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Development and psychometric testing of the Chinese Postnatal Risk Factors Questionnaire (CPRFQ) for postpartum depression

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Abstract

This article describes the development and psychometric assessment of the Chinese Postnatal Risk Factors Questionnaire (CPRFQ). There were four phases in this process: (1) the items were generated using a literature review and a focus group, (2) content validity was evaluated by an expert panel, (3) a pilot study was conducted with 45 postpartum women to refine the scale, and (4) a convenience sample of 256 postpartum women in China was recruited to complete the questionnaire. Construct validity was established by exploratory factor analysis; a four-factor structure of the scale was accepted (social and family, personality and relationship, mother and infant, maternal feelings and ‘doing the month’). These factors explained 47.46 % of the variance. Pearson’s correlation coefficient was conducted to test convergent validity with the Edinburgh Postnatal Depression Scale (EPDS) (r = 0.54; p < 0.001). The Cronbach’s alpha coefficient of the four subscales ranged from 0.58 to 0.71. The final 18-item version of the questionnaire is potentially a valuable tool for assessing postnatal risk factors in Chinese postpartum mothers.

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Acknowledgments

This research was supported by the National Natural Science Foundation (30872128), National Ministry of Science and Technology the 11th 5-year plan (2007BAI24B02) and Doctoral Program of Higher Education of China (20120071110054). We thank our research collaborators in Shanghai, Beijing, Changzhou and Wuxi, Jiangsu Province, China. We also thank the investigators and respondents for their contributions to the research.

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Authors and Affiliations

  1. School of Public Health, Fudan University, No. 130, Dong An Road, Shanghai, 200032, China

    Xiaoyu Yan, Jun Lu & Gang Chen

  2. Department of Psychiatry, Huashan Hospital, Fudan University, Shanghai, China

    Shenxun Shi

  3. Department of Obstetrics and Gynecology, Wuxi The Fourth People’s Hospital , Wuxi, Jiangsu, China

    Ximei Wang

  4. Shanghai Institute of Planned Parenthood Research, Shanghai, China

    Rui Zhao

  5. Huashan Hospital, Fudan University, Shanghai, China

    Yuan Yan

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  1. Xiaoyu Yan
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  2. Jun Lu
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  6. Yuan Yan
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Correspondence to Jun Lu.

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Yan, X., Lu, J., Shi, S. et al. Development and psychometric testing of the Chinese Postnatal Risk Factors Questionnaire (CPRFQ) for postpartum depression. Arch Womens Ment Health 18, 229–237 (2015). https://doi.org/10.1007/s00737-014-0451-6

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  • DOI: https://doi.org/10.1007/s00737-014-0451-6

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