Messinstrumente zur Erfassung von Geburtserwartungen und des Geburtserlebens (Teil 2 einer Serie zur psychologischen Diagnostik im Peripartalzeitraum)

Weigl, Tobias; Garthus-Niegel, Susan

doi:10.1055/a-1471-7714

Cited by 4 publications

(1 citation statement)

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“…The SBE was evaluated with the Salmon's Item List [SIL ( 34 ); German version ( 35 , 36 )], which consists of 20 items describing cognitive and emotional states. Each item is rated on a 7-point-scale differentiating between opposite qualities of experiences (e.g., satisfied–not satisfied, exhausted–not exhausted) with respect to birth itself and the three subsequent hours.…”

Section: Methodsmentioning

confidence: 99%

Subjective Birth Experience Predicts Mother–Infant Bonding Difficulties in Women With Mental Disorders

Junge-Hoffmeister

Bittner

Garthus-Niegel

et al. 2022

Front. Glob. Womens Health

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BackgroundThe subjective experience of giving birth to a child varies considerably depending on psychological, medical, situational, relational, and other individual characteristics. In turn, it may have an impact on postpartum maternal mental health and family relationships, such as mother–infant bonding. The objective of the study was to evaluate the relevance of the subjective birth experience (SBE) for mother–infant bonding difficulties (BD) in women with mental disorders.MethodsThis study used data from N = 141 mothers who were treated for postpartum mental disorders in the mother–baby day unit of the Psychosomatic University Clinic in Dresden, Germany. Patients' mental status at admission and discharge was routinely examined using a diagnostic interview (SCID I) and standard psychometric questionnaires (e.g., EPDS, BSI, PBQ). Both, the SBE (assessed by Salmon's Item List, SIL) as well as medical complications (MC) were assessed retrospectively by self-report. The predictive value of SBE, MC, as well as psychopathological symptoms for mother–infant BD were evaluated using logistic regression analyses.ResultsAbout half of this clinical sample (47.2%) reported a negative SBE; 56.8% of all mothers presented with severe mother–infant BD toward the baby. Mothers with BD showed not only significantly more depressiveness (EPDS: M = 16.6 ± 5.6 vs. 14.4 ± 6.2*), anxiety (STAI: M = 57.2 ± 10.6 vs. 51.4 ± 10.6***), and general psychopathology (BSI-GSI: M = 1.4 ± 0.7 vs. 1.1 ± 0.6**) compared to women without BD, but also a significantly more negative SBE (SIL: M = 79.3 ± 16.2 vs. 61.3 ± 22.9***). Moreover, the SBE was the most powerful predictor for BD in univariate and multiple logistic regression analyses [OR = 0.96*** (95% CI 0.94–0.98) vs. OR = 0.96** (95% CI 0.93–0.98)], even when univariate significant predictors (e.g., current psychopathology and MC during birth) were controlled.ConclusionsA negative SBE is strongly associated with mother–infant bonding in patients with postpartum mental disorders. It needs to get targeted within postpartum treatment, preferably in settings including both mother and child, to improve distorted mother–infant bonding processes and prevent long-term risks for the newborn. Furthermore, the results highlight the importance of focusing on the specific needs of vulnerable women prior to and during birth (e.g., emotional safety, good communication, and support) as well as individual factors that might be predictive for a negative SBE.

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Section: Methodsmentioning

confidence: 99%

Subjective Birth Experience Predicts Mother–Infant Bonding Difficulties in Women With Mental Disorders

Junge-Hoffmeister

Bittner

Garthus-Niegel

et al. 2022

Front. Glob. Womens Health

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„Wer kümmert sich um uns?“ Ergebnisse einer Querschnittsuntersuchung zur psychosozialen Gesundheit von Geburtshelfer*innen und Hebammen nach traumatischen Geburtserlebnissen

Hüner,

Kehl,

Stelzl

et al. 2024

Z Geburtshilfe Neonatol

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Zusammenfassung Hintergrund: Traumatische Geburten führen nicht nur zu emotionalem Stress für die werdenden Eltern, sondern können auch die psychosoziale Gesundheit von Hebammen und Geburtshelfer*innen aufgrund ihrer beruflichen Anforderungen beeinträchtigen. Ziel der Studie: Evaluation des Einflusses traumatischer Geburtserlebnisse auf die psychosoziale Gesundheit von geburtshilflichem Gesundheitspersonal. Methodik: Querschnittsuntersuchung unter Anwendung validierter Messinstrumente (Impact of Event Scale Revised IES-R, Copenhagen Burnout Inventory CBI) und Erhebung des posttraumatischen Wachstums (PGI-SF) durch eine Online-Befragung von Hebammen und Geburtshelfer*innen im deutschsprachigen Raum. Ergebnisse: Die Studie umfasst 700 Teilnehmer*innen mit peripartalen und/oder persönlichen Traumata. Die 33 Teilnehmer*innen (6,3% der 528 Teilnehmer*innen mit ausgefülltem IES-R ) mit einer posttraumatische Belastungsstörung (PTBS) erhielten seltener Unterstützung durch Kolleg*innen (p=0,007) und zogen häufiger Konsequenzen am Arbeitsplatz (p<0,001) als Teilnehmer*innen ohne PTBS. Ein moderates bis hohes Burnout-Level ergab sich für 66,2% der 542 Teilnehmer*innen mit ausgefülltem CBI. Bei 75,9% der 528 Teilnehmer*innen mit ausgefülltem PGI-SF zeigte sich durch das Erleben eines Traumas ein persönliches Wachstum. Schlussfolgerung: Die psychosoziale Gesundheit von Hebammen und Geburtshelfern ist durch traumatische Geburtserlebnisse gefährdet. Screening-Untersuchungen und das Angebot kollegialer und professioneller Nachbesprechungen zur Stärkung der Resilienz sind wesentliche präventive Maßnahmen.

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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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Messinstrumente zur Erfassung von Geburtserwartungen und des Geburtserlebens (Teil 2 einer Serie zur psychologischen Diagnostik im Peripartalzeitraum)

Cited by 4 publications

References 45 publications

Subjective Birth Experience Predicts Mother–Infant Bonding Difficulties in Women With Mental Disorders

Subjective Birth Experience Predicts Mother–Infant Bonding Difficulties in Women With Mental Disorders

„Wer kümmert sich um uns?“ Ergebnisse einer Querschnittsuntersuchung zur psychosozialen Gesundheit von Geburtshelfer*innen und Hebammen nach traumatischen Geburtserlebnissen

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

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