Validation Spanish of the Post-Traumatic Stress Disorder Scale in the Postpartum - City BITS

Background: Postpartum post-traumatic stress disorder (PTSD) has a prevalence of 3-4% in women, rising to 15-19% in the presence of risks during pregnancy or childbirth, and reaching 39% in the case of neonatal death. Perinatal complications can trigger a real or perceived threat to maternal or neon...

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Main Authors: Ayelén Acosta, Aquiles Pérez Delgado, Mercedes Lotufo, Angela Zayas, Sandro Giovanazzi
Format: Article
Language:English
Published: Instituto Peruano de Orientación Psicológica – IPOPS 2023-09-01
Series:Interacciones
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Online Access:https://ojs.revistainteracciones.com/index.php/rin/article/view/316
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author Ayelén Acosta
Aquiles Pérez Delgado
Mercedes Lotufo
Angela Zayas
Sandro Giovanazzi
author_facet Ayelén Acosta
Aquiles Pérez Delgado
Mercedes Lotufo
Angela Zayas
Sandro Giovanazzi
author_sort Ayelén Acosta
collection DOAJ
description Background: Postpartum post-traumatic stress disorder (PTSD) has a prevalence of 3-4% in women, rising to 15-19% in the presence of risks during pregnancy or childbirth, and reaching 39% in the case of neonatal death. Perinatal complications can trigger a real or perceived threat to maternal or neonatal life, which can evoke intense emotional reactions equivalent to a traumatic stressor according to PTSD criteria. Four symptom clusters have been identified: re-experiencing, avoidance, negative cognitions and mood, and hyperarousal symptoms. Despite its high comorbidity with depression and anxiety, postpartum PTSD remains underdiagnosed in maternal settings. The Postpartum Posttraumatic Stress Disorder Scale, originally developed in England, is in the process of translation and global validation. Objective: To validate the Spanish adaptation of the City Birth Trauma Scale. Methods: Quantitative, nonexperimental, cross-sectional, descriptive-correlational study in a sample of 677 Argentine women with children under 12 months of age. Results: Exploratory factor analysis revealed two dimensions that explained 49.56% of the total variance. Confirmatory factor analysis supported the two-factor structure. The scale showed high internal consistency (total α = .903), with α = .872 for 'birth-related symptoms' and α = .886 for 'general symptoms'. Construct validity of the City BiTS was demonstrated by moderate associations with the DASS-21 subscales and a negative correlation with the BIEPS-A. Conclusions: The Spanish adaptation of the City Birth Trauma Scale is confirmed as a reliable and valid instrument, consistent with original research findings and subsequent validations, articulating postpartum PTSD in two symptom categories: birth-related and general.
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publishDate 2023-09-01
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spelling doaj-art-1e41572e628e47359a6b5b4ab94f30712025-02-03T02:01:50ZengInstituto Peruano de Orientación Psicológica – IPOPSInteracciones2411-59402413-44652023-09-019e31610.24016/2023.v9.316Validation Spanish of the Post-Traumatic Stress Disorder Scale in the Postpartum - City BITSAyelén Acosta0https://orcid.org/0009-0004-5688-9678Aquiles Pérez Delgado1https://orcid.org/0009-0004-5688-9678Mercedes Lotufo2https://orcid.org/0009-0007-9155-2570Angela Zayas3https://orcid.org/0009-0005-8792-6934Sandro Giovanazzi4https://orcid.org/0009-0009-0692-9025Facultad de Psicología, Universidad Argentina de Empresas, Buenos Aires, ArgentinaFacultad de Psicología, Universidad Argentina de Empresas, Buenos Aires, ArgentinaFacultad de Psicología, Universidad Argentina de Empresas, Buenos Aires, ArgentinaFacultad de Psicología, Universidad Argentina de Empresas, Buenos Aires, ArgentinaEscuela Sistémica de Chile, Santiago de Chile, ChileBackground: Postpartum post-traumatic stress disorder (PTSD) has a prevalence of 3-4% in women, rising to 15-19% in the presence of risks during pregnancy or childbirth, and reaching 39% in the case of neonatal death. Perinatal complications can trigger a real or perceived threat to maternal or neonatal life, which can evoke intense emotional reactions equivalent to a traumatic stressor according to PTSD criteria. Four symptom clusters have been identified: re-experiencing, avoidance, negative cognitions and mood, and hyperarousal symptoms. Despite its high comorbidity with depression and anxiety, postpartum PTSD remains underdiagnosed in maternal settings. The Postpartum Posttraumatic Stress Disorder Scale, originally developed in England, is in the process of translation and global validation. Objective: To validate the Spanish adaptation of the City Birth Trauma Scale. Methods: Quantitative, nonexperimental, cross-sectional, descriptive-correlational study in a sample of 677 Argentine women with children under 12 months of age. Results: Exploratory factor analysis revealed two dimensions that explained 49.56% of the total variance. Confirmatory factor analysis supported the two-factor structure. The scale showed high internal consistency (total α = .903), with α = .872 for 'birth-related symptoms' and α = .886 for 'general symptoms'. Construct validity of the City BiTS was demonstrated by moderate associations with the DASS-21 subscales and a negative correlation with the BIEPS-A. Conclusions: The Spanish adaptation of the City Birth Trauma Scale is confirmed as a reliable and valid instrument, consistent with original research findings and subsequent validations, articulating postpartum PTSD in two symptom categories: birth-related and general.https://ojs.revistainteracciones.com/index.php/rin/article/view/316clinical psychologypost-traumatic stress disorderpsychopathologypostpartumperipartum disorders
spellingShingle Ayelén Acosta
Aquiles Pérez Delgado
Mercedes Lotufo
Angela Zayas
Sandro Giovanazzi
Validation Spanish of the Post-Traumatic Stress Disorder Scale in the Postpartum - City BITS
Interacciones
clinical psychology
post-traumatic stress disorder
psychopathology
postpartum
peripartum disorders
title Validation Spanish of the Post-Traumatic Stress Disorder Scale in the Postpartum - City BITS
title_full Validation Spanish of the Post-Traumatic Stress Disorder Scale in the Postpartum - City BITS
title_fullStr Validation Spanish of the Post-Traumatic Stress Disorder Scale in the Postpartum - City BITS
title_full_unstemmed Validation Spanish of the Post-Traumatic Stress Disorder Scale in the Postpartum - City BITS
title_short Validation Spanish of the Post-Traumatic Stress Disorder Scale in the Postpartum - City BITS
title_sort validation spanish of the post traumatic stress disorder scale in the postpartum city bits
topic clinical psychology
post-traumatic stress disorder
psychopathology
postpartum
peripartum disorders
url https://ojs.revistainteracciones.com/index.php/rin/article/view/316
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