# Psychometric validity of the Swedish version of the Neuroception of Psychological Safety Scale for psychiatric assessment

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- Page title: Psychometric validity of the Swedish version of the Neuroception of Psychological Safety Scale for psychiatric assessment | WCP 2026 Summary

> The modified three-factor Swedish NPSS model with three items removed provided the best fit, measurement invariance across groups was established, and scores w…

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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0297

E-PosterTrauma and StressCross-sectional study (psychometric validity)

# Psychometric validity of the Swedish version of the Neuroception of Psychological Safety Scale for psychiatric assessment

PSYCHOMETRIC VALIDATION OF THE SWEDISH VERSION OF THE NEUROCEPTION OF PSYCHOLOGICAL SAFETY SCALE FOR PSYCHIATRIC ASSESSMENT

Presenter: Jörgen Lehmivaara

Country: Sweden

Institution: Mid Sweden University, Department of Education, Psychology and Social Work

The modified three-factor Swedish NPSS model with three items removed provided the best fit, measurement invariance across groups was established, and scores were significantly lower among those exposed to childhood maltreatment.

The study aimed to psychometrically evaluate the previously unvalidated Swedish version of the Neuroception of Psychological Safety Scale (NPSS); secondary aims were to compare a single-factor model with the proposed correlated three-factor model, assess internal consistency and construct validity, test measurement invariance by gender, age, education, and exposure to childhood maltreatment (CM), and examine score differences between CM groups. The cross-sectional survey included 318 participants (aged 18 to 93 years, mean 50.52, standard deviation 18.86; 54.4% women), who completed the 29-item NPSS with a 5-point response scale. Analyses included robust confirmatory factor analysis (robust CFA), construct validity assessment, and multigroup invariance testing. Model comparisons showed a poor fit for the single-factor model (CFI 0.595; TLI 0.563; RMSEA 0.127; SRMR 0.126; AIC 19846), a better fit for the three-factor model (CFI 0.867; TLI 0.855; RMSEA 0.065; SRMR 0.073; AIC 18128), and an acceptable-to-good fit for the modified three-factor model with items 7 through 9 removed from the Social Engagement subscale (chi-square 476, degrees of freedom 296; CFI 0.902; TLI 0.893; RMSEA 0.052; SRMR 0.067; AIC 15931). In the construct validity assessment, Social Engagement scores correlated with safe/content positive affect at r = 0.545, Compassion scores with compassionate behavior toward others at r = 0.609, and Body Sensations scores with relaxed positive affect at r = 0.618 (all p < 0.001). Measurement invariance was supported at the configural, metric, and scalar levels across all groups examined. NPSS scores differed significantly by CM exposure, with lower scores among those exposed (p < 0.001; effect size d = 0.487). The authors state that the results support the modified three-factor model and known-groups validity, that the scale is a promising tool for meaningful comparisons across groups and a potential outcome measure for tracking changes following clinical interventions, and that the distinction between state and trait should be tested in repeated-measures and longitudinal designs.

[View the original poster](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1637)

How to cite this study

APA 7: Lehmivaara, J., Jansson, B., Zetterberg, H., & Pfaltz, M. (2026, September 23-26). Psychometric validation of the swedish version of the neuroception of psychological safety scale for psychiatric assessment [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1637

Vancouver: Lehmivaara J, Jansson B, Zetterberg H, Pfaltz M. Psychometric validation of the swedish version of the neuroception of psychological safety scale for psychiatric assessment [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1637

Author names and title formatting were generated automatically from the congress system; please check them against the original poster before use.

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