Replication of the postpartum support questionnaire on mothers with multiple sclerosis

2.50
Hdl Handle:
http://hdl.handle.net/10755/163629
Category:
Abstract
Type:
Presentation
Title:
Replication of the postpartum support questionnaire on mothers with multiple sclerosis
Author(s):
Gulick, Elsie
Author Details:
Elsie Gulick, PhD, Professor, Rutgers, The State University of New Jersey, College of Nursing, Newark, New Jersey, USA, email: egulick@andromeda.rutgers.edu
Abstract:
Purpose: This study replicated the Postpartum Support Questionnaire (PSQ) (Logsdon et al., 1996) among mothers with multiple sclerosis (MS). The study aim included determining the factor structure according to House's (1981) theorized dimensions of social support (emotional, instrumental, informational, appraisal) at 1 month postpartum and factor stability at 3 and 6 months postpartum. Construct validity of the factored dimensions was also examined. Sample: A sample of 173 mothers with MS, was recruited across the U.S. that averaged in years 32.7 (SD= 4.27) for age, 15.4 (SD = 2.1) for education, and 5.0 (SD = 3.9) for MS duration. Of the mothers, 94.8% were married, 45.4% had one and 54.6% had more than 1 child, 95.4% were white, 7.3% were employed at 1 month and 53.4% at 6 months. The mothers completed by mail the 28-item PSQ and MS-Related Symptom Scale at 1, 3, and 6 months postpartum and demographic data at 1 month postpartum. Analysis: Principal component and factor analysis using Varimax orthogonal rotation was used to estimate a 4- and 3-factor solution. Criteria for identifying factors were a break in the distribution of Eigen values on the scree plot and each factor variance greater than 5%. Retention of factors was based on factor loadings of .40 or higher on the primary factor and low loadings on non-primary factors. Scores from the Emotions subscale (alpha = .83 to .85) of the MS-Related Symptom Scale were grouped into low and moderate levels of Emotional Distress by the mean and children were grouped as 1 or more than 1. Results: A 3-factor solution consisting of 24 of the 28 items met the criteria for identifying and retaining factors with the same items at each of the 3 time periods. The three dimensions of social support as theorized by House (1981) were Emotional support (Factor 1), Instrumental support (Factor 2), and Informational support (Factor 3). Items reflecting Appraisal support failed to emerge as a factor based on the criteria. Variance explained at 1 month was 51%, 53% at 3 and 54% at 6 months. Alpha reliability coefficients over the 3 time periods for Emotional support (11 items) ranged between .90 and .93, Instrumental support (7 items) between .82 and .84, and Informational support (6 items) between .76 and .78. Independent t-tests indicated that mothers with moderate compared to low Emotional Distress reported lower levels of both Emotional and Instrumental support (all p < .05). Mothers with 1 compared to more than 1 child reported receiving more Informational support (all p < .05). These group comparisons support construct validity for the dimensions of social support. Implications: The postpartum period is a time when mothers require additional support to meet their physical and emotional needs. Mothers with chronic illness such as MS, when exacerbations of the illness are commonplace during the first 2 to 6 months postpartum, may require additional support that includes emotional, instrumental, and informational. This study suggests that the PSQ is a reliable, valid, and stable measure to assess these dimensions of social support.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
14th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
University Park, Pennsylvania, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleReplication of the postpartum support questionnaire on mothers with multiple sclerosisen_GB
dc.contributor.authorGulick, Elsieen_US
dc.author.detailsElsie Gulick, PhD, Professor, Rutgers, The State University of New Jersey, College of Nursing, Newark, New Jersey, USA, email: egulick@andromeda.rutgers.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163629-
dc.description.abstractPurpose: This study replicated the Postpartum Support Questionnaire (PSQ) (Logsdon et al., 1996) among mothers with multiple sclerosis (MS). The study aim included determining the factor structure according to House's (1981) theorized dimensions of social support (emotional, instrumental, informational, appraisal) at 1 month postpartum and factor stability at 3 and 6 months postpartum. Construct validity of the factored dimensions was also examined. Sample: A sample of 173 mothers with MS, was recruited across the U.S. that averaged in years 32.7 (SD= 4.27) for age, 15.4 (SD = 2.1) for education, and 5.0 (SD = 3.9) for MS duration. Of the mothers, 94.8% were married, 45.4% had one and 54.6% had more than 1 child, 95.4% were white, 7.3% were employed at 1 month and 53.4% at 6 months. The mothers completed by mail the 28-item PSQ and MS-Related Symptom Scale at 1, 3, and 6 months postpartum and demographic data at 1 month postpartum. Analysis: Principal component and factor analysis using Varimax orthogonal rotation was used to estimate a 4- and 3-factor solution. Criteria for identifying factors were a break in the distribution of Eigen values on the scree plot and each factor variance greater than 5%. Retention of factors was based on factor loadings of .40 or higher on the primary factor and low loadings on non-primary factors. Scores from the Emotions subscale (alpha = .83 to .85) of the MS-Related Symptom Scale were grouped into low and moderate levels of Emotional Distress by the mean and children were grouped as 1 or more than 1. Results: A 3-factor solution consisting of 24 of the 28 items met the criteria for identifying and retaining factors with the same items at each of the 3 time periods. The three dimensions of social support as theorized by House (1981) were Emotional support (Factor 1), Instrumental support (Factor 2), and Informational support (Factor 3). Items reflecting Appraisal support failed to emerge as a factor based on the criteria. Variance explained at 1 month was 51%, 53% at 3 and 54% at 6 months. Alpha reliability coefficients over the 3 time periods for Emotional support (11 items) ranged between .90 and .93, Instrumental support (7 items) between .82 and .84, and Informational support (6 items) between .76 and .78. Independent t-tests indicated that mothers with moderate compared to low Emotional Distress reported lower levels of both Emotional and Instrumental support (all p < .05). Mothers with 1 compared to more than 1 child reported receiving more Informational support (all p < .05). These group comparisons support construct validity for the dimensions of social support. Implications: The postpartum period is a time when mothers require additional support to meet their physical and emotional needs. Mothers with chronic illness such as MS, when exacerbations of the illness are commonplace during the first 2 to 6 months postpartum, may require additional support that includes emotional, instrumental, and informational. This study suggests that the PSQ is a reliable, valid, and stable measure to assess these dimensions of social support.en_GB
dc.date.available2011-10-27T11:10:57Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:10:57Z-
dc.conference.date2002en_US
dc.conference.name14th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationUniversity Park, Pennsylvania, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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