1,721,000 research outputs found
Perinatal Assessment of Paternal Affectivity (PAPA). First validation in Italian samples.
No full textPerinatal Assessment of Paternal Affectivity (PAPA). First validation in Italian samples.
Baldoni F.1, Matthey S.2, Agostini F.1, Schimmenti A.3, Caretti V.4
1Department of Psychology, University of Bologna, Italy
2University of Sydney, Australia
3 Kore University of Enna, Italy
4 LUMSA University, Rome, Italy
Background: The assessment of affective disorders in fathers during the perinatal period represents a difficult challenge for clinicians. The Perinatal Assessment of Paternal Affectivity (PAPA) (Baldoni et al., 2016) is a new self-report questionnaire for the screening of affective symptoms in fathers during the perinatal period. It has been developed in recent research on perinatal affective disorders and assesses different dimensions of paternal affective problems: anxiety, depression, hostility, relational and couple difficulties, somatic complaints, dangerous behaviors and addictions (smoke, alcohol, drugs, gambling, internet, physical or sexual compulsive and at risk behavior). The PAPA has a simple structure and is very fast and simple to complete. It also considers some ethnic and socio-cultural influences.
Aim: This study presents the incoming preliminary data of a multicentric validation study of the PAPA that involved many Italian public services (AUSL Romagna, Cagliari, 15 Alta Padovana, Torino, Foggia, Roma1).
Methods: Different samples of fathers and mothers (500 couples, 1000 parents) were involved in the study. All participants, at the VII-VIII months prenatal and at 3 months postnatal, completed the following questionnaires: PAPA (prenatal and postnatal versions), CES-D, SCL-90-R, Analogical Symptom Assessment (ASA), Perceived Stress Scale (PSS), Dyadic Adjustment Scale (DAS), EPDS. Statistical analyses were performed using IBM SPSS Statistics (Version 23).
Results: Preliminary findings concerning the prenatal period showed significant association between PAPA total scores (P = .05) and single scale scores with many scores on CES-D, SCL-90-R, ASA, PSS and DAS.
Discussion: Preliminary data of this Italian validation study confirm the PAPA as a useful tool for the screening of paternal affective disorders in the perinatal period. However, the PAPA doesn’t permit an accurate diagnosis but provides a simple and practical guide for detecting fathers at high-risk of perinatal affective alteration. In these cases, a more in-depth diagnostic assessment and a possible treatment are required.
Reference: Baldoni, F., Matthey, S, Agostini, F., Schimmenti, A., & Caretti, V. (2016). Perinatal Assessment of Paternal Affectivity (PAPA): preliminary report on a new screening tool, Infant Mental Health Journal, 37 (Suppl. 1), 132-133
Perinatal Affective Disorders in fathers: from assessment to treatment
No full textPerinatal Affective Disorders in Fathers: from assessment to treatment
Baldoni F.1, Matthey S.2 and Caretti V.3
1Department of Psychology, University of Bologna, Italy
2University of Sydney, Australia
3 LUMSA University, Rome, Italy
Recent research confirms that the father plays an important role from the early stage of pregnancy. However, during the perinatal period many fathers show affective disorders (like Paternal Perinatal Depression or Anxiety disorders) that can negatively affect the couple’s life, the mother’s mental health, and the child’s psychological and physical development (Ramchandani, Psychogiou, 2009; Fletcher et al. 2011; Habib, 2012; Tuszyńska-Bogucka, Nawra, 2014; Edward et al., 2015; Leach et al., 2015; Sethna et al., 2015; Paulson et al., 2016). Affective perinatal disorders in fathers are not uncommon (Paulson, Bazemore, 2010), but tend to occur differently than in women and are often under-assessed or undiagnosed. In fact, men are usually less inclined to reveal any psychological difficulty and tend to show discomfort in the form of externalizing behaviors. For these reasons, the depressive symptoms tend to be milder and more indefinite, and they frequently overlap with other psychological or behavioural problems like: anxiety symptoms, abnormal illness behaviour (hypochondria, somatization, functional medical syndromes), anger attacks and acting out (violent behaviour, extra-marital relations, fugues), relational and couple conflicts, alcohol or drug abuse, and other addict disorders. Although affective disorders in fathers were neglected by research for many years, interest in this field has increased in the last decade, and some new methods for the assessment of these paternal disorders have been proposed (Baldoni et al., 2016). Research data on the role of the father during the perinatal period, and on the specific expression of paternal perinatal affective disorders, have changed the perspective of how to assess for such mood problems in men, which will thus also impinge on the development of more effective prevention and treatment programs.
The topic of this symposium, consisting of four talks, is perinatal affective disorders in fathers and to consider new perspectives in assessment of and early intervention on these disorders, taking into account the data of recent research
Screening for mood difficulties in men in Italy and australia using the edinburgh postnatal depression scale and the matthey generic mood questionnaire.
No full textCalls to screen for men's emotional health during the perinatal period have been increasing in recent times, given that emotional health screening for women is now well embedded in many clinical services. Although the Edinburgh Postnatal Depression Scale (EPDS) has been used for women, and also validated for men, a recent examination of this measure showed that it may not be ideal for men (or women). This study screened expectant fathers with the EPDS and a more recent measure, the Matthey Generic Mood Questionnaire, which has been designed to overcome some of the limitations of the EPDS. Expectant fathers in Italy (N = 145) and Australia (N = 185) were recruited from community antenatal clinics or classes, and these fathers completed the 2 measures. Results showed that on both measures, a meaningfully higher rate (2-8 times higher) of men in the Australian sample than men in the Italian sample screened positive for mood difficulties. The Matthey Generic Mood Questionnaire's ability to detect a variety of negative emotions, coupled with its clinically useful questions of allowing men to express why they feel distressed, and whether they would like to speak to a health professional about this, indicates that it could be a useful measure for health services wishing to screen men for emotional difficulties in the perinatal period
A comparison of two measures to screen for emotional health difficulties during pregnancy
Full text linkABSTRACT
Objective: To compare the performance of a generic mood questionnaire
(Matthey Generic Mood Questionnaire, MGMQ) against
the established Edinburgh Postnatal Depression Scale (EPDS) in
perinatal mental health mood screening.
Background: Many perinatal clinical services use the EPDS to
screen for depression, and some may consider using it to screen
for anxiety. A new scale, the MGMQ, is designed to screen for a
wide variety of emotions, not just depression or anxiety. It comprises
a generic distress question, an impact question, as well as
two clinical questions. Its brevity, and categorical scoring format,
may also mean it is less susceptible than the EPDS to needing a
myriad of different screen-positive scores for women from different
cultures and during different perinatal time periods.
Methods: Two hundred and ten Italian women in their third
trimester of pregnancy completed the EPDS and MGMQ while
attending routine antenatal clinic appointments or antenatal
classes in the north of Italy, between 2015 and 2016.
Results: The Distress and Lower Impact question thresholds
showed acceptable receiver operating characteristics with the
various EPDS screen positive thresholds. The Higher Impact
question threshold, however, had lower than acceptable sensitivity.
By contrast, the EPDS was poor at detecting women who
on the MGMQ said that they were distressed and significantly
bothered by their mood. The possible reasons for the discrepancies
in screen-positive status between the two measures are
discussed.
Conclusion: The MGMQ is a useful tool to aid in screening for a
wide range of emotional difficulties in the perinatal period
Transient vs enduring distress in late pregnancy using the EPDS: a brief longitudinal exploratory study
No full textBackground and Objective: The Edinburgh Postnatal Depression Scale (EPDS) is widely used to detect perinatal distress in women by one single administration. Recently, research has shown that during early pregnancy around half of the women scoring as ‘possibly depressed’ on the EPDS only have transient distress, when re-tested after few weeks. This finding may not occur if women are screened later in pregnancy, as their worries then may be more enduring; therefore an exploratory study was conducted to further investigate this issue. Methods: Pregnant women (N = 84) attending a public hospital in Italy completed the EPDS in their third trimester (x = 33 weeks) and again 8–42 days later (while still pregnant). They had not received professional mental health intervention in this time interval. Results: Approximately half of the women who initially scored high on the EPDS in late pregnancy no longer scored high just a few weeks later. Conclusions: Approximately half of women who initially score high on the EPDS when screened in pregnancy only have transient distress in both the second and third trimester. To label these women as being ‘possibly depressed’, and mixing them with women who show enduring distress, represents a possible weakness in research studies, and may also overburden clinical services. We would therefore recommend, as research and clinical practice, a second administration of the EPDS if a woman initially scores in the distressed range at any stage in pregnancy
An exploratory and confirmatory factor analysis study of the EPDS in postnatal Italian-speaking women
No full textBackground: Depression and anxiety are the most prevalent emotional difficulties in the perinatal period and there is agreement that early intervention is an important strategy to prevent long-lasting effects on mother and child. Literature has recently shown that the Edinburgh Postnatal Depression Scale (EPDS) is able to measure not only depression but also anxiety. Objective: To investigate the factorial structure of the EPDS in Italian-speaking new mothers. Method: 416 women attending vaccination services between 2 and 4 months postpartum filled in the EPDS. Exploratory (EFA) and Confirmatory (CFA) analyses were carried out. Results. The EFA on the first part of the sample (n = 208) showed a two-factor structure. The CFAs on the second sample of mothers (n = 208) provided support for the ‘EPDS-4A’, with items 3,4,5,6 belonging to the Anxiety factor and items 1,2,7,8,9,10 to the Depression factor. The fit for the model was good: χ2/df = 1.41, p <.001; GFI =.99; CFI =.99; TLI =.88; RMSEA =.04. Conclusion: A two-factor structure of the EPDS was confirmed suggesting that the EPDS can be used to screen for both depression and anxiety for Italian mothers in the postnatal period
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
- …
