Assessing psychosocial risk in pregnant/postpartum women using the Contextual Assessment of Maternity Experience (CAME): Recent life adversity, social support and maternal feelings
Abstract
Background The Contextual Assessment of Maternity Experience (CAME) interview was developed to characterise the psychosocial context relevant to the maternity experience by providing a detailed picture of women's lives during the transition to motherhood. More specifically, it was designed to enable the assessment of major risk factors for emotional disturbances in pregnant and postpartum women, especially depression, within the same instrument and using a coherent methodological framework.Method The CAME assesses three domains relevant to motherhood: 1) recent life adversity or stressors; 2) the quality of social support and key relationships including partner relationship; and 3) maternal feelings towards pregnancy, motherhood and the baby. Two high-risk samples of inner-city London women were used to test the psychometric qualities of the CAME components.Results Overall, the internal consistencies of the relevant components were high in both samples examined. The validity of the three components of the measure was evidenced by their association with either maternal characteristics or parenting assessments.Conclusion It was concluded that the CAME shows promise as a measure of the psychosocial risk factors involved in the maternity experience for future research in this field.
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The CAME interview was developed to assess the psychosocial context relevant to a pregnant woman's experience during the transition to motherhood, including her perception of the quality of her relationship with her partner, maternal commitment, and her feelings toward pregnancy, motherhood, and the baby.
“The Contextual Assessment of Maternity Experience (CAME; Bernazzani et al., 2005) interview was developed to assess the psychosocial context relevant to a pregnant woman’s experience during the transition to motherhood, including her perception of the quality of her relationship with her partner, maternal commitment, and her feelings toward pregnancy, motherhood, and the baby.”
From Another step closer to measuring the ghosts in the nursery: preliminary validation of the Trauma Reflective Functioning Scale. (2014) · cites this paper as Bernazzani et al., 2005
The CAME has good concurrent and predictive validity, and its dimensions have good internal consistencies in different samples.
“The CAME has been demonstrated to have good concurrent and predictive validity and the dimensions have been shown to have good internal consistencies in different samples (Bernazzani et al., 2005).”
From Another step closer to measuring the ghosts in the nursery: preliminary validation of the Trauma Reflective Functioning Scale. (2014) · cites this paper as Bernazzani et al., 2005
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- Authors
- Bernazzani, O., Marks, M. N., Bifulco, A., Siddle, K., Asten, P., & Conroy, S.
- Affiliations
- University of London (GB)
- Corresponding author
- Bernazzani, Odette
- ORCID
- Bifulco, Antonia
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 2005-06
- Volume
- 40
- Issue
- 6
- Pages
- 497-508
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- OpenAlex
- W2117444558
- Cited by
- 45
- References
- 28
- Citations by year
- 2025: 1 · 2023: 3 · 2022: 2 · 2021: 6 · 2020: 2 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 4 · 2013: 5 · 2012: 5
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Research Repository (Kingston University London) (submittedVersion)
- Middlesex University Research Repository (Middlesex University Of London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- CAME, psychosocial risk factors, postpartum depression, pregnancy, transition to motherhood, life adversity, social support, couple relationships, maternal emotions, psychometric validation, inner-city women
- MeSH terms
- Affective Symptoms, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Infant, Infant, Newborn, Interview, Psychological, Life Change Events, London, Mothers, Personality Assessment, Pregnancy, Psychometrics, Risk Factors, Social Support, Reproducibility of Results, Incidence, Parenting, Depression, Postpartum
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