Early postnatal demoralisation among primiparous women in the community: measurement, prevalence and associated factorsReport as inadecuate




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BMC Pregnancy and Childbirth

, 15:259

First Online: 12 October 2015Received: 10 May 2015Accepted: 04 October 2015

Abstract

BackgroundDemoralisation is a psychological state occurring in stressful life situations where a person feels unable to respond effectively to their circumstances, characterised by feelings of distress, subjective incompetence, helplessness and hopelessness. The period after the birth of a first baby is a time of great changes and disruptions to many aspects of the mother-s physical, psychological and social functioning. This can lead to feelings of distress, a sense of incompetence and helplessness. This study aimed to examine: 1 the psychometric properties of the Demoralisation Scale in a community setting; 2 the prevalence of demoralisation symptoms among primiparous women in the community; and 3 factors that are uniquely associated with demoralisation in the early postnatal period.

MethodsPrimiparous women attending community maternal health centres n = 400 were recruited and administered the study-s questionnaires through a telephone interview.

ResultsThe Demoralisation Scale was found to be a reliable and valid tool among women in the community who had recently given birth. Higher levels of demoralisation were independently associated with lower confidence on going home from the hospital after birth, lower rating of mother-s self-rated global health, more than 3 h of infant crying and fussing in the last 24 h, and a controlling partner, after symptoms of depression and anxiety, and vulnerable personality characteristics were controlled for.

ConclusionsThe relevance of demoralisation to postnatal health practitioners in the community is in helping them to better understand women-s experiences and to intervene in a way that is more meaningful and less stigmatising to women.

KeywordsDemoralisation Postnatal mental health Early parenting AbbreviationsDSM-5Diagnostic and Statistical Manual of Mental Disorders, 5th Edition

WWWTWhat Were We Thinking programme

CATIComputer assisted telephone interview

MCHCMaternal and Child Health Centre

LGALocal government area

PHQ-9Patients- Health Questionnaire 9

GAD-7Generalised anxiety disorder 7

IBMIntimate Bonds Measure

IQRInterquartile range

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Author: Irene Bobevski - Heather Rowe - David M. Clarke - Dean P. McKenzie - Jane Fisher

Source: https://link.springer.com/







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