Background
Depression and fatigue in community samples of postpartum women
What about women experiencing elevated postpartum fatigue and distress?
Current study
Methods
Study context and participants
Procedure
Measures
Demographics
Demographic Variable |
n
| % |
---|---|---|
Country of Birth: | ||
Australia | 117 | 70.09 |
Other | 48 | 28.74 |
Language spoken at home: | ||
Mainly English | 146 | 87.43 |
English & other | 18 | 10.78 |
Mainly other | 3 | 1.80 |
Mental Health History: | ||
Previous treatmenta | 58 | 34.73 |
No previous treatment | 109 | 65.27 |
Relationship status: | ||
Married | 144 | 86.23 |
De facto (living together) | 21 | 12.57 |
Separated | 1 | 0.60 |
Single | 1 | 0.60 |
Education Level: | ||
University or higher university degree | 129 | 77.25 |
Certificate/diploma/trade | 29 | 17.97 |
Completed secondary school | 4 | 2.40 |
Partial completion secondary school | 1 | 0.60 |
Multiple Birth: | ||
Single birth | 162 | 97.01 |
Twins | 5 | 2.99 |
Parity: | ||
Primapara | 83 | 49.70 |
Multipara | 58 | 34.73 |
Infant Health: | ||
Excellent | 84 | 50.30 |
Very Good | 70 | 41.92 |
Good | 9 | 5.39 |
Fair | 2 | 1.20 |
Depression
Fatigue
Sleep quality
Data analysis
Results
Variable |
n
|
M
|
SD
| Median | Min. | Max. |
---|---|---|---|---|---|---|
Maternal Age (years) | 167 | 34.26 | 4.23 | 34.00 | 24.00 | 49.00 |
Infant Age (months) | 167 | 8.51 | 4.16 | 7.50 | 2.00 | 23.50 |
FSS-9 | 163 | 47.92 | 8.85 | 49.00 | 21.00 | 63.00 |
FSS-5R | 163 | 17.35 | 5.24 | 18.00 | 5.00 | 25.00 |
DASS21-Depression | 162 | 5.12 | 3.81 | 5.00 | 0.00 | 18.00 |
DASS21-Anxiety | 162 | 3.59 | 2.90 | 3.00 | 0.00 | 13.00 |
DASS21-Stress | 158 | 9.71 | 4.11 | 9.00 | 0.00 | 20.00 |
IDA-I | 165 | 7.28 | 3.92 | 7.00 | 1.00 | 18.00 |
ISI | 165 | 13.76 | 5.13 | 14.00 | 1.00 | 28.00 |
Sleep Efficiency (%) | 159 | 62.94 | 15.79 | 63.16 | 23.08 | 100.0 |
Confirmatory factor analysis
Model |
χ
2
|
df
|
p
| RMSEA [90% CI] | TLI | CFI | WRMR |
---|---|---|---|---|---|---|---|
Congeneric DASS21-D | 25.77 | 14 | .0277 | 0.071 [0.023, 0.113] | 0.992 | 0.995 | 0.583 |
Congeneric FSS-5R | 14.38 | 5 | .0134 | 0.106 [0.044, 0.172] | 0.984 | 0.992 | 0.441 |
One-factor model | 475.56 | 54 | <.0001 | 0.216 [0.199, 0.234] | 0.812 | 0.847 | 2.410 |
Two-factor model | 136.28 | 53 | <.0001 | 0.097 [0.077, 0.117] | 0.962 | 0.970 | 0.987 |
Two-factor model on SE | 147.72 | 63 | <.0001 | 0.092 [0.073, 0.111] | 0.956 | 0.964 | 0.965 |
Scale and Item | Congeneric model | One-factor model | Two-factor modela | |||
---|---|---|---|---|---|---|
Depression | Fatigue | |||||
Pattern | Pattern | Pattern | Structure | Pattern | Structure | |
DASS21-D | ||||||
Item 3 | 0.89 | 0.82 | 0.88 | 0.88 | 0.00b | 0.36 |
Item 5 | 0.39 | 0.49 | 0.50 | 0.50 | 0.00b | 0.21 |
Item 10 | 0.90 | 0.85 | 0.89 | 0.89 | 0.00b | 0.36 |
Item 13 | 0.83 | 0.78 | 0.84 | 0.84 | 0.00b | 0.35 |
Item 16 | 0.89 | 0.86 | 0.89 | 0.89 | 0.00b | 0.36 |
Item 17 | 0.84 | 0.76 | 0.82 | 0.82 | 0.00b | 0.34 |
Item 21 | 0.90 | 0.83 | 0.90 | 0.90 | 0.00b | 0.37 |
FSS-5R | ||||||
Item 4 | 0.79 | 0.64 | 0.00b | 0.32 | 0.78 | 0.78 |
Item 5 | 0.83 | 0.74 | 0.00b | 0.34 | 0.84 | 0.84 |
Item 6 | 0.86 | 0.80 | 0.00b | 0.36 | 0.87 | 0.87 |
Item 7 | 0.81 | 0.71 | 0.00b | 0.34 | 0.82 | 0.82 |
Item 8 | 0.78 | 0.65 | 0.00b | 0.31 | 0.76 | 0.76 |