Exploring the Postpartum Adjustment Questionnaire as a predictor of postpartum depression

Area of Science:

• Obstetrics and Gynecology
• Psychiatry
• Women's Health

Background:

• Postpartum depression (PPD) is a significant concern affecting maternal well-being.
• Early identification of women at risk for PPD is crucial for timely intervention.

Purpose of the Study:

• To assess the predictive value of the Postpartum Adjustment Questionnaire (PAQ) for PPD symptoms.
• To compare the PAQ's effectiveness against the Postpartum Depression Screening Scale (PDSS).

Main Methods:

• Prospective descriptive study design.
• Convenience sample of 200 postpartum women at a regional medical center.
• PAQ scores (pre-discharge) compared with PDSS scores (6 weeks postpartum).

Main Results:

• A PAQ score of 4 or higher demonstrated the best positive predictive power for PPD symptoms.
• A single PAQ question showed similar predictive results to the full questionnaire.
• Moderate correlation (r=.28) observed between PAQ and PDSS scores.

Conclusions:

• The PAQ may serve as a predictor of PPD, identifying approximately 40% of affected women.
• A single-item PAQ offers a cost-effective screening option.
• Further research with diverse populations is recommended to validate findings and inform clinical practice.