Modification and preliminary use of the five-minute speech sample in the postpartum: associations with postnatal depression and posttraumatic stress

Iles, Jane, Spiby, Helen and Slade, Pauline (2014) Modification and preliminary use of the five-minute speech sample in the postpartum: associations with postnatal depression and posttraumatic stress. Archives of Womens Mental Health, 17 5: 389-402. doi:10.1007/s00737-014-0414-y


Author Iles, Jane
Spiby, Helen
Slade, Pauline
Title Modification and preliminary use of the five-minute speech sample in the postpartum: associations with postnatal depression and posttraumatic stress
Journal name Archives of Womens Mental Health   Check publisher's open access policy
ISSN 1434-1816
1435-1102
Publication date 2014-10
Year available 2014
Sub-type Article (original research)
DOI 10.1007/s00737-014-0414-y
Open Access Status
Volume 17
Issue 5
Start page 389
End page 402
Total pages 14
Place of publication Wien, Austria
Publisher Springer Wien
Collection year 2015
Language eng
Abstract Little is known about what constitutes key components of partner support during the childbirth experience. This study modified the five minute speech sample, a measure of expressed emotion (EE), for use with new parents in the immediate postpartum. A coding framework was developed to rate the speech samples on dimensions of couple support. Associations were explored between these codes and subsequent symptoms of postnatal depression and posttraumatic stress. 372 couples were recruited in the early postpartum and individually provided short speech samples. Posttraumatic stress and postnatal depression symptoms were assessed via questionnaire measures at six and thirteen weeks. Two hundred and twelve couples completed all time-points. Key elements of supportive interactions were identified and reliably categorised. Mothers' posttraumatic stress was associated with criticisms of the partner during childbirth, general relationship criticisms and men's perception of helplessness. Postnatal depression was associated with absence of partner empathy and any positive comments regarding the partner's support. The content of new parents' descriptions of labour and childbirth, their partner during labour and birth and their relationship within the immediate postpartum may have significant implications for later psychological functioning. Interventions to enhance specific supportive elements between couples during the antenatal period merit development and evaluation.
Keyword Posttraumatic stress
Postnatal depression
Support
Empathy
Expressed emotion
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
 
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Created: Thu, 23 Oct 2014, 13:10:41 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work