Archives of Women's Mental Health

, Volume 11, Issue 1, pp 57–65 | Cite as

Development and validation of a scale to assess social support in the postpartum period

  • J. HopkinsEmail author
  • S. B. Campbell
Original contribution


The development, reliability, and validity of a new instrument designed to assess aspects of social support specifically relevant to the postpartum period, the Postpartum Social Support Questionnaire (PSSQ), is described. The PSSQ was administered to 126 women at 2, 4, 6, and 12 months postpartum. Results indicate that it has high test–retest reliability and internal consistency. Factor analyses suggest that the scale consists of four factors: partner support, parent support, in-law support, and extended-family and friends support. In addition, the PSSQ scores of depressed and nondepressed women were compared at 2, 4, 6, and 12 months postpartum. Women who met diagnostic criteria for depression at 2 months postpartum reported less partner support than the nondepressed women at each assessment. The instrument appears to be a valid and reliable measure that should be useful in studies examining the role of social support in postpartum adaptation.

Keywords: Postpartum depression; social support 


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  1. Bernazzani, O, Conroy, S, Marks, MN, Siddle, KA,  et al. 2004Contextual assessment of the maternity experience: development of an instrument for cross-cultural researchBr J Psychiatry184s24s30CrossRefGoogle Scholar
  2. Campbell, SB, Cohn, JF 1991Prevalence and correlates of postpartum depression in first-time mothersJ Abnorm Psychol100594599PubMedCrossRefGoogle Scholar
  3. Campbell, SB, Cohn, JF 1997The timing and chronicity of postpartum depression: implications for infant developmentMurray, LCooper, PJ eds. Postpartum depression and child developmentGuilford PressNew York165197Google Scholar
  4. Campbell, SB, Cohn, JF, Flanagan, C, Popper, S,  et al. 1992Course and correlates of postpartum depression during the transition to parenthoodDev Psychopathol42947Google Scholar
  5. Cohen, S 2004Social relationships and healthAm Psychol59676684PubMedCrossRefGoogle Scholar
  6. Collins, NL, Dunkel-Schetter, C, Lobel, M, Scrimshaw, SC 1993Social support in pregnancy: psychosocial correlates of birth outcomes and postpartum depressionJ Pers Soc Psychol6512431258PubMedCrossRefGoogle Scholar
  7. Cutrona, CE 1982Nonpsychotic postpartum depression: a review of recent researchClin Psychol Rev2487503CrossRefGoogle Scholar
  8. Cutrona, CE 1984Social support and stress in the transition to parenthoodJ Abnorm Psychol93378390PubMedCrossRefGoogle Scholar
  9. Cutrona, CE 1990Stress and social support: in search of optimal matchingJ Soc Clin Psychol9314Google Scholar
  10. Cutrona, CE, Russell, R 1990Type of social support and specific stress: toward a theory of optimal matchingSarason, BRSarason, IGPierce, GR eds. Social support: an interactional viewWileyNew York319367Google Scholar
  11. Cutrona, CE, Troutman, BR 1986Social support, infant temperament, and parenting self-efficacy: a mediational model of postpartum depressionChild Dev5715071518PubMedCrossRefGoogle Scholar
  12. Demyttenaere, K, Lenaerts, H, Nijs, P, Van Assche, FA 1995Individual coping style and psychological attitudes during pregnancy predict depression levels during pregnancy and during postpartumActa Psychiatr Scand9195102PubMedCrossRefGoogle Scholar
  13. Endicott, J, Spitzer, RL 1978A diagnostic interview: the schedule for affective disorders and schizophreniaArch Gen Psychiatry35837844PubMedGoogle Scholar
  14. Hollingshead, AB 1975Four-factor index of social status. Unpublished manualDepartment of Sociology, Yale UniversityNew Haven, ConnGoogle Scholar
  15. Hopkins, J, Campbell, SB, Marcus, M 1987Role of infant-related stressors in postpartum depressionJ Abnorm Psychol96237241PubMedCrossRefGoogle Scholar
  16. Leadbeater, BJ, Linares, O 1992Depressive symptoms in Black and Puerto Rican adolescent mothers in the first 3 years postpartumDev Psychopathol4451468CrossRefGoogle Scholar
  17. Leung, SS, Martinson, IM, Arthur, D 2005Postpartum depression and related psychosocial variables in Hong Kong Chinese women: findings from a prospective studyRes Nurs Health282738PubMedCrossRefGoogle Scholar
  18. O’Hara, MW 1986Social support, life events, and depression during pregnancy and the puerperiumArch Gen Psychiatry43569573PubMedGoogle Scholar
  19. O’Hara, MW, Swain, AM 1996Rates and risk of postpartum depression: a meta-analysisInt Rev Psychiatry83754CrossRefGoogle Scholar
  20. O’Hara, MW, Rehm, LP, Campbell, SB 1983Postpartum depression: a role for social network and life stress variablesJ Nerv Ment Dis171336341PubMedCrossRefGoogle Scholar
  21. Paykel, ES, Emms, EM, Fletcher, J, Rassaby, ES 1980Life events and social support in puerperal depressionBr J Psychiatry136339346PubMedGoogle Scholar
  22. Ritter, C, Hobfoll, SE, Lavin, J, Cameron, CP, Hulsizer, MR 2000Stress, psychosocial resources, and depressive symptomatology during pregnancy in low-income, inner-city womenHealth Psychol19576585PubMedCrossRefGoogle Scholar
  23. Spitzer, R, Endicott, J, Robins, E 1975Clinical criteria for psychiatric diagnosis and DSM-IIIAm J Psychiatry13211871192PubMedGoogle Scholar
  24. Spitzer, RL, Endicott, J, Robins, E 1978Research diagnostic criteria: rationale and reliabilityArch Gen Psychiatry35773782PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  1. 1.Institute of Psychology, Illinois Institute of TechnologyChicagoU.S.A.
  2. 2.Department of PsychologyUniversity of PittsburghPennsylvaniaU.S.A.

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