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

BackgroundThere 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...

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Bibliographic Details
Published in:British journal of psychiatry 2004-02, Vol.184 (S46), p.s24-s30
Main Authors: Bernazzani, Odette, Conroy, Sue, Marks, Maureen N., Siddle, Kathryn A., Guedeney, Nicole, Bifulco, Antonia, Asten, Paul, Figueiredo, Barbara, Gorman, Laura L., Bellini, Simona, Glatigny-Dallay, Elisabeth, Hayes, Sandra, Klier, Claudia M., Kammerer, Martin H., Henshaw, Carol A.
Format: Article
Language:English
Subjects:
Adversity
Attitudes
Clinical interviews
Crosscultural studies
Cultural differences
Depression
Emotional disorders
Emotional disturbances
Geopolitics
Measures
Mental depression
Perinatal period
Postnatal depression
Postpartum depression
Postpartum period
Pregnancy
Pregnant women
Psychiatry
Psychosocial factors
Quantitative psychology
Risk assessment
Risk factors
Social environment
Social support
Stress
Womens health
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Summary:BackgroundThere 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.AimsWithin the context of a cros-scultural study, to establish the use fulness of the CAME, and to test expected associations of the measure with characteristics of the social context and with major or minor depression.MethodThe CAME was administered antenatally and postnatally in ten study sites, respectively to 296 and 249 women. Affective disorder throughout pregnancy and upto 6 month spostnatally was assessed by means of the Structured Clinical Interview for DSM–IV Axis I Disorders.ResultsAdversity, poor relationship with either a partner or a confidant, and negative feelings about the pregnancy all predicted onset of depression during the perinatal period.ConclusionsThe 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.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.184.46.s24