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American Journal of Epidemiology Vol. 130, No. 5: 989-998
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health

research-article

DEVELOPMENT AND USE OF A SELF-ADMINISTERED QUESTIONNAIRE FOR ASSESSMENT OF PSYCHOLOGIC ATTITUDES TOWARD PREGNANCY AND THEIR RELATION TO A SUBSEQUENT PREMATURE BIRTH

N. MAMELLE1,, A. MEASSON1, F. MUNOZ1, M. AUDRAS DE LA BASTIE2, P. GERIN3, M. T. HANAUER4, P. COLLET1 and J. GUYOTAT2

1National Institute of Health and Medical Research U 265, 151 cours Albert Thomas, 69424 Lyon cedex 03, France
2Laboratoire de psychology médicale, Hôpital Neurologique 59 bd. Pinel, 69500 Bron, France
3Hôpital St Jean de Dieu 290 route de Vienne, 699008 Lyon, France
4Division de psychologie, C.R S.S.A. Hôpital Desgenettes 108 bd. Pinel, 69275 Lyon cedex 03, France

Reprint requests to Dr. N Mamelle, National Institute of Health and Medical Research, U 265, 151 cours Albert Thomas, 69424 Lyon cedex 03, France

This paper describes both the development of and results of the use of a self-administered questionnaire designed specifically to investigate the relation between the psychologic attitudes of pregnant women toward pregnancy and an eventual subsequent premature birth. The questionnaire (entitled Pregnancy Psychologic Attitudes Test—in relation to Premature Birth [PPAT(p)]) was derived from the synthesis of interviews with women who had given birth prematurely, comprised 40 questions grouped in six dimensions, and was used in a prospective survey. All women who had an antenatal visit in their fifth to sixth month of pregnancy in one of four maternity hospitals in Lyon, France, between October 1983 and March 1985 were asked to complete this questionnaire. A quantitative PPAT(p) score (ranging from 0 to 6) was constructed in a working sample (n = 643), and its relation with a subsequent premature birth was analyzed in a study sample (n= 1,500). Application of the logistic regression model showed, after controlling for personal and medical factors, that this relation was statistically significant. The risk of premature birth increased from 1 to 1.5 when the PPAT(p) score increased one point (p < 0.001). This study contributes to a better understanding of psychologic factors that may affect pregnant women and be associated with premature birth. This new component must be considered in the development of policies for preventing premature birth.

pregnancy; psychology; questionnaires; risk factors


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