Women's responses to postnatal self-report mood and experience measures: does anonymity make a difference?
Stephen Matthey1, Tracey White, Sarah Rice
1Infant, Child and Adolescent Mental Health Service-Research Unit, Sydney South West Area Health Service, Liverpool Hospital, Mental Health Centre (L1), Locked Bag 7103, Liverpool BC, NSW 1871, Australia. stephen.matthey@sswahs.nsw.gov.au
Participant anonymity does not affect reporting of difficulty coping in women. This finding challenges mental health professionals' expectations regarding honest responses in perinatal mental health studies.
Area of Science:
- Perinatal mental health
- Psychological research methodology
- Maternal and child health
Background:
- Self-report measures are crucial for assessing perinatal mental health.
- Concerns exist regarding participant honesty influenced by anonymity in sensitive research.
- Mental health professionals hold expectations about anonymity's impact on data.
Purpose of the Study:
- To determine if naming questionnaires affects women's reporting of difficulty coping.
- To compare women's responses under named versus anonymous conditions.
- To survey mental health professionals' predictions about these effects.
Main Methods:
- 211 women at maternal and child health clinics completed mood and motherhood experience measures.
- Participants were assigned to either a "named" or "anonymous" condition.
- 44 perinatal mental health professionals completed an anonymous survey on expected findings.
Main Results:
- No significant difference in reporting "not currently coping" between named and anonymous conditions.
- A small, significant increase in reporting prior "difficulty coping" in the named condition.
- Most professionals incorrectly predicted anonymity would yield more "honest" responses.
Conclusions:
- Anonymity status is unlikely to impact rates of postnatal distress or depression detected by self-report measures.
- Findings contradict prevailing expectations among perinatal mental health professionals.
- The study provides novel insights into response bias in perinatal mental health research.
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