Exploring the Postpartum Adjustment Questionnaire as a Predictor of Postpartum Depression
Article first published online: 11 NOV 2008
© 2008 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 37, Issue 6, pages 622–630, November/December 2008
How to Cite
Davis, S., Cross, J. and Lind, B. K. (2008), Exploring the Postpartum Adjustment Questionnaire as a Predictor of Postpartum Depression. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 37: 622–630. doi: 10.1111/j.1552-6909.2008.00286.x
- Issue published online: 11 NOV 2008
- Article first published online: 11 NOV 2008
- Accepted July 2008
- postpartum depression;
- risk factors
Objective: To evaluate the usefulness of the Postpartum Adjustment Questionnaire in predicting symptoms of postpartum depression as measured by scores from the Postpartum Depression Screening Scale.
Design: Prospective descriptive.
Setting: Mid-sized urban regional medical center.
Participants: A convenience sample of 200 English-speaking postpartum women.
Main Outcome Measures: Postpartum Depression Screening Scale scores and demographic data obtained at 6 weeks postpartum were compared with Postpartum Adjustment Questionnaire scores obtained before women were discharged from the hospital following delivery.
Results: Using the total Postpartum Adjustment Questionnaire score, a cut point of 4 or higher was found to have the best positive predictive power in predicting postpartum depression symptoms. However, similar results were seen when 1 question from the Postpartum Adjustment Questionnaire was used rather than the entire survey. Overall, the Postpartum Adjustment Questionnaire had a moderate correlation (.28) with Postpartum Depression Screening Scale scores.
Conclusion: The Postpartum Adjustment Questionnaire may be a valid predictor of postpartum depression, although it will identify only about 40% of women who develop this condition. Using a single question to identify women at risk for postpartum depression offers a cost-effective alternative to the complete questionnaire. Further studies with larger, multiethnic samples are needed before conclusions can be drawn and definitive recommendations for practice made.