Measuring and conceptualizing PTSD following childbirth: Validation of the City Birth Trauma Scale

Psychological Trauma : Theory, Research, Practice and Policy
Sandra Nakić RadošSusan Ayers

Abstract

City Birth Trauma Scale is a recently developed scale specifically designed for evaluation of posttraumatic stress disorder (PTSD) following childbirth based on the DSM-5 criteria (Ayers, Wright, & Thornton, 2018). Previous studies showed a two-factor structure of PTSD symptoms in postpartum women; however, more complex models were not tested. This study aimed to validate the Croatian version of the City Birth Trauma Scale and determine the latent factor structure of postpartum PTSD. In a cross-sectional study, 603 women completed online questionnaires comprising the City Birth Trauma Scale, Impact of Event Scale-Revised (IES-R), Edinburgh Postnatal Depression Scale (EPDS), and the anxiety subscale from the Depression, Anxiety, and Stress Scale (DASS-21). Confirmatory factor analysis confirmed the bifactor model of birth-related symptoms and general symptoms had an excellent fit to the data. Both subscales and the total scale showed high internal consistency (α = .92). Convergent and divergent validity testing showed high validity, especially for birth-related symptoms. Discriminant validity was confirmed with primiparous women and women who gave birth by instrumental vaginal delivery and emergency caesarean section having sign...Continue Reading

Citations

Dec 3, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Fadime Bayrı BingölPelin Dikmen Yildiz
Mar 18, 2021·BMC Psychiatry·Deniz ErtanWissam El-Hage
Sep 28, 2021·Journal of Psychosomatic Obstetrics and Gynaecology·Flavia de Lima OsórioSusan Ayers
Nov 12, 2021·Stress and Health : Journal of the International Society for the Investigation of Stress·Sandra Nakić RadošColin R Martin

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