Variable | Instrument | Scale description | Psychometric properties |
---|---|---|---|
Primary outcome | |||
Common mental disorders | Composite International Diagnostic Interview (CIDI) [58] | Widely used, completely structured lay-administered clinical interview that yields DSM-IV and ICD-10 diagnoses through algorithms. | Concordance between CIDI diagnoses and Structured Clinical Interview for DSM-IV (SCID) diagnoses of depression (κ = 0.54) and anxiety disorders (κ = 0.48) [70]. |
Baseline factors | |||
Personality factors which might increase vulnerability to mental health problems | Vulnerable Personality Style Questionnaire (VPSQ) | Vulnerability Subscale measures over-sensitivity to the opinions of others and lack of assertiveness Range of scores 6 to 30 | Cronbach's α for internal consistency 0.77; test - retest reliability 0.82 p < 0.01, in a model predicting postnatal depression sensitivity 0.14 and specificity 0.94 [71]; correlation with self-esteem 0.58 [72]. |
Depressive symptoms | Edinburgh Postnatal Depression Scale (EPDS) [8] | 10-item self- report scale to screen for probable depression during the postnatal year in research and health care settings. Range of scores 0 to 30 | Standardised α 0.87; sensitivity 0.85 and specificity 0.77; positive predictive value 0.83[8]. |
Quality of relationship with intimate partner | Intimate Bonds Measure (IBM) Subscales: Care, Control | Care subscale assesses sensitivity, warmth, emotional responsiveness, trust, physical gentleness and kindness. Control subscale assesses coercion, dominance, exertion of power and extent of criticism. Range of scores 0 to 36 for each subscale | Care: Cronbach's α 0.94; correlation with clinical interview ratings of quality of relationship 0.68. Control: Cronbach's α 0.89 and correlation with clinical interview ratings of quality of relationship 0.74 [73]. |
Duration and frequency of infant crying and fussing in a 24 hour period | Barr Chart [74] Possible range 0 to 24 hours | Parental diary of duration of episodes of crying, fussing, sleeping, and content infant behaviours. | Reliably completed by parents, high correlation with tape recordings: for frequency (r = 0.85, p = 0.002) and duration (r = 0.90, p = 0.001) of episodes [74]. |