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Biomedical subjects

A B McBride

Publications and source records attributed to A B McBride.

At least 19 recordsLinked to original sources

The Postpartum Support Questionnaire: reliability and validity.

Support has been found to be related to perinatal health, resulting in the development of the Postpartum Support Questionnaire based on the four categories of support (informational, material, emotional and comparison) identified by House (1981) and Cronenwett (1985). Data from four studies (N = 207) provided evidence of the psychometric properties of the instrument. Internal consistency reliability was demonstrated (alpha = .90 to .94 for total instrument). Test-retest reliability ranged from .69 to .79 for total scores and .30 to .79 for for categories of support. Measures of concurrent validity with the Personal Resource Questionnaire .85 were .42 and .48 at 6 and 8 weeks postpartum. Confirmatory factor analysis using LISREL 7 supported the four categories of support, but the use of these factors separately remains to be demonstrated.

Adult

Social support and postpartum depression.

Discrepancies between prenatal social support expectations and subsequent perceptions of support actually received were examined in relation to postpartum depression. Low-risk primiparous women (N = 105) were surveyed 1 month before and 1 month after delivery. Almost half of the women prenatally and one third postpartially had depression scores which would lead them to be classified as possibly depressed (CES-D scores of 16 or greater). In multiple regression, two social support discrepancy measures, prenatal depression and postpartal closeness to husband, correlated with postpartal depression and accounted for nearly 40% of its variance. The generalizability of the findings should be further explored, but the findings suggest the need for attention to prenatal expectations of postpartum support as a way to influence the incidence of postpartum depression. In addition, continued efforts to identify causes of postpartum closeness with the spouse are needed.

Adult

Strategies to implement geropsychiatric nursing curricula content.

1. Before a curriculum revolution can take place, the health care system must confront its orientation toward mortality; the inadequacies of our theoretical frameworks and research must be addressed; and gerontology and geropsychiatry/geropsychology must be recognized as a nontraditional specialty and subspecialty. 2. Geropsychiatric care will not come into its own if certain stereotypes and assumptions are not changed. One challenge is for health care providers to become involved in a reformulation of the public's stereotyped image of older adults, which reinforces prejudices rather than possibilities. 3. Collectively, geropsychiatric nurses must communicate the excitement of their field to students, faculty, alumni, patients, colleagues in other disciplines, and the media.

Aged

Psychiatric nursing in the 1990s.

This article reviews the accomplishments of psychiatric nursing--theory development, advanced practitioner roles, family-centered care--and notes some limitations--a projected shortage of psychiatric nurses, devaluation of biological knowledge, reluctance to focus on illness. The challenges ahead for the 1990s are described with a focus on the tremendous need to integrate the biological sciences (neurobiology, genetics, and immunology) and behavioral sciences in the practice of psychiatric nursing. In the development of these issues, attention is paid to the argument raised by consumer advocacy groups that a clear differentiation exists between adjustment problems and mental illness. In a time when psychiatry is realigning itself with medical practice, it is important that psychiatric nursing become reassociated with both neurological nursing and the care ethic. This article ends with a partial list of questions for psychiatric nurses to answer in the decade ahead.

Behavioral Sciences