Table 1. Summary of Maternal Psychosocial Factors Examined in This Study.
Measure | Period | Definition | ||
---|---|---|---|---|
Instrument(s) | Time point(s) | Importance | ||
Stressful life events | ||||
Partner emotional cruelty | Prenatal and perinatal | 5 Items corresponding to these 2 sets of domains, taken from a 42-item stressful life events inventory | 18 wk of Gestation and 8 wk after birth | Items captured experiences of interpersonal stress and complemented our focus on social support |
Loss of a family member or friend | Prenatal and perinatal | |||
Psychopathological history | ||||
Severe lifetime depression history | Prenatal | Report on history of 24 medical and psychiatric conditions | 12 wk of Gestation | Items accounted for a possible latent trait of psychopathological history that complemented prospective survey measure |
Any lifetime psychiatric problem | Prenatal | |||
Maternal depression or anxiety at 18 gestational weeks | Prenatal | The Crown-Crisp Experiential Index and the Edinburgh Postnatal Depression Scale52,53,54; presence of psychopathological symptoms was determined using previously established thresholds53,55,56 | 18 and 32 wk of gestation | Items accounted for changes in the time-varying state of maternal psychopathological symptoms during pregnancy rather than lifetime exposure |
Maternal depression or anxiety at 32 gestational weeks | Prenatal | |||
Neighborhood disadvantage | ||||
Neighborhood disadvantage | Prenatal | 2 Measures composed of 10 items in total that asked mothers to indicate the degree to which they were concerned about safety and their impression of the neighborhood environment | 8 wk of Gestation | Items captured socioeconomic disadvantage at the neighborhood level |
Social support | ||||
Social support at 12 gestational weeks | Prenatal | A 10-item questionnaire created by the ALSPAC team to measure perceived levels of social support in both the prenatal and perinatal periods57 | 12 wk of Gestation and 8 wk post partum | Items provided insights into protective factors, which complemented the analysis on stress |
Social support at 8 wk post partum | Perinatal |
Abbreviation: ALSPAC, Avon Longitudinal Study of Parents and Children.