Validation of perinatal post-traumatic stress disorder questionnaire for Spanish women during the postpartum period

Hernández‐Martínez, Antonio; Martínez‐Vázquez, Sergio; Rodríguez‐Almagro, Julián; Khan, Khalid S.; Delgado-Rodrı́guez, Miguel; Martínez‐Galiano, Juan Miguel

doi:10.1038/s41598-021-85144-2

Cited by 10 publications

(6 citation statements)

References 26 publications

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“…The main outcome variable was the risk of PTSD, assessed using the Perinatal Post‐traumatic Stress Disorder Questionnaire (PPQ) 32,33 . The PPQ consists of 14 questions with Likert‐type answers and a score ranging from 0 to 56 points.…”

Section: Methodsmentioning

confidence: 99%

Obstetric factors associated with postpartum post‐traumatic stress disorder after spontaneous vaginal birth

Martínez‐Vázquez

Rodríguez‐Almagro

Hernández‐Martínez

et al. 2021

Birth

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Background This study aimed to determine whether there is an association between clinical practices carried out during spontaneous vaginal birth (SVB), or clinical situations that arise during vaginal birth, and the incidence of post‐traumatic stress disorder (PTSD). Methods A cross‐sectional study with 839 puerperal women in Spain was conducted. The Perinatal Post‐traumatic Stress Disorder Questionnaire (PPQ) was administered online. The relationship between the risk of postpartum PTSD and various intrapartum complications was studied in addition to practices or procedures performed during the intrapartum period. Results PTSD (PPQ scores ≥19) was identified in 8.1% (68) of the women who participated. Among the risk factors for PTSD was a concerning intrapartum FHR tracing (adjusted OR: 2.24, 95% CI: 1.07‐4.66). Other intrapartum practices also put women at risk of PTSD, including the administration of an enema (aOR: 7.01, 95% CI: 2.14‐23.01), being required to stay lying down throughout the labor and birth (aOR: 5.75, 95% CI: 3.25‐10.19), artificial amniorrhexis without consent (aOR: 2.28, 95% CI: 1.31‐3.97), administration of synthetic oxytocin without consent (aOR: 2.18, 95% CI: 1.26‐3.77), fundal pressure during pushing (aOR: 3.14, 95% CI: 1.72‐5.73), repeated vaginal examinations performed by different people (aOR: 4.84, 95% CI: 2.77‐8.47), and manual removal of the placenta without anesthesia (aOR: 3.45, 95% CI: 1.81‐6.58). Conclusions Various intrapartum clinical practices, all related to dehumanized treatment, and intrapartum complications, were associated with an increased risk of PTSD. There is a need to eradicate obstetric mistreatment and to increase access to evidence‐informed, respectful care in Spain. Care practitioners need to better appreciate their roles in preventing PTSD.

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Section: Methodsmentioning

confidence: 99%

Obstetric factors associated with postpartum post‐traumatic stress disorder after spontaneous vaginal birth

Martínez‐Vázquez

Rodríguez‐Almagro

Hernández‐Martínez

et al. 2021

Birth

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“…An existing systematic review and meta-analyses for PTSD and anxiety in parents of babies admitted to neonatal units 34 was used to identify tools for parents of children of 1 year or older. Four tools were identified for PTSD: Perinatal PTSD questionnaire (PPQ), 35 PTSD checklist, 36…”

Section: Areg Ivermentalhe Althmentioning

confidence: 99%

“…An existing systematic review and meta‐analyses for PTSD and anxiety in parents of babies admitted to neonatal units 34 was used to identify tools for parents of children of 1 year or older. Four tools were identified for PTSD: Perinatal PTSD questionnaire (PPQ), 35 PTSD checklist, 36 Impact of event scale‐ revised and Davidson Trauma Scale. The PPQ uses a binary yes/no scale and the PPQ‐2 uses a 5‐point Likert scale.…”

Section: Caregiver Mental Healthmentioning

confidence: 99%

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How to measure patient and family important outcomes in extremely preterm infants: A scoping review

Synnes,

Lam,

Ricci

et al. 2024

Acta Paediatrica

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AimParents of children born preterm have identified outcomes to be measured for audit and research at 18–24 months of age: child well‐being, quality of life/function, socio‐emotional/behavioural outcomes, respiratory, feeding, sleeping, and caregiver mental health. The aim was to identify the best tools to measure these seven domains.MethodsSeven working groups completed literature reviews and evaluated potential tools to measure these outcomes in children aged 18–24 months. A group of experts and parents voted on the preferred tools in a workshop and by questionnaire. Consensus was 80% agreement.ResultsConsensus was obtained for seven brief, inexpensive, parent friendly valid measures available in English or French for use in a minimum dataset and potential alternative measures for use in funded research.ConclusionValid questionnaires and tools to measure parent‐identified outcomes in young preterm children exist. This study will facilitate research and collection of data important to families.

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“…PTSD symptoms in the postpartum were assessed using the Spanish version of the Modified Perinatal PTSD Questionnaire [33]. The scale consists of 14 items that assess the reexperiencing of symptoms such as intrusions, arousal, or excessive avoidance of circumstances related to childbirth or pregnancy, with higher scores indicating higher levels of post-traumatic stress.…”

Section: Four Months Postpartum P-ptsd Symptomsmentioning

confidence: 99%

Mother-Child Bond through Feeding: A Prospective Study including Neuroticism, Pregnancy Worries and Post-Traumatic Symptomatology

Gutiérrez

Catalá

Écija

et al. 2023

IJERPH

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Post-traumatic stress disorder (PTSD) is a common postpartum problem and influences maternal bonding with the infant. However, the relationship between this disorder, maternal personality, and the infant’s emotional state during feeding is not clear. The aim of the present study was to explore the contribution of neuroticism on the infant’s emotional state during feeding, by attending to the mediating role of postpartum PTSD (P-PTSD) symptoms and the moderating role of worries during pregnancy. A prospective design study was developed with 120 women with a low pregnancy risk. They responded to a questionnaire assessing maternal personality (first trimester), worries during pregnancy (third trimester), P-PTSD symptoms, and mother-baby bonding (4 months postpartum). The results showed a positive association among neuroticism, infant irritability during feeding, and P-PTSD symptoms, suggesting the latter plays a mediating role in the relationship between neuroticism and infant irritability (B = 0.102, standard error (SE) = 0.03, 95% coefficient interval (CI) [0.038, 0.176]). Excessive worries, related to coping with infant care, played a moderating role between neuroticism and P-PTSD symptoms (B = 0.413, SE = 0.084, p = 0.006, 95% CI [0.245, 0.581]). This relationship was interfered with by depressive symptoms in the first trimester (covariate) (B = 1.820, SE = 0.420, p = 0.016, ci [2.314, 0.251]). This study contributes to a better understanding of the role of neuroticism as an influential factor in the occurrence of P-PTSD symptoms, and in the impairment of infant bonding during feeding. Paying attention to these factors may favor the development of psychological support programs for mothers, with the aim of strengthening the bond with their child.

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Validation of perinatal post-traumatic stress disorder questionnaire for Spanish women during the postpartum period

Cited by 10 publications

References 26 publications

Obstetric factors associated with postpartum post‐traumatic stress disorder after spontaneous vaginal birth

Obstetric factors associated with postpartum post‐traumatic stress disorder after spontaneous vaginal birth

How to measure patient and family important outcomes in extremely preterm infants: A scoping review

Mother-Child Bond through Feeding: A Prospective Study including Neuroticism, Pregnancy Worries and Post-Traumatic Symptomatology

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