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Validation of the post-delivery perceived stress inventory
Chantal Razurel1, Barbara Kaiser, Marc Dupuis
1a High School of Health , University of Applied Sciences Western Switzerland , Geneva , Switzerland .
The Post-Delivery Perceived Stress Inventory (PDPSI) effectively measures maternal stress after childbirth. This validated tool predicts postpartum anxiety and depression, aiding in intervention research.
Area of Science:
- Psychology
- Obstetrics & Gynecology
- Public Health
Background:
- Postpartum stress significantly impacts maternal mental health.
- Existing stress measures may not fully capture the nuances of the postpartum period.
- A validated tool is needed to assess perceived stress related to childbirth events.
Purpose of the Study:
- To introduce and validate the Post-Delivery Perceived Stress Inventory (PDPSI).
- To examine the psychometric properties of the PDPSI.
- To assess the PDPSI's predictive validity for postpartum anxiety and depression.
Main Methods:
- A 16-item PDPSI was administered to 235 primiparous mothers postpartum.
- Exploratory and confirmatory factor analyses were used to determine the inventory's structure.
- Predictive validity was assessed using the Edinburgh Depression Scale (EPDS) and State-Trait Anxiety Inventory (STAI).
Main Results:
- The PDPSI demonstrated a robust five-factor structure: relationship with child, delivery, fatigue, breastfeeding, and caregiver relationships.
- The inventory exhibited good internal consistency and excellent fit indices in confirmatory factor analysis.
- PDPSI scores significantly predicted depression and anxiety in the early postpartum period and anxiety at six weeks postpartum.
Conclusions:
- The PDPSI is a psychometrically sound instrument for measuring perceived stress in the postpartum period.
- Its generalizability across different populations is supported by discriminant analysis.
- The PDPSI is a valuable tool for research on interventions targeting postpartum stress, anxiety, and depression.
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