, G Pichler1
1Klinische Abteilung für Neonatologie, Universitäts Klinik für Kinder- und Jugendheilkunde Graz, Medizinische Universität Graz, Austria.
Insights
The German version of the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) was adapted into a reliable 2-scale instrument. This validated tool effectively assesses parental stress in the Neonatal Intensive Care Unit (NICU) setting.
Area of Science:
- Neonatal care
- Psychological health
- Parental well-being
Background:
- Preterm birth presents significant stress and anxiety for parents.
- This parental stress can impact maternal psychological health and infant development.
- The Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) assesses parental stress post-preterm birth.
Purpose of the Study:
- To examine the psychometric properties and dimensionality of the German version of the PSS:NICU.
- To develop a reliable German version of the PSS:NICU for assessing parental stress.
- To validate the PSS:NICU_German/2-scales for use in clinical and research settings.
Main Methods:
- Exploratory factor analysis was used for scale development.
- 100 parents of preterm infants completed the German PSS:NICU questionnaire.
- The 'Sights and Sounds' subscale was removed due to a low item count.
Main Results:
- The German version of the PSS:NICU was revised into a 2-scale instrument.
- The revised scale includes 'Infant Behavior and Appearance' (7 items, Cronbach's α=0.82).
- The second subscale is 'Parental Role Alteration' (6 items, Cronbach's α=0.87).
Conclusions:
- The PSS:NICU_German/2-scales is a reliable and economical tool.
- It effectively assesses parental stress in the Neonatal Intensive Care Unit (NICU) setting.
- This validated scale supports the psychological well-being of parents with preterm infants.
Abstract:
Background Preterm birth is known to be a stressful and anxious situation for parents, which might have long-term impact on the psychological health of mothers and even on the development of their preterm infants. Objective The Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) was developed to assess parental stress after preterm birth through three subscales [1]. The aim of the present study was to examine the psychometric properties and the dimensionality of the German version of the PSS:NICU to develop a reliable German version of the PSS:NICU. Methods For the development (exploratory factor analysis) 100 parents of preterm infants answered the questionnaire. Results The Sights and Sounds subscale was removed from the German version of the PSS:NICU due to low number of items.
A Pss:
NICU_German/2-scales was developed consisting of 2 subscales: Infant Behavior and Appearance (7 Items, Cronbach's α=0,82) and Parental Role Alteration (6 Items, Cronbach's α=0,87). Conclusions The PSS:NICU_German/2-scales is a reliable and economic scale for the assessment of parental stress after preterm birth.
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