A Psychometric Study of the Perinatal Assessment of Maternal Affectivity (PAMA) for the Screening of Perinatal Affective Disorders in Mothers

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2023 Mar 29

PMID 36981563

Authors

Franco Baldoni

Francesca Agostini

Grazia Terrone

Giulia Casu

Michele Giannotti

Affiliations

Soon will be listed here.

Abstract

Recently, empirical evidence from perinatal studies has led researchers to pay more attention to fathers. The need to evaluate male suffering led at first to using the same screening tools developed for mothers. However, these instruments present validity concerns with fathers, and today the need to assume a gender-based perspective is clear. The Perinatal Assessment of Paternal Affectivity (PAPA) is a self-reported questionnaire for the screening of a variety of psychological and behavioral dimensions related to affectivity as experienced by fathers during the perinatal period. In the present study, the psychometric properties of the maternal version of the scale (Perinatal Assessment of Maternal Affectivity; PAMA) were examined. The study, based on 225 mothers and their partners ( = 215), used a cross-sectional design with a single assessment at the third trimester of pregnancy. Results indicated a one-factor structure for a seven-item version of the PAMA, which showed adequate internal consistency reliability and was associated in the expected direction with other clinically relevant variables (depression, psychological distress, perceived stress and dyadic adjustment). The findings suggest the usefulness of developing gender sensitive screening tools for the detection of perinatal affective disorders.

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References

Rolle L, Prino L, Sechi C, Vismara L, Neri E, Polizzi C . Parenting Stress, Mental Health, Dyadic Adjustment: A Structural Equation Model. Front Psychol. 2017; 8:839. PMC: 5441134. DOI: 10.3389/fpsyg.2017.00839. View

Wilhelm K, Parker G . Sex differences in lifetime depression rates: fact or artefact?. Psychol Med. 1994; 24(1):97-111. DOI: 10.1017/s0033291700026878. View

Iwata H, Mori E, Sakajo A, Aoki K, Maehara K, Tamakoshi K . Prevalence of postpartum depressive symptoms during the first 6 months postpartum: Association with maternal age and parity. J Affect Disord. 2016; 203:227-232. DOI: 10.1016/j.jad.2016.06.002. View

Vermeulen J, Buyl R, Dhaenens F, Demedts D, Tricas-Sauras S, Haddani I . The Development of the DDads Questionnaire: Awareness, Knowledge and Attitudes of the General Population Towards Paternal Depression. Front Psychiatry. 2021; 11:561954. PMC: 7859093. DOI: 10.3389/fpsyt.2020.561954. View

Baldoni F, Ancora G, Latour J . Being the Father of a Preterm-Born Child: Contemporary Research and Recommendations for NICU Staff. Front Pediatr. 2021; 9:724992. PMC: 8450441. DOI: 10.3389/fped.2021.724992. View

Alves S, Fonseca A, Canavarro M, Pereira M . Dyadic coping and dyadic adjustment in couples with women with high depressive symptoms during pregnancy. J Reprod Infant Psychol. 2018; 36(5):504-518. DOI: 10.1080/02646838.2018.1490496. View

Rao W, Zhu X, Zong Q, Zhang Q, Hall B, Ungvari G . Prevalence of prenatal and postpartum depression in fathers: A comprehensive meta-analysis of observational surveys. J Affect Disord. 2019; 263:491-499. DOI: 10.1016/j.jad.2019.10.030. View

Fava G, Pilowsky I, Pierfederici A, Bernardi M, Pathak D . Depressive symptoms and abnormal illness behavior in general hospital patients. Gen Hosp Psychiatry. 1982; 4(3):171-8. DOI: 10.1016/0163-8343(82)90053-6. View

Leach L, Poyser C, Cooklin A, Giallo R . Prevalence and course of anxiety disorders (and symptom levels) in men across the perinatal period: A systematic review. J Affect Disord. 2015; 190:675-686. DOI: 10.1016/j.jad.2015.09.063. View

10.

Baldoni F, Giannotti M, Casu G, Agostini F, Mandolesi R, Peverieri S . The Perinatal Assessment of Paternal Affectivity (PAPA): Italian validation of a new tool for the screening of perinatal depression and affective disorders in fathers. J Affect Disord. 2022; 317:123-130. DOI: 10.1016/j.jad.2022.08.049. View

11.

Zhong Q, Gelaye B, Rondon M, Sanchez S, Garcia P, Sanchez E . Comparative performance of Patient Health Questionnaire-9 and Edinburgh Postnatal Depression Scale for screening antepartum depression. J Affect Disord. 2014; 162:1-7. PMC: 4040145. DOI: 10.1016/j.jad.2014.03.028. View

12.

Liou S, Wang P, Cheng C . Longitudinal study of perinatal maternal stress, depressive symptoms and anxiety. Midwifery. 2013; 30(6):795-801. DOI: 10.1016/j.midw.2013.11.007. View

13.

Agostini F, Neri E, Salvatori P, Dellabartola S, Bozicevic L, Monti F . Antenatal depressive symptoms associated with specific life events and sources of social support among Italian women. Matern Child Health J. 2014; 19(5):1131-41. DOI: 10.1007/s10995-014-1613-x. View

14.

Zierau F, Bille A, Rutz W, Bech P . The Gotland Male Depression Scale: a validity study in patients with alcohol use disorder. Nord J Psychiatry. 2002; 56(4):265-71. DOI: 10.1080/08039480260242750. View

15.

Mangialavori S, Giannotti M, Cacioppo M, Spelzini F, Baldoni F . Screening for Early Signs of Paternal Perinatal Affective Disorder in Expectant Fathers: A Cluster Analysis Approach. J Pers Med. 2020; 11(1). PMC: 7822454. DOI: 10.3390/jpm11010010. View

16.

Heller H, Draisma S, Honig A . Construct Validity and Responsiveness of Instruments Measuring Depression and Anxiety in Pregnancy: A Comparison of EPDS, HADS-A and CES-D. Int J Environ Res Public Health. 2022; 19(13). PMC: 9266170. DOI: 10.3390/ijerph19137563. View

17.

Matthey S . Is Validating the Cutoff Score on Perinatal Mental Health Mood Screening Instruments, for Women and Men from Different Cultures or Languages, Really Necessary?. Int J Environ Res Public Health. 2022; 19(7). PMC: 8998276. DOI: 10.3390/ijerph19074011. View

18.

Danielsson U, Johansson E . Beyond weeping and crying: a gender analysis of expressions of depression. Scand J Prim Health Care. 2005; 23(3):171-7. DOI: 10.1080/02813430510031315. View

19.

Mazza M, Kotzalidis G, Avallone C, Balocchi M, Sessa I, De Luca I . Depressive Symptoms in Expecting Fathers: Is Paternal Perinatal Depression a Valid Concept? A Systematic Review of Evidence. J Pers Med. 2022; 12(10). PMC: 9605090. DOI: 10.3390/jpm12101598. View

20.

Thiel F, Pittelkow M, Wittchen H, Garthus-Niegel S . The Relationship Between Paternal and Maternal Depression During the Perinatal Period: A Systematic Review and Meta-Analysis. Front Psychiatry. 2020; 11:563287. PMC: 7658470. DOI: 10.3389/fpsyt.2020.563287. View