Measurement of anxiety after childbirth. Polish version of Postpartum Specific Anxiety Scale – Research Short Form
PDF (Język Polski)

Keywords

postpartum anxiety
ruminations
early maladaptive schemas
midwifery
questionnaire measurement

How to Cite

Jasielska, A., Wojciechowska, M., & Maksymiuk, R. A. (2024). Measurement of anxiety after childbirth. Polish version of Postpartum Specific Anxiety Scale – Research Short Form. Człowiek I Społeczeństwo, 57, 21–41. https://doi.org/10.14746/cis.2024.57.2

Abstract

This paper presents a study on the Polish version of the English-language scale for measuring postpartum anxiety experienced by women. It is called the Postpartum Specific Anxiety Scale – Research Short Form (PSAS-RSF). The work included translating the questionnaire into Polish and assessing its psychometric properties, such as reliability and accuracy, and factor analysis. The study was carried out with 92 midwives residing in the postnatal ward. The women assessed how often they experienced anxiety related to childcare and motherhood during the first year of the infant’s life. The study used the 16-item PSAS-RSF questionnaire, which has four subscales. To verify the external validity of the tool, the relationship of postnatal anxiety with transdiagnostic psychological constructs such as ruminations and early childhood maladaptive schemas was examined. The results suggest significant associations between postpartum anxiety and ruminations and early childhood maladaptive schemas. It was noted that women who gave birth for the second time reported lower levels of postpartum anxiety than those who gave birth for the first time. It was observed that women who gave birth for the second time declared lower levels of postpartum anxiety than those who gave birth for the first time. The conclusion is that the Polish abbreviated Postnatal Anxiety Scale (SLP-16) version has satisfactory psychometric properties. It consists of two subscales, caregiving anxiety and maternal maladaptation, and can be successfully used to measure postpartum anxiety in research and screening studies.

https://doi.org/10.14746/cis.2024.57.2
PDF (Język Polski)

References

Austin, M.-P. (2004). Antenatal screening and early intervention for ”perinatal” distress, depression and anxiety: where to from here? Archives of Women’s Mental Health, 7(1), 1–6. DOI: https://doi.org/10.1007/s00737-003-0034-4

Barker, E. D., Jaffee, S. R., Uher, R. i Maughan, B. (2011). The contribution of prenatal and postnatal maternal anxiety and depression to child maladjustment. Depression and Anxiety, 28(8), 696–702. DOI: https://doi.org/10.1002/da.20856

Beck, A.T., Epstein, N., Brown, G., Steer, R.A. (1988). An Inventory for Measuring Clinical Anxiety: Psychometric Properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897. DOI: https://doi.org/10.1037//0022-006X.56.6.893

Beck, A.T., Steer, R.A., Brown, G.K. (1987). Beck Depression Inventory. New York: Harcourt Brace Jovanovich.

Beck, C.T., Gable, R.K., Sakala, C., Declercq, E.R. (2011). Posttraumatic Stress Disorder in New Mothers: Results from a Two-Stage U.S. National Survey. Birth, 38(3), 216–227. DOI: https://doi.org/10.1111/j.1523-536X.2011.00475.x

Berrios, R. (2019). What Is Complex/Emotional About Emotional Complexity? Frontiers in Psychology, 10. DOI: https://doi.org/10.3389/fpsyg.2019.01606

Bledsoe, S.E., Grote, N.K. (2006). Treating Depression During Pregnancy and the Postpartum: A Preliminary Meta-analysis. Research on Social Work Practice, 16(2), 109–120. DOI: https://doi.org/10.1177/1049731505282202

Buist, A., Gotman, N., Yonkers, K.A. (2011). Generalized Anxiety Disorder: Course and Risk Factors in Pregnancy. Journal of Affective Disorders, 131(1–3), 277–283. DOI: https://doi.org/10.1016/j.jad.2011.01.003

Byrnes, L. (2018). Perinatal Mood and Anxiety Disorders. The Journal for Nurse Practitioners, 14(7), 507–513. DOI: https://doi.org/10.1016/j.nurpra.2018.03.010

Carlucci, L., D’Ambrosio, I., Innamorati, M., Saggino, A., Balsamo, M. (2018). Co-rumination, Anxiety, and Maladaptive Cognitive Schemas: When Friendship Can Hurt. Psychology Research and Behavior Management, 11, 133–144. DOI: https://doi.org/10.2147/PRBM.S144907

Cena, L., Gigantesco, A., Mirabella, F., Palumbo, G., Trainini, A., Stefana, A. (2021). Prevalence of Maternal Postnatal Anxiety and Its Association with Demographic and Socioeconomic Factors: A Multicentre Study in Italy. Frontiers in Psychiatry, 12, 737666. DOI: https://doi.org/10.3389/fpsyt.2021.737666

Cox, J.L., Holden, J.M., Sagovsky, R. (1987). Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry: The Journal of Mental Science, 150, 782–786. DOI: https://doi.org/10.1192/bjp.150.6.782

Davies, S.M., Christiansen, P., Harrold, J.A., Silverio, S.A., Fallon, V. (2021). Creation and Validation of the Postpartum Specific Anxiety Scale Research Short-Form (PSAS-RSF). Archives of Women’s Mental Health. DOI: https://doi.org/10.1007/s00737-021-01114-7

Dennis, C.-L., Brown, H.K., Falah-Hassani, K., Marini, F.C., Vigod, S.N. (2017). Identifying Women at Risk for Sustained Postpartum Anxiety. Journal of Affective Disorders, 213, 131–137. DOI: https://doi.org/10.1016/j.jad.2017.02.013

Dennis, C.L., Coghlan, M., Vigod, S. (2013). Can we Identify Mothers at-risk for Postpartum Anxiety in the Immediate Postpartum Period Using the State-Trait Anxiety Inventory? Journal of Affective Disorders, 150(3), 1217–1220. DOI: https://doi.org/10.1016/j.jad.2013.05.049

Dennis, C.-L., Falah-Hassani, K., Shiri, R. (2017). Prevalence of Antenatal and Postnatal Anxiety: Systematic Review and Meta-analysis. British Journal of Psychiatry, 210(05), 315–323. DOI: https://doi.org/10.1192/bjp.bp.116.187179

Fallon, V., Halford, J.C.G., Bennett, K.M., Harrold, J.A. (2016). The Postpartum Specific Anxiety Scale: Development and Preliminary Validation. Archives of Women’s Mental Health, 19(6), 1079–1090. DOI: https://doi.org/10.1007/s00737-016-0658-9

Feldman, R., Granat, A., Pariente, C., Kanety, H., Kuint, J., Gilboa-Schechtman, E. (2009). Maternal Depression and Anxiety Across the Postpartum Year and Infant Social Engagement, Fear Regulation, and Stress Reactivity. Journal of the American Academy of Child & Adolescent Psychiatry, 48(9), 919–927. DOI: https://doi.org/10.1097/CHI.0b013e3181b21651

Field, T.M. (1995). Psychologically Depressed Parents. W: M.H. Bornstein (red.), Handbook of Parenting, t. 4: Applied and Practical Parenting (ss. 85–99). Mahwah, NJ–London: Lawrence Erlbaum Associates, Publishers.

Finlayson, K., Crossland, N., Bonet, M., Downe, S. (2020). What Matters to Women in the Postnatal Period: A Meta-synthesis of Qualitative Studies. PLOS ONE, 15(4), e0231415. DOI: https://doi.org/10.1371/journal.pone.0231415

Fisher, J., Cabral de Mello, M., Patel, V., Rahman, A., Tran, T., Holton, S., Holmes, W. (2011). Prevalence and Determinants of Common Perinatal Mental Disorders in Women in Low- and Lower-middle-income Countries: A Systematic Review. Bulletin of the World Health Organization, 90(2), 139–149H. DOI: https://doi.org/10.2471/BLT.11.091850

Fresco, D.M., Frankel, A.N., Mennin, D.S., Turk, C.L., Heimberg, R.G. (2002). Distinct and Overlapping Features of Rumination and Worry: The Relationship of Cognitive Production to Negative Affective States. Cognitive Therapy and Research, 26(2), 179–188. DOI: https://doi.org/10.1023/A:1014517718949

Gaboury, J., Capaday, S., Somera, J., Purden, M. (2017). Effect of the Postpartum Hospital Environment on the Attainment of Mothers’ and Fathers’ Goals. Journal of Obstetric, Gynecologic & Neonatal Nursing, 46(1), 40–50. DOI: https://doi.org/10.1016/j.jogn.2016.08.008

Goodman, J.H., Watson, G.R., Stubbs, B. (2016). Anxiety Disorders in Postpartum Women: A Systematic Review and Meta-analysis. Journal of Affective Disorders, 203, 292–331. DOI: https://doi.org/10.1016/j.jad.2016.05.033

Harrington, J.A., Blankenship, V. (2002). Ruminative Thoughts and Their Relation to Depression and Anxiety. Journal of Applied Social Psychology, 32(3), 465–485. DOI: https://doi.org/10.1111/j.1559-1816.2002.tb00225.x

Heron, J., O’Connor, T.G., Evans, J., Golding, J., Glover, V. (2004). The Course of Anxiety and Depression Through Pregnancy and the Postpartum in a Community Sample. Journal of Affective Disorders, 80(1), 65–73. DOI: https://doi.org/10.1016/j.jad.2003.08.004

Howard, L.M., Molyneaux, E., Dennis, C.-L., Rochat, T., Stein, A., Milgrom, J. (2014). Non-psychotic Mental Disorders in the Perinatal Period. The Lancet, 384(9956), 1775–1788. DOI: https://doi.org/10.1016/S0140-6736(14)61276-9

Huizink, A.C., Mulder, E.J.H., Robles de Medina, P.G. Visser, G.H.A., Buitelaar, J.K. (2004). Is Pregnancy Anxiety a Distinctive Syndrome? Early Human Development, 79(2), 81–91. DOI: https://doi.org/10.1016/j.earlhumdev.2004.04.014

Jasielska, A., Wojciechowska, M. (2023). Wczesne dezadaptacyjne schematy oraz ruminacje jako predyktory lęku poporodowego u położnic. III Ogólnopolska Konferencja Parentologiczna „Współczesne rodzicielstwo – dylematy i wyzwania”, 21–22 czerwca 2023 r., Poznań.

Javadifar, N., Majlesi, F., Nikbakht, A., Nedjat, S., Montazeri, A. (2016). Journey to Motherhood in the First Year After Child Birth. Journal of Family & Reproductive Health, 10(3), 146–153.

Kurth, E., Kennedy, H.P., Zemp Stutz, E., Kesselring, A., Fornaro, I., Spichiger, E. (2014). Responding to a Crying Infant – You do not learn it overnight: A Phenomenological Study. Midwifery, 30(6), 742–749. DOI: https://doi.org/10.1016/j.midw.2013.06.017

Martin, P.R., Negri, L.M. (1999). Treating Postnatal Depression: A Psychological Approach for Health Care Practitioners. Chichester: John Wiley & Sons Ltd.

Matthey, S. (2008). Using the Edinburgh Postnatal Depression Scale to Screen for Anxiety Disorders. Depression & Anxiety, 25(11), 926–931. DOI: https://doi.org/10.1002/da.20415

Matthey, S., Barnett, B., Howie, P., Kavanagh, D.J. (2003). Diagnosing Postpartum Depression in Mothers and Fathers: Whatever Happened to Anxiety? Journal of Affect Disorder, 74(2), 139–147. DOI: https://doi.org/10.1016/S0165-0327(02)00012-5

Matthey, S., Fisher, J., Rowe, H. (2013). Using the Edinburgh Postnatal Depression Scale to Screen for Anxiety Disorders: Conceptual and Methodological Considerations. Journal of Affective Disorder, 146(2), 224–230. DOI: https://doi.org/10.1016/j.jad.2012.09.009

MacCallum, R.C., Widaman, K.F., Zhang, S., Hong, S. (1999). Sample Size in Factor Analysis. Psychological Methods, 4(1), 84–99. DOI: https://doi.org/10.1037//1082-989X.4.1.84

McLaughlin, K.A., Nolen-Hoeksema, S. (2011). Rumination as a Transdiagnostic Factor in Depression and Anxiety. Behaviour Research and Therapy, 49(3), 186–193. DOI: https://doi.org/10.1016/j.brat.2010.12.006

Mellings, T.M., Alden, L.E. (2000). Cognitive Processes in Social Anxiety: The Effects of Self-focus, Rumination and Anticipatory Processing. Behaviour Research and Therapy, 38(3), 243–257. DOI: https://doi.org/10.1016/S0005-7967(99)00040-6

Merle-Fishman, C. (2010). An Integrative Psychotherapy of Postpartum Adjustment. International Journal of Integrative Psychotherapy, 1(2), 29–47.

Molnár, J., Kósa, K., Fekete, Z., Münnich, Á. (2018). Postpartum Anxiety and Intrapsychic Vulnerability Reflected by Early Maladaptive Schemas. European Journal of Mental Health, 13(1), 70–81. DOI: https://doi.org/10.5708/EJMH.13.2018.1.6

Moran, T.E., Polanin, J.R., Wenzel, A. (2014). The Postpartum Worry Scale-revised: An Initial Validation of a Measure of Postpartum Worry. Archives Women’s Mental Health, 17, 41–48. DOI: https://doi.org/10.1007/s00737-013-0380-9

Nolen-Hoeksema, S., Morrow, J. (1991). A Prospective Study of Depression and Posttraumatic Stress Symptoms After a Natural Disaster: The 1989 Loma Prieta Earthquake. Journal of Personality and Social Psychology, 61(1), 115–121. DOI: https://doi.org/10.1037//0022-3514.61.1.115

Oettingen, J., Chodkiewicz, J., Mącik, D., Gruszczyńska, E. (2018). Polska adaptacja i walidacja krótkiej wersji Kwestionariusza Schematów Younga (YSQ-S3-PL). Psychiatria Polska, 52(4), 707–718. DOI: https://doi.org/10.12740/PP/OnlineFirst/76541

O’Carroll, J., Kazuo, A.N.D.O., Romy, Y.U.N., Panelli, D., Nicklin, A., Kennedy, N., …, Sultan, P. (2023). A Systematic Review of Patient-reported Outcome Measures Used in Maternal Postpartum Anxiety. American Journal of Obstetrics & Gynecology MFM, 101076. DOI: https://doi.org/10.1016/j.ajogmf.2023.101076

Paul, I.M., Downs, D.S., Schaefer, E.W., Beiler, J.S., Weisman, C.S. (2013). Postpartum Anxiety and Maternal–Infant Health Outcomes. Pediatrics, 131, e1218–e1224. DOI: https://doi.org/10.1542/peds.2012-2147

Phillips, J., Sharpe, L., Matthey, S., Charles, M. (2009). Maternally Focused Worry. Archives Women’s Mental Health, 12, 409–418. DOI: https://doi.org/10.1007/s00737-009-0091-4

Radoń, S. (2014). Kwestionariusz Ruminacji-Refleksyjności (polska adaptacja The Rumination-Reflection Questionnaire). Psychoterapia, 2(169), 61–72.

Reck, C., Müller, M., Tietz, A., Möhler, E. (2013). Infant Distress to Novelty is Associated with Maternal Anxiety Disorder and Especially with Maternal Avoidance Behavior. Journal of Anxiety Disorders, 27(4), 404–412. DOI: https://doi.org/10.1016/j.janxdis.2013.03.009

Roediger, E., Stevens, B.A., Brockman, R. (2021). Kontekstualna terapia schematów. Integracyjne podejście do zaburzeń osobowości, dysregulacji emocjonalnej i funkcjonowania w relacjach. Gdańsk: Gdańskie Wydawnictwo Psychologiczne.

Ross, L.E., Gilbert Evans, S.E., Sellers, E.M., Romach, M.K. (2003). Measurement Issues in Postpartum Depression part 1: Anxiety as a feature of postpartum depression. Archives of Women’s Mental Health, 6(1), 51–57. DOI: https://doi.org/10.1007/s00737-002-0155-1

Rowe, H.J., Calcagni, S.C., Galgut, S., Michelmore, J., Fisher, J.R.W. (2014). Self-management of Mild to Moderate Anxiety in Women Who Have Recently Given Birth: Development and Acceptability of a Theoretically Sound Complex Intervention. International Journal of Mental Health Promotion, 16(5), 308–319. DOI: https://doi.org/10.1080/14623730.2014.964050

Rubin, R. (1984). Maternal Identity and the Maternal Experience. New York: Springer. DOI: https://doi.org/10.1097/00000446-198412000-00030

Russell, E.J., Fawcett, J.M., Mazmanian, D. (2013). Risk of Obsessive-Compulsive Disorder in Pregnant and Postpartum Women. The Journal of Clinical Psychiatry, 74(04), 377–385. DOI: https://doi.org/10.4088/JCP.12r07917

Sagan, A. (2003). Model pomiarowy satysfakcji i lojalności. Kraków: StatSoft Polska.

Slomian, J., Emonts, P., Vigneron, L., Acconcia, A., Glowacz, F., Reginster, J.Y., Oumourgh, M., Bruyère, O. (2017). Identifying Maternal Needs Following Childbirth: A Qualitative Study Among Mothers, Fathers and Professionals. BMC Pregnancy and Childbirth, 17(1). DOI: https://doi.org/10.1186/s12884-017-1398-1

Sołtysiak, K. (2023). Wybrane uwarunkowania lęku poporodowego u kobiet. Niepublikowana praca magisterska, Wydział Psychologii i Kognitywistyki UAM, Poznań.

Somerville, S., Dedman, K., Hagan, R., Oxnam, E., Wettinger, M., Byrne, S., Coo, S., Doherty, D., Page, A.C. (2014). The Perinatal Anxiety Screening Scale: Development and Preliminary Validation. Archives of Women’s Mental Health, 17, 443–454. DOI: https://doi.org/10.1007/s00737-014-0425-8

Spielberger, C.D., Gorsuch, R.L., Lushene, R.E. (1970). STAI Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press.

Stuart, S., Couser, G., Schilder, K., O’Haran, M.W., Gorman, L. (1998). Postpartum Anxiety and Depression: Onset and Comorbidity in a Community Sample. Journal of Nervous and Mental Disease, 186, 420–424. DOI: https://doi.org/10.1097/00005053-199807000-00006

Taylor, J., Johnson, M. (2013). The Role of Anxiety and Other Factors in Predicting Postnatal Fatigue: From Birth to 6 Months. Midwifery, 29(5), 526–534. DOI: https://doi.org/10.1016/j.midw.2012.04.011

Tuohy, A., McVey, C. (2008). Subscales Measuring Symptoms of Non-specific Depression, Anhedonia, and Anxiety in the Edinburgh Postnatal Depression Scale. The British Journal of Clinical Psychology, 47(2), 153–169. DOI: https://doi.org/10.1111/j.2044-8260.2008.tb00463.x

Trapnell, P.D., Campbell, J.D. (1999). Private Self-consciousness and the Five-factor Model of Personality: Distinguishing Rumination from Reflection. Journal of Personality and Social Psychology, 76(2), 284–304. DOI: https://doi.org/10.1037//0022-3514.76.2.284

Vesga-López, O., Blanco, C., Keyes, K., Olfson, M., Grant, B.F., Hasin, D.S. (2008). Psychiatric Disorders in Pregnant and Postpartum Women in the United States. Archives of General Psychiatry, 65(7), 805–815. DOI: https://doi.org/10.1001/archpsyc.65.7.805

Wardrop, A.A., Popadiuk, N.E. (2013). Women’s Experiences with Postpartum Anxiety: Expectations, Relationships, and Sociocultural Influences. The Qualitative Report, 18(3), 1–24.

Wenzel, A., Haugen, E.N., Jackson, L.C., Brendle, J.R. (2005). Anxiety Symptoms and Disorders at Eight Weeks Postpartum. Journal of Anxiety Disorders, 19(3), 295–311. DOI: https://doi.org/10.1016/j.janxdis.2004.04.001

WHO (2016). Gender and Women’s Mental Health. World Health Organization.

WHO (2022). WHO recommendations on maternal and newborn care for a positive postnatal experience. World Health Organization.

Young, J. (2005). Young Schema Questionnaire – Short Form 3 (YSQ-S3). New York: Cognitive Therapy Center. DOI: https://doi.org/10.1037/t67023-000