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Postpartum depression and Relationship satisfaction

Appendix B

Postpartum Depression and Relationship Satisfaction

CONSENT FORM


Identification of Researchers: This research is being conducted by Alexis Williams along with my advisor Dr. Kennith Carter. We are with the University of Central Missouri in the department of psychology of science. 


Purpose of the Study: The purpose of this study is to examine weather new mothers who has had children in the past two years are more susceptible to postpartum depression when they are in an unhealthy relationship. Postpartum depression affects around 10 to 20 percent of women and I would like to examine how the relationship status effects the amount of depression that occurs.

 

Request for Participation: We are inviting you to participate in a study on the effect of relationship satisfaction on postpartum depression. It is up to you whether you would like to participate. If you decide not to participate, you will not be penalized in any way. You can also decide to stop at any time without penalty. If you do not wish to answer any of the questions, you may simply skip them, no questions are required. Once you submit an anonymous survey, we will not know which survey or test is yours. 

Exclusions: You must be at least 18 years of age to participate in this study and have been diagnosed or self-diagnosed with postpartum depression. Participants must have given birth to a child that is the age of 2 or under. 

 

Description of Research Method: This study involves completing a survey about relationship satisfaction and postpartum depression. This study will take about 15 minutes to finish.

 

Privacy: All of the information we collect will be anonymous. We will not record your name, student number, or any information that could be used to identify you. Your confidentiality will be maintained to the degree permitted by the technology used. Specifically, no guarantees can be made regarding the interception of data sent via the Internet by any third parties.

 

Explanation of Risks: Participating in this study can cause emotional destress such as anxiety, sadness, fear, and anger. If any emotional destress is to occur you are available to call UCM counseling center at 660-543-4060, or you can call the 24-hour UCM crisis support line at 660-543-8008.

Explanation of Benefits: benefits include contributing to research as well as being able to know questions to help identify postpartum depression.

 

By clicking to continue, you are indicating that you are agreeing to participate in this study.

Appendix B

Postpartum Depression and Relationship Satisfaction

CONSENT FORM


Identification of Researchers: This research is being conducted by Alexis Williams along with my advisor Dr. Kennith Carter. We are with the University of Central Missouri in the department of psychology of science. 


Purpose of the Study: The purpose of this study is to examine weather new mothers who has had children in the past two years are more susceptible to postpartum depression when they are in an unhealthy relationship. Postpartum depression affects around 10 to 20 percent of women and I would like to examine how the relationship status effects the amount of depression that occurs.

 

Request for Participation: We are inviting you to participate in a study on the effect of relationship satisfaction on postpartum depression. It is up to you whether you would like to participate. If you decide not to participate, you will not be penalized in any way. You can also decide to stop at any time without penalty. If you do not wish to answer any of the questions, you may simply skip them, no questions are required. Once you submit an anonymous survey, we will not know which survey or test is yours. 

Exclusions: You must be at least 18 years of age to participate in this study and have been diagnosed or self-diagnosed with postpartum depression. Participants must have given birth to a child that is the age of 2 or under. 

 

Description of Research Method: This study involves completing a survey about relationship satisfaction and postpartum depression. This study will take about 15 minutes to finish.

 

Privacy: All of the information we collect will be anonymous. We will not record your name, student number, or any information that could be used to identify you. Your confidentiality will be maintained to the degree permitted by the technology used. Specifically, no guarantees can be made regarding the interception of data sent via the Internet by any third parties.

 

Explanation of Risks: Participating in this study can cause emotional destress such as anxiety, sadness, fear, and anger. If any emotional destress is to occur you are available to call UCM counseling center at 660-543-4060, or you can call the 24-hour UCM crisis support line at 660-543-8008.

Explanation of Benefits: benefits include contributing to research as well as being able to know questions to help identify postpartum depression.

 

By clicking to continue, you are indicating that you are agreeing to participate in this study.

Appendix C
Please answer the questions below based on your time during pregnancy or the first eight weeks after giving birth,(within the last two years). Please select the answer that best fits you.
Appendix C
Please answer the questions below based on your time during pregnancy or the first eight weeks after giving birth,(within the last two years). Please select the answer that best fits you.
1. I have been able to laugh and see the funny side of things
As much as I always could
Not quite so much now
Definitely not so much now
Not at all
2. I have looked forward with enjoyment to things
As much as I ever did
Rather less than I used to
Definitely less than I used to
Hardly at all
3. I have blamed myself unnecessarily when things went wrong
Yes, most of the time
Yes, some of the time
Not very often
No, never
4. I have been anxious or worried for no good reason:
No, not at all
Hardly ever
Yes, sometimes
Yes, very often
5. I have felt scared or panicky for no good reason:
Yes, quite a lot
Yes, sometimes
No, not much
No, not at all
6. Things have been getting to me:
Yes, most of the time I haven’t been able to cope at all
Yes, sometimes I haven’t been coping as well as usual
No, most of the time I have coped quite well
No, I have been coping as well as ever
7. I have been so unhappy that I have had difficulty sleeping:
Yes, most of the time
Yes, sometimes
No, not very often
No, not at all
8. I have felt sad or miserable:
Yes, most of the time
Yes, quite often
Not very often
No, not at all
9. I have been so unhappy that I have been crying:
Yes, most of the time
Yes, quite often
Only occasionally
No, never
10. The thought of harming myself has occurred to me:
Yes, quite often
Sometimes
Hardly ever
Never
Please read the following questions carefully and answer accordingly.
Please read the following questions carefully and answer accordingly.
1. How often does your partner meet your needs?
1- Never
2
3
4
5- Always
2. My partner is consistent and reliable.
1-Never
2
3
4
5-Always
3. Do you trust your partner?
1-Never
2
3
4
5-Always
4. I love my partner.
1-Never
2
3
4
5-Always
5. I feel comfortable sharing my feelings and needs with my partner.
1-Never
2
3
4
5-Always
6. I feel safe with my partner.
1-Never
2
3
4
5-Always
7. I feel loved and appreciated by my partner.
1-Never
2
3
4
5-Always
8. How satisfied are you with your relationship?
1-Never
2
3
4
5-Always
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