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Validation and optimal cut-off score of the Multidimensional Paternal Perinatal Scale (MPPS)
Daisy Gemayel1, Karl K K Wiener2, Anthony J Saliba2
1School of Psychology, Charles Sturt University, Wagga Wagga, Australia. info@mentalcareclinic.com.au.
BMC Psychology
|August 13, 2025
Summary
The Multidimensional Paternal Perinatal Scale (MPPS) identifies fathers at risk for poor emotional well-being during pregnancy and after birth. This validated tool offers specific cut-off scores for assessing depression, anxiety, and stress in perinatal fathers.
Area of Science:
- Perinatal mental health
- Psychological assessment
- Men's health
Background:
- Perinatal mental health issues affect fathers, impacting family well-being.
- Existing tools may not comprehensively assess paternal emotional well-being.
- The Multidimensional Paternal Perinatal Scale (MPPS) was developed to address this gap.
Purpose of the Study:
- To evaluate the discriminant and concurrent validity of the MPPS.
- To determine optimal cut-off scores for identifying at-risk fathers.
- To confirm the MPPS's utility in antenatal and postnatal periods.
Main Methods:
- Assessed discriminant validity using the Edinburgh Postnatal Depression Scale.
- Evaluated concurrent validity via group differentiation (depressed, anxious, stressed fathers).
- Employed Receiver Operating Characteristic Analysis to identify optimal cut-off scores.
Main Results:
- The MPPS demonstrated good discriminant and concurrent validity.
- Optimal cut-off scores were identified: ANT-MPPS (Depression: 23.5, Anxiety: 41.5, Stress: 38.5).
- Optimal cut-off scores for POST-MPPS: Depression: 64.5, Anxiety: 65.5, Stress: 65.5.
Conclusions:
- Both antenatal and postnatal versions of the MPPS effectively identify fathers at risk.
- The MPPS serves as a valuable tool for clinicians and researchers.
- Early identification enables timely intervention for paternal perinatal mental health.

