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External Validation and Test-Retest Reliability of Postpartum Bonding Questionnaire in Spanish Mothers

Published online by Cambridge University Press:  11 October 2021

Anna Torres-Giménez Open the ORCID record for Anna Torres-Giménez [Opens in a new window] ,
Alba Roca-Lecumberri ,
Bàrbara Sureda ,
Susana Andrés-Perpiña ,
Bruma Palacios-Hernández ,
Estel Gelabert ,
Borja Farré-Sender ,
Susana Subirà-Álvarez  and
Lluïsa García-Esteve
Anna Torres-Giménez*
Affiliation:
Hospital Clinic of Barcelona, IDIBAPS (Spain)
Alba Roca-Lecumberri
Affiliation:
Hospital Clinic of Barcelona, IDIBAPS (Spain)
Bàrbara Sureda
Affiliation:
Hospital Clinic of Barcelona, IDIBAPS (Spain)
Susana Andrés-Perpiña
Affiliation:
Hospital Clinic of Barcelona, IDIBAPS (Spain)
Bruma Palacios-Hernández
Affiliation:
Universidad Autónoma del Estado de Morelos (Mexico)
Estel Gelabert
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Borja Farré-Sender
Affiliation:
Hospital Universitari Dexeus - Grupo Quirónsalud (Spain)
Susana Subirà-Álvarez
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Lluïsa García-Esteve
Affiliation:
Hospital Clinic of Barcelona, IDIBAPS (Spain)
*
Correspondence concerning this article should be addressed to Anna Torres-Giménez. Clínic Barcelona Hospital Universitari-Maternitat. Servei de Psiquiatria i Psicologia. Unitat de Salut Mental Perinatal. Carrer de Sabino Arana, 1. 08028 Barcelona (Spain). Phone: +34–932279948. E-mail: [email protected]
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Abstract

The aim of the present study was to validate the Spanish Postpartum Bonding Questionnaire (PBQ) against external criteria of bonding disorder, as well as to establish its test-retest reliability. One hundred fifty-six postpartum women consecutively recruited from a perinatal mental health outpatient unit completed the PBQ at 4–6 weeks postpartum. Four weeks later, all mothers completed again the PBQ and were interviewed using the Birmingham Interview for Maternal Mental Health to establish the presence of a bonding disorder. Receiver operating characteristic curve analysis revealed an area under the curve (AUC) value for the PBQ total score of 0.93, 95% CI [0.88, 0.98], with the optimal cut-off of 13 for detecting bonding disorders (sensitivity: 92%, specificity: 87%). Optimal cut-off scores for each scale were also obtained. The test-retest reliability coefficients were moderate to good. Our data confirm the validity of PBQ for detecting bonding disorders in Spanish population.

Keywords

clinical sampleexternal validationmother-infant relationship disorderPostpartum Bonding Questionnairetest-retest reliability
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 24 , 2021 , e47
Copyright
© Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2021

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Footnotes

Conflict of Interest: None.

Funding Statements: This research received no specific grant from any funding agency, commercial or not-for-profit sectors.

Author note: Both Anna Torres-Giménez and Alba Roca-Lecumberri contributed equally to the work and are considered as co-first authors of the present manuscript.

References

Brockington, I. F., Aucamp, H. M., & Fraser, C. (2006). Severe disorders of the mother-infant relationship: Definitions and frequency. Archives of Women’s Mental Health, 9(5), 243–251. https://doi.org/10.1007/s00737-006-0133-0CrossRefGoogle ScholarPubMed
Brockington, I. F., Fraser, C., & Wilson, D. (2006). The Postpartum Bonding Questionnaire: A validation. Archives of Women’s Mental Health, 9(5), 233–242. https://doi.org/10.1007/s00737-006-0132-1CrossRefGoogle ScholarPubMed
Brockington, I. F., Oates, J., George, S., Turner, D., Vostanis, P., Sullivan, M., Loh, C., & Murdoch, C. (2001). A Screening Questionnaire for mother-infant bonding disorders. Archives of Women’s Mental Health, 3(4), 133–140. https://doi.org/10.1007/s007370170010CrossRefGoogle Scholar
Brockington, I. F., Chandra, P., Bramante, A., Dubow, H., Fakher, W., Garcia-Esteve, L., Hofberg, K., Moussa, S., Palacios-Hernández, B., Parfitt, Y., & Shieh, P.-L. (2017). The Stafford Interview : A comprehensive interview for mother-infant psychiatry. Archives of Women’s Mental Health, 20(1), 107–112. https://doi.org/10.1007/s00737-016-0683-8CrossRefGoogle ScholarPubMed
Brockington, I. F., Chandra, P., Felice, E., George, S., Grybos, M., Hofberg, K., Kiejna, A., Kitzol, M., Lanczik, M. H., Loh, C., Niemela, P., Rymaszewska, J., Rondon, M., Shi, S., Vostania, P., & Wainscott, G. (2006). The Birmingham interview for maternal mental health (5th Ed.). Eyre Press.Google Scholar
Busonera, A., Cataudella, S., Lampis, J., Tommasi, M., & Zavattini, G. C. (2017). Psychometric properties of the Postpartum Bonding Questionnaire and correlates of mother–infant bonding impairment in Italian new mothers. Midwifery, 55, 15–22. https://doi.org/10.1016/j.midw.2017.08.011CrossRefGoogle ScholarPubMed
DeLong, E. R., DeLong, D. M., & Clarke-Pearson, D. L. (1988). Comparing the areas under two or more correlated receiver operating characteristic curves: A nonparametric approach. Biometrics, 44(3), 837–845. https://doi.org/10.2307/2531595CrossRefGoogle ScholarPubMed
Edhborg, M., Matthiesen, A.-S., Lundh, W., & Widström, A.-M. (2005). Some early indicators for depressive symptoms and bonding 2 months postpartum-A study of new mothers and fathers. Archives of Women’s Mental Health, 8(4), 221–231. https://doi.org/10.1007/s00737-005-0097-5CrossRefGoogle Scholar
Farré-Sender, B., Torres, A., Gelabert, E., Andrés, S., Roca, A., Lasheras, G., Valdés, M., & Garcia-Esteve, L. (2018). Mother-infant bonding in the postpartum period: Assessment of the impact of pre-delivery factors in a clinical sample. Archives of Women’s Mental Health, 21(3), 287–297. https://doi.org/10.1007/s00737-017-0785-yCrossRefGoogle Scholar
Garcia-Esteve, L., Torres, A., Lasheras, G., Palacios-Hernández, B., Farré-Sender, B., Subirà, S., Valdés, M., & Brockington, I. F. (2016). Assessment of psychometric properties of the Postpartum Bonding Questionnaire (PBQ) in Spanish mothers. Archives of Women’s Mental Health, 19(2), 385–394. https://doi.org/10.1007/s00737-015-0589-xCrossRefGoogle Scholar
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159–174. https://doi.org/10.2307/2529310CrossRefGoogle ScholarPubMed
Loh, C.-C., & Vostanis, P. (2004). Perceived mother-infant relationship difficulties in postnatal depression. Infant and Child Development, 13(2), 159–171. https://doi.org/10.1002/icd.347CrossRefGoogle Scholar
Ohashi, Y., Kitamura, T., Sakanashi, K., & Tanaka, T. (2016). Postpartum Bonding Disorder: Factor structure, validity, reliability and a model comparison of the Postnatal Bonding Questionnaire in Japanese mothers of infants. Healthcare, 4(3), Article 50. https://doi.org/10.3390/healthcare4030050CrossRefGoogle Scholar
Reck, C., Klier, C. M., Pabst, K., Stehle, E., Steffenelli, U., Struben, K., & Backenstrass, M. (2006). The German version of the Postpartum Bonding Instrument: Psychometric properties and association with postpartum depression. Archives of Women’s Mental Health, 9(5), 265–271. http://doi.org/10.1007/s00737-006-0144-xCrossRefGoogle ScholarPubMed
Siu, B. W.-M., Ip, P., Chow, H. M.-T., Kwok, S. S.-P., Li, O.-L., Koo, M.-L., Cheung, E. F.-C., Yeung, T. M.-H., & Hung, S.-F. (2010). Impairment of mother-infant relationship. The Journal of Nervous and Mental Disease, 198(3), 174–179. https://doi.org/10.1097/NMD.0b013e3181d14154CrossRefGoogle ScholarPubMed
Suetsugu, Y., Honjo, S., Ikeda, M., & Kamibeppu, K. (2015). The Japanese version of the Postpartum Bonding Questionnaire: Examination of the reliability, validity, and scale structure. Journal of Psychosomatic Research, 79(1), 55–61. https://doi.org/10.1016/j.jpsychores.2015.02.008CrossRefGoogle ScholarPubMed
Taylor, A., Atkins, R., Kumar, R., Adams, D., & Glover, V. (2005). A new Mother-to-Infant Bonding Scale: Links with early maternal mood. Archives of Women’s Mental Health, 8(1), 45–51. https://doi.org/10.1007/s00737-005-0074-zCrossRefGoogle ScholarPubMed
Terwee, C. B., Bot, S. D. M., de Boer, M. R., van der Windt, D. A. W. M., Knol, D. L., Dekker, J., Bouter, L. M., & de Vet, H. C. W. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012CrossRefGoogle ScholarPubMed
van Bussel, J. C. H., Spitz, B., & Demyttenaere, K. (2010). Three self-report questionnaires of the early mother-to-infant bond: Reliability and validity of the Dutch version of the MPAS, PBQ and MIBS. Archives of Women’s Mental Health, 13(5), 373–384. https://doi.org/10.1007/s00737-009-0140-zCrossRefGoogle ScholarPubMed
Vengadavaradan, A., Bharadwaj, B., Sathynarayanan, G., Durairaj, J., & Rajaa, S. (2019). Translation, validation and factor structure of the Tamil version of the Postpartum Bonding Questionnaire (PBQ-T). Asian Journal of Psychiatry, 40, 62–67. https://doi.org/10.1016/j.ajp.2019.01.018CrossRefGoogle Scholar
Wittkowski, A., Williams, J., & Wieck, A. (2010). An examination of the psychometric properties and factor structure of the Postpartum Bonding Questionnaire in a clinical inpatient sample. The British Journal of Clinical Psychology/The British Psychological Society, 49, 163–172. https://doi.org/10.1348/014466509X445589CrossRefGoogle Scholar
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