title: Development and psychometric testing of the Chinese Postnatal Risk Factors Questionnaire (CPRFQ) for postpartum depression.
abstract: This article describes the development and psychometric assessment of the Chinese Postnatal Risk Factors Questionnaire (CPRFQ). There were four phases in this process: (1) the items were generated using a literature review and a focus group, (2) content validity was evaluated by an expert panel, (3) a pilot study was conducted with 45 postpartum women to refine the scale, and (4) a convenience sample of 256 postpartum women in China was recruited to complete the questionnaire. Construct validity was established by exploratory factor analysis; a four-factor structure of the scale was accepted (social and family, personality and relationship, mother and infant, maternal feelings and 'doing the month'). These factors explained 47.46 % of the variance. Pearson's correlation coefficient was conducted to test convergent validity with the Edinburgh Postnatal Depression Scale (EPDS) (r = 0.54; p < 0.001). The Cronbach's alpha coefficient of the four subscales ranged from 0.58 to 0.71. The final 18-item version of the questionnaire is potentially a valuable tool for assessing postnatal risk factors in Chinese postpartum mothers.
authors.affiliation: School of Public Health, Fudan University, No. 130, Dong An Road, Shanghai, 200032, China.
authors.forename: Xiaoyu
authors.initials: X
authors.lastname: Yan
authors.affiliation: School of Public Health, Fudan University, No. 130, Dong An Road, Shanghai, 200032, China. lujun@shmu.edu.cn.
authors.forename: Jun
authors.initials: J
authors.lastname: Lu
authors.affiliation: Department of Psychiatry, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Shenxun
authors.initials: S
authors.lastname: Shi
authors.affiliation: Department of Obstetrics and Gynecology, Wuxi The Fourth People's Hospital , Wuxi, Jiangsu, China.
authors.forename: Ximei
authors.initials: X
authors.lastname: Wang
authors.affiliation: Shanghai Institute of Planned Parenthood Research, Shanghai, China.
authors.forename: Rui
authors.initials: R
authors.lastname: Zhao
authors.affiliation: Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Yan
authors.affiliation: School of Public Health, Fudan University, No. 130, Dong An Road, Shanghai, 200032, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Chen
mesh_terms: D000328:Adult; D002681:China; D019052:Depression, Postpartum / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D009035:Mothers; D010865:Pilot Projects; D049590:Postpartum Period; D011247:Pregnancy; D011594:Psychometrics / Q000295:instrumentation* / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012307:Risk Factors; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D014175:Translating; D055815:Young Adult