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Table 7 Conceptual framework of maternal depression, stress and context—inference to best explanation

From: Realist theory construction for a mixed method multilevel study of neighbourhood context and postnatal depression

Criteria

Application

Hill’s aspects of association

Strength

Final models integrate strong associations of financial stress, lack of support, lost expectations and findings related to migrant mothers

Consistency

Final models consistent with earlier models and analysis

Specificity

No specificity identified

Temporality

No temporality demonstrated in this study

Biological gradient

Gradients were demonstrated in individual and ecological studies

Plausibility

The associations described are plausible

Coherence

The association is coherent with what is know

Experimental evidence

No experimental evidence was identified

Analogy

There are analogies between the propositions here and The Stress Process Model

Thagard’s Principles

Symmetry

There is symmetry in the final models depression

Explanation

The propositions (a) coheres with evidence on depression, (b) coheres with other propositions and (c) are not a single proposition.

Analogy

There are analogies between the propositions here and The Stress Process Model

Data priority

The propositions describe the QUANT and QUAL data observations.

Contradiction

There are no contradictory proposals

Competition

No competitive explanation identified where p and q were not explanatorily connected

Acceptance

The propositions are coherent with the overall system of propositions

Thagard’s Criteria

Consilience

The propositions explain a significant range of known facts

Simplicity

The propositions are the most simple set of explanations

Analogy

There are analogies between the propositions here and The Stress Process Model