Wynter Karen, Tran Thach Duc, Rowe Heather, Fisher Jane
Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Level 4, 553 St Kilda Road, Melbourne 3004, Australia.
Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Level 4, 553 St Kilda Road, Melbourne 3004, Australia.
J Affect Disord. 2017 Jun;215:56-61. doi: 10.1016/j.jad.2017.03.001. Epub 2017 Mar 14.
Poor quality intimate partner relationship is associated with postnatal depression and anxiety among women. Existing scales assessing the quality of this relationship are long and measure stable aspects of the relationship rather than specific behaviours which may respond to targeted interventions. The aim was to develop and investigate the properties of a brief, life stage-specific scale to assess potentially modifiable partner behaviours in the postpartum period.
Participants were primiparous women from diverse geographical and socio-economic backgrounds in Victoria, Australia. Seven study-specific items were developed to assess potentially modifiable aspects of the intimate partner relationship at 6 months postpartum. Women's mental health was assessed using the Composite International Diagnostic Interview and the Patient Health Questionnaire depression and generalised anxiety modules. Factor analysis was conducted on the 7 items, and associations calculated between factor scores. Factor scores were compared for women with and without mental health problems. Mean inter-item correlations were computed to assess internal consistency.
Factor analysis on data from 355 women revealed two factors with good internal consistency: Caring Partner Behaviours and Emotionally Abusive Partner Behaviours. Having mental health problems was associated with lower Caring Partner Behaviours and higher Emotionally Abusive Partner Behaviours scores.
Interaction between partners was not observed; thus external criterion validity was not assessed.
This brief scale is a promising means of assessing potentially modifiable aspects of the intimate partner relationship in the postnatal period.
亲密伴侣关系质量差与女性产后抑郁和焦虑有关。现有的评估这种关系质量的量表较长，且测量的是关系中稳定的方面，而非可能对针对性干预措施产生反应的具体行为。目的是开发并研究一种简短的、针对特定生命阶段的量表，以评估产后阶段亲密伴侣潜在可改变的行为。
参与者为来自澳大利亚维多利亚州不同地理和社会经济背景的初产妇。开发了七个特定于研究的项目，以评估产后6个月时亲密伴侣关系中潜在可改变的方面。使用综合国际诊断访谈以及患者健康问卷抑郁和广泛性焦虑模块评估女性的心理健康。对这7个项目进行因子分析，并计算因子得分之间的关联。比较有心理健康问题和无心理健康问题女性的因子得分。计算平均项目间相关性以评估内部一致性。
对355名女性的数据进行因子分析，发现了两个具有良好内部一致性的因子：关爱伴侣行为和情感虐待伴侣行为。有心理健康问题与较低的关爱伴侣行为得分以及较高的情感虐待伴侣行为得分相关。
未观察到伴侣之间的互动；因此未评估外部效标效度。
这个简短的量表是评估产后阶段亲密伴侣关系潜在可改变方面的一种有前景的方法。
