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How mothers feel: Validation of a measure of maternal mood

RATIONALE: Low mood may affect developing relationships with a new baby, partner and family. Early identification of mood disturbance is crucial to improve outcomes for women perinatally. Instruments such as the Edinburgh Postnatal Depression Scale (EPDS) are used routinely, with evidence that some...

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Detalles Bibliográficos
Autores principales: Savage McGlynn, Emily, Martin, Colin R., Redshaw, Maggie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7496697/
https://www.ncbi.nlm.nih.gov/pubmed/31769159
http://dx.doi.org/10.1111/jep.13304
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author Savage McGlynn, Emily
Martin, Colin R.
Redshaw, Maggie
author_facet Savage McGlynn, Emily
Martin, Colin R.
Redshaw, Maggie
author_sort Savage McGlynn, Emily
collection PubMed
description RATIONALE: Low mood may affect developing relationships with a new baby, partner and family. Early identification of mood disturbance is crucial to improve outcomes for women perinatally. Instruments such as the Edinburgh Postnatal Depression Scale (EPDS) are used routinely, with evidence that some women do not feel comfortable with how they are asked about their mental health. OBJECTIVE: To develop a mood checklist as a user‐friendly, effective measure of well‐being in post‐partum women, for use by health professionals. METHODS: Cognitive interviews with women who had recently given birth assessed response format and face validity of a prototype measure. A cross‐sectional survey followed. A random split‐half instrument development protocol was used. Exploratory factor analysis determined factor structure with the first sample,. The second sample confirmed factor structure and evaluationof key psychometric variables and known‐groups discriminant validity (KGDV), requiring a supplementary between‐subjects design with stratification based on case negative/case positive classification using EPDSscreening cut‐off criteria. RESULTS: Cognitive interview data confirmed the face validity of the measure. Exploratory factor analysis indicated an 18 item two‐factor model with two (negatively) correlated factors. Factor 1 loaded with items reflecting positive mood and factor 2 negative items. Confirmatory factor analysis showed a good fit to the two‐factor model across the full spectrum of fit indices. Statistically significant differences between groups were observed in relation to as EPDS caseness classification. Cronbach alpha coefficients for the positive and negative subscales revealed acceptable internal consistency of 0.79 and 0.72, respectively. CONCLUSION: The outcome checklist may be appropriate for use in clinical practice. It demonstrated effective psychometric properties and clear cross‐validation with existing commonly used measures.
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spelling pubmed-74966972020-09-25 How mothers feel: Validation of a measure of maternal mood Savage McGlynn, Emily Martin, Colin R. Redshaw, Maggie J Eval Clin Pract Original Papers RATIONALE: Low mood may affect developing relationships with a new baby, partner and family. Early identification of mood disturbance is crucial to improve outcomes for women perinatally. Instruments such as the Edinburgh Postnatal Depression Scale (EPDS) are used routinely, with evidence that some women do not feel comfortable with how they are asked about their mental health. OBJECTIVE: To develop a mood checklist as a user‐friendly, effective measure of well‐being in post‐partum women, for use by health professionals. METHODS: Cognitive interviews with women who had recently given birth assessed response format and face validity of a prototype measure. A cross‐sectional survey followed. A random split‐half instrument development protocol was used. Exploratory factor analysis determined factor structure with the first sample,. The second sample confirmed factor structure and evaluationof key psychometric variables and known‐groups discriminant validity (KGDV), requiring a supplementary between‐subjects design with stratification based on case negative/case positive classification using EPDSscreening cut‐off criteria. RESULTS: Cognitive interview data confirmed the face validity of the measure. Exploratory factor analysis indicated an 18 item two‐factor model with two (negatively) correlated factors. Factor 1 loaded with items reflecting positive mood and factor 2 negative items. Confirmatory factor analysis showed a good fit to the two‐factor model across the full spectrum of fit indices. Statistically significant differences between groups were observed in relation to as EPDS caseness classification. Cronbach alpha coefficients for the positive and negative subscales revealed acceptable internal consistency of 0.79 and 0.72, respectively. CONCLUSION: The outcome checklist may be appropriate for use in clinical practice. It demonstrated effective psychometric properties and clear cross‐validation with existing commonly used measures. John Wiley and Sons Inc. 2019-11-25 2020-08 /pmc/articles/PMC7496697/ /pubmed/31769159 http://dx.doi.org/10.1111/jep.13304 Text en © 2019 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Papers
Savage McGlynn, Emily
Martin, Colin R.
Redshaw, Maggie
How mothers feel: Validation of a measure of maternal mood
title How mothers feel: Validation of a measure of maternal mood
title_full How mothers feel: Validation of a measure of maternal mood
title_fullStr How mothers feel: Validation of a measure of maternal mood
title_full_unstemmed How mothers feel: Validation of a measure of maternal mood
title_short How mothers feel: Validation of a measure of maternal mood
title_sort how mothers feel: validation of a measure of maternal mood
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7496697/
https://www.ncbi.nlm.nih.gov/pubmed/31769159
http://dx.doi.org/10.1111/jep.13304
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