Dennis Cindy-Lee, Brown Hilary K, Brennenstuhl Sarah
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Department of Anthropology (Health Studies Program), University of Toronto Scarborough, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Midwifery. 2017 Nov;54:18-24. doi: 10.1016/j.midw.2017.07.018. Epub 2017 Jul 29.
postpartum depression is a significant public health issue with well-documented negative consequences. A strong risk factor that has been consistently identified in international samples is a poor partner relationship. However, no instrument exists to measure postpartum-specific partner support.
the objective of this methodological study was to develop and psychometrically test an instrument to assess the perception of postpartum partner support to guide interventions.
using a theoretical model of social relationships and the functional elements of social support, the Postpartum Partner Support Scale was developed and content validity was judged by experts. Following a pilot test, the Postpartum Partner Support Scale was psychometrically assessed.
the study was conducted in a health region near Vancouver, British Columbia.
396 women at 1, 4, and 8 weeks postpartum.
the psychometric assessment included analysis of internal consistency, exploratory factor analysis, composite reliability, and concurrent and predictive validity.
the Cronbach's alpha for the Postpartum Partner Support Scale was 0.96, and exploratory factor analysis revealed a unidimensional solution. The Postpartum Partner Support Scale was positively correlated with general partner support and global social support and negatively correlated with perceived stress and child care stress. It also predicted maternal depressive and anxiety symptoms at 8 weeks postpartum among those without depression or anxiety at 1 or 4 weeks postpartum, respectively.
following further psychometric testing, the Postpartum Partner Support Scale may be used to (1) identify women with inadequate partner support who are at risk for poor mental health, (2) individualise postnatal care, and (3) evaluate preventive interventions.
产后抑郁症是一个重大的公共卫生问题，其负面后果有充分的文献记载。在国际样本中一直被确定的一个重要风险因素是伴侣关系不佳。然而，目前尚无用于测量产后特定伴侣支持的工具。
本方法学研究的目的是开发并对一种评估产后伴侣支持感知的工具进行心理测量学测试，以指导干预措施。
利用社会关系理论模型和社会支持的功能要素，开发了产后伴侣支持量表，并由专家判断其内容效度。在进行预测试后，对产后伴侣支持量表进行了心理测量学评估。
研究在不列颠哥伦比亚省温哥华附近的一个卫生区域进行。
396名产后1周、4周和8周的女性。
心理测量学评估包括内部一致性分析、探索性因素分析、组合信度以及同时效度和预测效度。
产后伴侣支持量表的克朗巴哈系数为0.96，探索性因素分析显示为单维结构。产后伴侣支持量表与一般伴侣支持和总体社会支持呈正相关，与感知压力和育儿压力呈负相关。它还分别预测了产后1周或4周无抑郁或焦虑症状的女性在产后8周的抑郁和焦虑症状。
经过进一步的心理测量学测试后，产后伴侣支持量表可用于：（1）识别伴侣支持不足且有心理健康不良风险的女性；（2）使产后护理个性化；（3）评估预防性干预措施。
