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Contextual Assessment of the Maternity Experience: development of an instrument for cross-cultural research

机译：产妇经历的背景评估：跨文化研究工具的开发

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Background There is evidence that stressors may trigger the onset of a depressive episode in vulnerable women. A new UK interview measure, the Contextual Assessment of the Maternity Experience (CAME), was designed to assess major risk factors for emotional disturbances, especially depression, during pregnancy and post-partum. Aims With in the context of a cross-cultural study, to establish the usefulness of the CAME, and to test expected associations of the measure with characteristics of the social context and with major or minor depression. Method The CAME was administered antenatally and postnatally in ten study sites, respectively to 296 and 249 women. Affective disorder throughout pregnancy and up to 6 months postnatally was assessed by means of the Structured Clinical Interview for DSMa€“IVAxis I Disorders. Results Adversity, poor relationship with either apartner or a confidant, and negative feelings about the pregnancy all predicted onset of depression during the perinatal period. Conclusions The CAME was able to assess major domains relevant to the psychosocial context of the maternity experience in different cultures. Overall, the instrument showed acceptable psychometric properties in its first use in different cultural settings.
机译：背景有证据表明，压力源可能会触发脆弱妇女的抑郁发作。英国一项新的采访措施，即产妇经历的背景评估（CAME），旨在评估怀孕和产后情绪障碍（尤其是抑郁症）的主要危险因素。目的在跨文化研究的背景下，确定CAME的有用性，并测试该措施与社会环境特征以及严重或轻度抑郁的预期关联。方法在10个研究地点的产前和产后分别对296名和249名妇女进行了CAME给药。通过DSMa，IVAxis I疾病的结构性临床访谈，评估了整个妊娠期间和产后6个月的情感障碍。结果逆境，与伴侣或知己的亲密关系以及对怀孕的负面感受都预示着围产期抑郁症的发作。结论CAME能够评估与不同文化下的产妇经历的心理社会背景相关的主要领域。总体而言，该仪器在不同的文化环境中首次使用时显示出可接受的心理测量特性。

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