Neuroception of psychological safety scale (NPSS): validation with a UK based adult community sample

Background: Psychological safety plays a vital role in rest, recovery, and fostering social connections. However, a history of trauma can predispose individuals to perceive heightened levels of threat and danger. Research suggests that a lack of psychological safety may be a defining biopsychosocial...

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Main Authors: Nicola Cogan, Liza Morton, John Campbell, Linda Irvine Fitzpatrick, Danielle Lamb, Johannes De Kock, Alisha Ali, David Young, Stephen Porges
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:European Journal of Psychotraumatology
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Online Access:https://www.tandfonline.com/doi/10.1080/20008066.2025.2490329
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author Nicola Cogan
Liza Morton
John Campbell
Linda Irvine Fitzpatrick
Danielle Lamb
Johannes De Kock
Alisha Ali
David Young
Stephen Porges
author_facet Nicola Cogan
Liza Morton
John Campbell
Linda Irvine Fitzpatrick
Danielle Lamb
Johannes De Kock
Alisha Ali
David Young
Stephen Porges
author_sort Nicola Cogan
collection DOAJ
description Background: Psychological safety plays a vital role in rest, recovery, and fostering social connections. However, a history of trauma can predispose individuals to perceive heightened levels of threat and danger. Research suggests that a lack of psychological safety may be a defining biopsychosocial characteristic of posttraumatic stress disorder (PTSD). Persistent feelings of threat and danger are associated with a lack of psychological safety and may be predictive of PTSD. Our pioneering work reported on the development of the neuroception of psychological safety (NPSS), rooted in polyvagal theory, and consists of social engagement, compassion, and body sensations dimensions. Understanding more about the dimensionality of the NPSS and further establishing its psychometric properties was our priority.Objective: Our current research aimed to validate and test the reliability and dimensionality of the NPSS, using a large community sample (n = 2035) of adult residents in the UKMethod: We examined the internal and test-retest reliability, convergent, discriminant, and concurrent validity as well as dimensionality of the NPSS.Results: The 3-factor structure of the NPSS was replicated with regard to the absolute fit indices. Internal consistencies ranged from acceptable to excellent across the NPSS’s subscales. Providing support for the validity of the NPSS, scores were predictably related to team psychological safety, wellbeing, post-traumatic stress, burnout, body awareness, and personality, with effect sizes typically in the high to medium range. Scores on the NPSS were found to show good test-retest reliability.Conclusions: This study demonstrates the validity, reliability and dimensionality of the NPSS with an adult sample. Further work is underway to support and enhance understandings of psychological safety with diverse clinical populations impacted by trauma. The NPSS has applicability across a range of health and social care contexts, such as shaping new approaches to evaluating trauma treatments and enhancing trauma informed care.
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spelling doaj-art-aac77d45e7c745b7a97f5c8da23a15822025-08-20T02:14:56ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662025-12-0116110.1080/20008066.2025.2490329Neuroception of psychological safety scale (NPSS): validation with a UK based adult community sampleNicola Cogan0Liza Morton1John Campbell2Linda Irvine Fitzpatrick3Danielle Lamb4Johannes De Kock5Alisha Ali6David Young7Stephen Porges8Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UKDepartment of Psychology, Glasgow Caledonian University, Glasgow, UKDepartment of Psychological Sciences and Health, University of Strathclyde, Glasgow, UKThe Centre for Military Research Education and Public Engagement, Edinburgh Napier University, Edinburgh, UKDepartment of Primary Care and Population Health, University College London, London, UKFaculty of Health Science, North West University, Potchefstroom, South AfricaDepartment of Applied Psychology, New York University, New York, NY, USADepartment of Mathematics and Statistics, University of Strathclyde, Glasgow, UKKinsey Institute, Inidiana University, Bloomington, IN, USABackground: Psychological safety plays a vital role in rest, recovery, and fostering social connections. However, a history of trauma can predispose individuals to perceive heightened levels of threat and danger. Research suggests that a lack of psychological safety may be a defining biopsychosocial characteristic of posttraumatic stress disorder (PTSD). Persistent feelings of threat and danger are associated with a lack of psychological safety and may be predictive of PTSD. Our pioneering work reported on the development of the neuroception of psychological safety (NPSS), rooted in polyvagal theory, and consists of social engagement, compassion, and body sensations dimensions. Understanding more about the dimensionality of the NPSS and further establishing its psychometric properties was our priority.Objective: Our current research aimed to validate and test the reliability and dimensionality of the NPSS, using a large community sample (n = 2035) of adult residents in the UKMethod: We examined the internal and test-retest reliability, convergent, discriminant, and concurrent validity as well as dimensionality of the NPSS.Results: The 3-factor structure of the NPSS was replicated with regard to the absolute fit indices. Internal consistencies ranged from acceptable to excellent across the NPSS’s subscales. Providing support for the validity of the NPSS, scores were predictably related to team psychological safety, wellbeing, post-traumatic stress, burnout, body awareness, and personality, with effect sizes typically in the high to medium range. Scores on the NPSS were found to show good test-retest reliability.Conclusions: This study demonstrates the validity, reliability and dimensionality of the NPSS with an adult sample. Further work is underway to support and enhance understandings of psychological safety with diverse clinical populations impacted by trauma. The NPSS has applicability across a range of health and social care contexts, such as shaping new approaches to evaluating trauma treatments and enhancing trauma informed care.https://www.tandfonline.com/doi/10.1080/20008066.2025.2490329Psychological safetypolyvagal theoryneuroceptionpsychometric validationmeasure developmenttrauma
spellingShingle Nicola Cogan
Liza Morton
John Campbell
Linda Irvine Fitzpatrick
Danielle Lamb
Johannes De Kock
Alisha Ali
David Young
Stephen Porges
Neuroception of psychological safety scale (NPSS): validation with a UK based adult community sample
European Journal of Psychotraumatology
Psychological safety
polyvagal theory
neuroception
psychometric validation
measure development
trauma
title Neuroception of psychological safety scale (NPSS): validation with a UK based adult community sample
title_full Neuroception of psychological safety scale (NPSS): validation with a UK based adult community sample
title_fullStr Neuroception of psychological safety scale (NPSS): validation with a UK based adult community sample
title_full_unstemmed Neuroception of psychological safety scale (NPSS): validation with a UK based adult community sample
title_short Neuroception of psychological safety scale (NPSS): validation with a UK based adult community sample
title_sort neuroception of psychological safety scale npss validation with a uk based adult community sample
topic Psychological safety
polyvagal theory
neuroception
psychometric validation
measure development
trauma
url https://www.tandfonline.com/doi/10.1080/20008066.2025.2490329
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