City Research Online

Abstract

Objective: City Birth Trauma Scale is an instrument designed to evaluate and diagnose postpartum posttraumatic stress disorder (PTSD) according to the 5th edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5). No validated Swedish instrument exists to measure postpartum PTSD according to DSM-5. Therefore, the objective of this study was to assess the psychometric properties of the Swedish version of the City BiTS (City BiTS-Swe) and to examine the latent factor structure of postpartum PTSD.

Method: A total of 619 women, who had given birth at five clinics in the past six to 16 weeks, completed an online version of City BiTS-Swe and the Edinburgh Postnatal Depression Scale (EPDS). Additionally, sociodemographic and medical data was collected. A second questionnaire was answered by 110 women to examine reliability over time.

Results: The confirmatory factor analysis using the two-factor model gave best fit to the data. We found a high internal consistency (α = 0.89-0.87) and good test-retest reliability (ICC = 0.53 - 0.90). Divergent reliability with EPDS showed significant correlations with satisfying results for the subscale birth-related symptoms (r=0.41). We also found discriminant validity concerning mode of birth, parity, gestational age, mental illness, history of traumatic childbirth and history of traumatic event as expected.

Conclusions: The City BiTS-Swe is a valid and reliable instrument to assess and diagnose PTSD following childbirth.

Clinical impact statement: PTSD following childbirth can cause considerable suffering for the affected woman, her partner and the child. Having a valid and reliable instrument to assess and diagnose childbirth-related PTSD is of great importance for the detection and treatment of the disease. The results of this study confirms that the Swedish version of City BiTS is a reliable and valid instrument that can be recommended for use in daily clinical practice and for research purposes.

Publication Type:	Article
Additional Information:	©American Psychological Association, 2023. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. The final article is available, upon publication, at: https://doi.org/10.1037/tra0001465
Publisher Keywords:	PTSD, childbirth, trauma, validation, Swedish
Subjects:	R Medicine > RG Gynecology and obstetrics
Departments:	School of Health & Psychological Sciences > Midwifery & Radiography
SWORD Depositor:	Symplectic Administrator

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