a Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University , Melbourne , Australia.
b Department of Psychiatry, School of Clinical Sciences at Monash Health, Faculty of Medicine , Nursing and Health Sciences, Monash University , Melbourne , Australia.
J Reprod Infant Psychol. 2018 Nov;36(5):561-577. doi: 10.1080/02646838.2018.1519781. Epub 2018 Sep 25.
To examine the psychometric properties of the Demoralisation Scale II (DS-II) and adapt it for use with women in the postnatal period.
Demoralisation is a psychological state characterised by a sense of incompetence and feelings of helplessness and hopelessness in response to a stressful situation. The postnatal period is a life stage of many disruptions. Women may lose their confidence and become demoralised if feeling unprepared for the tasks of motherhood. The DS-II is a 16-item scale developed among cancer patients, but with content that is also relevant postnatally, including items on sense of failure, helplessness, hopelessness, isolation, entrapment and loss of purpose.
Rasch analysis was used to investigate the psychometric properties of the DS-II and refine the scale for postnatal use.
Participants were 209 women admitted with their babies to a residential early parenting programme. A 14-item revised scale was derived, the Postnatal DS-II, showing good psychometric properties, discriminant validity and sensitivity to change, and being well targeted to the sample.
The Postnatal DS-II could have utility as an assessment tool, helping clinicians to understand better women's postnatal experiences, assess the effectiveness of interventions and communicate with women in a meaningful and non-stigmatising way.
检验德莫拉西量表 II（DS-II）的心理计量学特性，并将其改编为适用于产后女性的量表。
德莫拉西是一种心理状态，其特征是在面对压力情境时感到无能为力和无助无望。产后是一个充满各种干扰的生活阶段。如果女性对做母亲的任务感到准备不足，可能会失去信心并变得德莫拉西。DS-II 是一种 16 项的量表，是在癌症患者中开发的，但内容也与产后相关，包括失败感、无助感、绝望感、孤立感、束缚感和目标丧失感等项目。
使用 Rasch 分析来研究 DS-II 的心理计量学特性，并对其进行修订，以适用于产后。
参与者为 209 名与婴儿一起入住住宅早期育儿计划的女性。得出了一个 14 项修订后的量表，即产后 DS-II，其具有良好的心理计量学特性、判别效度和对变化的敏感性，并且很好地针对样本进行了定位。
产后 DS-II 可用作评估工具，帮助临床医生更好地了解女性的产后体验，评估干预措施的效果，并以有意义且非污名化的方式与女性进行沟通。
