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The Development of Circadian Rhythms in Human Infants

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2.9 Supplementary questionnaires<br />

<strong>The</strong>re were several supplementary questionnaires that were employed for the purposes<br />

<strong>of</strong> this study to ga<strong>in</strong> further background <strong>in</strong>formation about the families and carers<br />

(ma<strong>in</strong>ly mothers) <strong>of</strong> the <strong>in</strong>fants enrolled <strong>in</strong> the project. <strong>The</strong> social circumstances <strong>of</strong><br />

the family and the wellbe<strong>in</strong>g and health <strong>of</strong> the mother may have direct impact on the<br />

care <strong>of</strong> the <strong>in</strong>fant and <strong>in</strong>deed their physiological maturation. Questions about the<br />

impact <strong>of</strong> hav<strong>in</strong>g a newborn baby were <strong>in</strong>cluded <strong>in</strong> the lifestyle questionnaire.<br />

Mothers also listed adverse life events which may have co<strong>in</strong>cided with the birth <strong>of</strong><br />

their <strong>in</strong>fants (Corney, 1988). It was felt important to have a screen<strong>in</strong>g questionnaire<br />

to assess maternal mental state. <strong>The</strong> Ed<strong>in</strong>burgh Postnatal Depression Score (EPDS)<br />

was selected as a well known and validated tool (Cox et al., 1987). If a mother<br />

scored between 9 and 11 she was deemed to be at risk. <strong>The</strong> family health visitor and<br />

GP were <strong>in</strong>formed, with permission. A score <strong>of</strong> above 12 was <strong>of</strong> more concern as it<br />

po<strong>in</strong>ted to a possible diagnosis <strong>of</strong> postnatal depression. Thirdly a questionnaire with<br />

a scor<strong>in</strong>g scheme for the amount <strong>of</strong> support (physical/emotional/pr<strong>of</strong>essional) each<br />

mother had available was <strong>in</strong>cluded (Murray: personal communication). Each<br />

questionnaire is <strong>in</strong>cluded <strong>in</strong> appendix 2.<br />

2.10 Analysis<br />

<strong>The</strong> s<strong>of</strong>tware packages used for the analysis were Micros<strong>of</strong>t Excel, SPSS versions 14<br />

& 16, STATA and R version 2.8 statistical packages.<br />

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