Modification of the Perinatal PTSD Questionnaire to enhance clinical utility

Abstract

Objective: To enhance the clinical utility of the Perinatal Post-Traumatic Stress Disorder (PTSD) Questionnaire (PPQ), the current study sought to refine the measure by changing the item response options from dichotomous choices to a likert scale format.Study Design: Using a convergent/divergent validity design and two data sources (traditional survey and World Wide Web), 58 high-risk and 86 low-risk mothers answered four questionnaires.Results: Principal components analysis of items on the modified PPQ revealed three components conceptually similar to the diagnostic criterion associated with PTSD. In addition, convergent and divergent validity of the modified measure was supported. The clinical utility of the modified PPQ was established with a strong positive likelihood ratio. Conclusion:The modified PPQ is a useful clinical tool for identifying mothers experiencing significant emotional distress during the postnatal period so they may be referred for mental health services.

Evaluation of the effect of natural and emotional stress of labor on lactation and breast-feeding

“…The association itself has defined a great amount of symptoms among which, the most common include sleep disorders (ex. nightmares), constant revival of the [14]. Furthermore, recent studies showed that those who suffered PTSD obtained irreversible changes in their brain.…”

“…Furthermore, recent studies showed that those who suffered PTSD obtained irreversible changes in their brain. They had increased epinephrine, norepinephrine, 14 Fig. 2 The correlation of labor duration with first breastfeeding testosterone, cortisol levels and increased thyroxin function [14].…”

“…They had increased epinephrine, norepinephrine, 14 Fig. 2 The correlation of labor duration with first breastfeeding testosterone, cortisol levels and increased thyroxin function [14]. In 1980, the American Psychiatric Association added the PTSD scale in the third version of the diagnostic and statistic classification manual of mental disorders (DSM-III).…”

Biopsychosocial risks of parental care for high-risk neonates: implications for evidence-based parental counseling

“…The severity of the infant's medical complications were found to be predictive of maternal PTSD symptoms. 16 In a series of studies from the University of North Carolina, investigators surveyed various cohorts of mothers of premature infants requiring mechanical ventilation, premature infants classified as VLBW, medically fragile infants (defined as requiring hospitalization for a life-threatening illness) and infants seropositive for HIV. [17][18][19][20] Nearly one-fifth of the mothers of premature infants and those of HIV-positive infants were at serious risk for depression, even approaching 2 years after delivery.…”

The Validity and Reliability of a Scale on Postnatal Posttraumatic Stress Symptoms Related to Childbirth among Japanese Women: Evaluation of the Japanese-language Version of the Impact of Event Scale-revised

“…Previous studies have used various instruments to evaluate postnatal stress symptoms, including the Posttraumatic Stress Disorder Questionnaire (PTSD-Q), the Impact Event Scale -Revised (IES-R), the Posttraumatic Stress Symptoms-Self Report (PSS-SR), the Traumatic Event Scale (TES), and the Perinatal Posttraumatic Stress Disorder Questionnaire (PPQ) [4][5][6][14][15][16][17]. However, these existing scales cannot accurately measure postnatal stress symptoms related to childbirth.…”