Maternal functioning in the year following childbirth has exacted inadequate attention in the research literature. The negative effects of postpartum depression on mother and child have been more extensively studied. This deficit in the area of maternal functioning research is of public health significance as functional status may be a more direct measure of deleterious effects on infant development than depression status.
Functioning and factors associated with functioning during this critical time period for infant development has been primarily studied by a handful of researchers. Prior to the development of the Barkin Index of Maternal Functioning (BIMF), the Inventory of Functional Status After Childbirth (IFSAC) was the only instrument designed for the express purpose of measuring functional status. However, the IFSAC is less than ideal for measuring this important concept; its rigid definition of functional status makes it difficult for women to achieve full functional status. This precipitated the development of the BIMF.
The BIMF was developed through qualitative methods. New mother focus group discussions provided much of the content (and the framework for a new definition of functional status) that is reflected in the BIMF. This method of survey development has many advantages and helps to ensure content validity and a patient-centered product. The BIMF was also critiqued by a panel of experts in relevant fields. This work resulted in a new 20-item self-report measure of maternal functioning. In an initial psychometric analysis, the BIMF exhibited good reliability (and validity), with a Cronbachs Alpha of 0.87.
An analysis of factors related to maternal functioning (as measured by the BIMF) in a population of women who screened positive for depressive symptoms revealed an association of functioning with depression and atypical depression. Race and atypical depression were independently associated with the BIMF in a stepwise regression analysis. The BIMF and the Gratification Checklist were also significantly and positively correlated.
| Identifer | oai:union.ndltd.org:PITT/oai:PITTETD:etd-07292009-090149 |
| Date | 29 September 2009 |
| Creators | Barkin, Jennifer Lynn |
| Contributors | Lisa Bodnar, Katherine Wisner, Stephen Wisniewski, Scott Beach, Joyce Bromberger |
| Publisher | University of Pittsburgh |
| Source Sets | University of Pittsburgh |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.pitt.edu/ETD/available/etd-07292009-090149/ |
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