Continuity in self-report measures of maternal anxiety, stress, and depressive symptoms from pregnancy through two years postpartum

Continuity in self-report measures of maternal anxiety, stress, and depressive symptoms from pregnancy through two years postpartum
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DOI:
10.1080/01674820701701546
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发表时间:
2008-01-01
影响因子:
3.1
通讯作者:
Sipsma, Heather L.
Sipsma, Heather L.
中科院分区:
医学3区
文献类型:
--
作者:
Dipietro, Janet A.;Costigan, Kathleen A.;Sipsma, Heather L.

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这项研究检查了母亲焦虑,压力和抑郁的稳定性和变化,无论是在怀孕的后半期,从怀孕到产后六周和两年。自我报告的措施包括那些旨在衡量情绪和状态以及更持久的属性。纵向数据收集了137名妇女在怀孕期间,120在6周,97在两年。有显着的个人稳定性在怀孕期间的具体措施的分数(范围皮尔逊rs=0.30-0.86)和从怀孕到产后两年(rs=0.30-0.74)。在怀孕期间和随着时间的推移,不同结构的措施之间的收敛水平也表现出相当的,这表明缺乏精确度的测量工具,专为特定的结构。尽管个体内稳定,但也观察到平均水平随时间的变化,每个变量的模式略有不同。然而,产妇产次是影响水平和轨迹的重要因素。综合评分显示,经产妇女在怀孕期间的心理困扰水平升高,产后两年下降;经产妇女的困扰水平逐渐增加[主效应F(1,87)=3.97,p
This study examined stability and change in maternal anxiety, stress and depression both during the second half of pregnancy and from pregnancy to six weeks and two years postpartum. Self-report measures included those designed to measure mood and state as well as more persistent attributes. Longitudinal data were collected from 137 women during pregnancy, 120 at six weeks, and 97 at two years. There was significant individual stability in scores on specific measures during pregnancy (range in Pearson rs=0.30-0.86) and from pregnancy through two years postpartum (rs=0.30-0.74). Comparable levels of convergence among measures of different constructs both within pregnancy and over time were also demonstrated, suggesting lack of precision in measurement instruments designed for specific constructs. Despite intra-individual stability, changes in mean levels were also observed over time with somewhat different patterns for each variable. However, maternal parity was an important contributor to both level and trajectory. A summary composite score showed an elevated level of psychological distress during pregnancy in multiparous women, followed by a decline through two years postpartum; primiparous women displayed a gradual increase in distress [main effect F (1,87)=3.97, p