Measurement and conceptualization of maternal PTSD following childbirth: Psychometric properties of the City Birth Trauma Scale—French Version (City BiTS-F).

Sandoz, Vania; Hingray, Coraline; Stuijfzand, Suzannah; Lacroix, Alain; El‐Hage, Wissam; Horsch, Antje

doi:10.1037/tra0001068

Cited by 25 publications

(39 citation statements)

References 42 publications

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“…The results of our study provide further important knowledge on the psychometric properties of the City BiTS. Also for the German version a twofactorial solution could be found in EFA, which is in accordance with previous validation studies, both of the original English version as well as other translated versions (17)(18)(19)(20)(21)(22). The subscale "Birth-related symptoms" explained about 38% and the subscale "General symptoms" about 14% of variance.…”

Section: Discussionsupporting

confidence: 89%

“…Only the recently developed City Birth Trauma Scale (City BiTS) was established in consideration of diagnostic criteria from DSM-5 (17). Next to the original English version, the City BiTS has been validated and translated into Turkish, Spanish, Hebrew, Croatian, and French (18)(19)(20)(21)(22). In addition to identifying the need for individual prevention and treatment of childbirthrelated PTSD, cross-cultural validations will help to establish the City BiTS as a standardized measure internationally, allowing for comparisons of childbirth-related PTSD symptoms between different languages and cultures.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Childbirth-Related PTSD: Psychometric Properties of the German Version of the City Birth Trauma Scale

et al. 2021

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Background: About 3–4% of women in community samples suffer from childbirth-related posttraumatic stress disorder (PTSD). Surprisingly, the recently developed City Birth Trauma Scale (City BiTS) was the first diagnostic tool for childbirth-related PTSD covering DSM-5 criteria for PTSD. Since no questionnaire on childbirth-related PTSD is available in German, we aimed to validate a German translation of the City BiTS and to provide information on its psychometric properties.Methods: A community sample of 1,072 mothers completed an online survey, which included questions on sociodemographic and obstetric characteristics, the German version of the City BiTS, the Impact of Event Scale-Revised (IES-R), the PTSD Checklist for DSM-5 (PCL-5), Edinburgh Postnatal Depression Scale (EPDS), and the anxiety subscale of the Depression, Anxiety, and Stress Scale (DASS-Anxiety).Results: Exploratory factor analysis (EFA) on a random split-half sample confirmed the previously reported two-factorial structure of the City BiTS. The factors “Childbirth-related symptoms” and “General symptoms” explained about 53%, 52% of variance. Internal consistency was good to excellent for the subscales and the total scale (Cronbach's Alpha = 0.89−0.92). In a confirmatory factor analysis (CFA) in the holdout sample the two-factorial solution reached the best model fit out of three models. Correlation analyses showed convergent validity of the City BiTS (total scale and subscales) with the IES-R and PCL-5 and divergent validity with the EPDS and the DASS-Anxiety.Limitations: Data were acquired in a community sample and prevalence rates might not be representative for mothers of high-risk groups, e.g., after preterm birth.Conclusions: The German version of the City BiTS is the first German questionnaire which allows to assess symptoms of childbirth-related PTSD according to DSM-5 criteria. Besides an improvement in clinical routine it will help to make data on prevalence of childbirth-related PTSD internationally comparable. In addition, this work provides a basis to assess childbirth-related PTSD in studies conducted with a longitudinal study design or in high-risk samples.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Assessment of Childbirth-Related PTSD: Psychometric Properties of the German Version of the City Birth Trauma Scale

et al. 2021

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“…Mothers and birth partners (i.e., male or female co-parent) first participated in a validation study and then completed an optional part assessing infant sleep and temperament. Details of the maternal validation study ( n = 541) are reported elsewhere [ 29 ]. Given that data collection for the birth partners is still ongoing, they will also be reported elsewhere.…”

Section: Methodsmentioning

confidence: 99%

“…Greater severity of CB-PTSD symptoms is suggested by a higher total score, which includes DSM-5 criteria B-E items (range: 0–60). The French version has demonstrated good psychometric properties [ 29 ]. The Cronbach’s α in the current study was good at 0.82, which was slightly lower than what was observed in postpartum English-speaking mothers [ 29 ].…”

Section: Methodsmentioning

confidence: 99%

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Maternal Mental Health Symptom Profiles and Infant Sleep: A Cross-Sectional Survey

et al. 2022

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The distinct influence of different, but comorbid, maternal mental health (MMH) difficulties (postpartum depression, anxiety, childbirth-related posttraumatic stress disorder) on infant sleep is unknown, although associations between MMH and infant sleep were reported. This cross-sectional survey aimed: (1) to examine associations between MMH symptoms and infant sleep; (2) to extract data-driven maternal MMH symptom profiles from MMH symptoms; and (3) to investigate the distinct influence of these MMH symptom profiles on infant sleep when including mediators and moderators. Mothers of 3–12-month-old infants (n = 410) completed standardized questionnaires on infant sleep, maternal perception of infant negative emotionality, and MMH symptoms. Data was analyzed using: (1) simple linear regressions; (2) factor analysis; and (3) structural equation modelling. MMH symptoms were all negatively associated with nocturnal sleep duration and only postpartum depression and anxiety symptoms were associated with night waking. Three MMH symptom profiles were extracted: depressive, anxious, and birth trauma profiles. Maternal perception of infant negative emotionality mediated the associations between the depressive or anxious profiles and infant sleep but only for particular infant ages or maternal education levels. The birth trauma profile was not associated with infant sleep. The relationships between MMH and infant sleep may involve distinct mechanisms contingent on maternal symptomatology.

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Psychometric properties of self-reported measures of psychological birth trauma in puerperae: A COSMIN systematic review

Chen,

Zhang,

Liu

et al. 2024

Qual Life Res

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Measurement and conceptualization of maternal PTSD following childbirth: Psychometric properties of the City Birth Trauma Scale—French Version (City BiTS-F).

Abstract: Sterlé for their help with data collection, as well as the women who shared their valuable time and took part in this study. Furthermore, we thank Prof Susan Ayers for discussions regarding the translation and cultural adaption of the questionnaire.

Cited by 25 publications

References 42 publications

Assessment of Childbirth-Related PTSD: Psychometric Properties of the German Version of the City Birth Trauma Scale

Assessment of Childbirth-Related PTSD: Psychometric Properties of the German Version of the City Birth Trauma Scale

Maternal Mental Health Symptom Profiles and Infant Sleep: A Cross-Sectional Survey

Psychometric properties of self-reported measures of psychological birth trauma in puerperae: A COSMIN systematic review

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