Top

Gepubliceerd in:

19-08-2022 | Original Paper

The Postpartum Bonding Questionnaire: validity evidence from the Brazilian version

Auteurs: Adriana M. Saur, Jorge Sinval, Cristina M. Del-Ben, Rosângela F. L. Batista, Antônio A. M. Da Silva, Marco A. Barbieri, Heloisa Bettiol

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 6/2023

Abstract

The Postpartum Bonding Questionnaire is a self-report questionnaire designed to screen disorders of the mother-infant relationship, which has been adapted to several countries. The aim of this study was to investigate validity evidence of the Brazilian version of the Postpartum Bonding Questionnaire (PBQ-Br) based on its internal structure (dimensionality, reliability, and measurement invariance between mothers with and without depressive symptoms) and on relations to other variables (depression). The present study is part of the Ribeirão Preto and São Luís Brazilian Cohort Studies, encompassing data collected from February 2011 to September 2013. Data were available for 2207 mothers from the general population of Ribeirão Preto and São Luís cities, who were assessed using the PBQ and the Edinburgh Postnatal Depression Scale. Regarding internal structure, the results of confirmatory factor analyses did not support the original four-factor model, nor the alternative structures tested. Exploratory factor analysis suggested a one-factor model with eight items for the collected data, accounting for 38.7% of the total variance with good internal consistency (α = 0.83). Concerning validity evidence based on relations to other variables, the mean PBQ-Br score for mothers with depressive symptoms was significantly higher than for mothers with no depressive symptoms. In conclusion, we found good validity evidence and the PBQ-Br proved to be a useful tool for assessing the mother-infant relationship in the Brazilian general population rather than for its original purpose, i.e., assessing bonding disorders. The results also highlight the importance of developing cross-cultural studies in order to provide useful measures for specific populations.

vorige artikel Examining a Key Measure of Youth Disclosure to Parents for Measurement Invariance Across Time and Reporters

volgende artikel Validation of Parenting Your Baby and Parenting Your Toddler and Associations with Engagement in Parenting Intervention

Baldisserotto, M. L., Theme-Filha, M. M., Griep, R. H., Oates, J., Renó, Jr, J., & Cavalsan, J. P. (2018). Transcultural adaptation to the Brazilian Portuguese of the Postpartum Bonding Questionnaire for assessing the postpartum bond between mother and baby. Cadernos de Saúde Pública, 34(7), e00170717. https://doi.org/10.1590/0102-311x00170717.CrossRefPubMed

Barker, J., Daniels, A., O’Neal, K., & Van Sell, S. L. (2017). Maternal-newborn bonding concept analysis. International Journal of Nursing & Clinical Practices, 4, 229–234. https://doi.org/10.15344/2394-4978/2017/229.CrossRef

Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976), 25(24), 3186–3191. https://doi.org/10.1097/00007632-200012150-00014.CrossRefPubMed

Bernard, K., Nissim, G., Vaccaro, S., Harris, J. L., & Lindhiem, O. (2018). Association between maternal depression and maternal sensitivity from birth to 12 months: A meta-analysis. Attachment & Human Development, 20(6), 578–599. https://doi.org/10.1080/14616734.2018.1430839.CrossRef

Bicking Kinsey, C., & Hupcey, J. E. (2013). State of the science of maternal-infant bonding: A principle-based concept analysis. Midwifery, 29(12), 1314–1320. https://doi.org/10.1016/j.midw.2012.12.019.CrossRefPubMed

Boomsma, A. (2000). Reporting analyses of covariance structures. Structural Equation Modeling: A Multidisciplinary Journal, 7(3), 461–483. https://doi.org/10.1207/S15328007SEM0703_6.CrossRef

Brockington, I. (2004). Postpartum psychiatric disorders. Lancet, 363(9405), 303–310. https://doi.org/10.1016/s0140-6736(03)15390-1.CrossRefPubMed

Brockington, I. (2016). Emotional rejection of the infant: Status of the concept. Psychopathology, 49(4), 247–260. https://doi.org/10.1159/000448334.CrossRefPubMed

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/s00737-006-0133-0.CrossRefPubMed

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/s00737-006-0132-1.CrossRefPubMed

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/s007370170010.CrossRef

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.2017.08.011.CrossRefPubMed

Byrne, B. M. (2016). Structural equation modeling with Amos: Basic concepts, applications, and programming (3rd ed.). Routledge. https://doi.org/10.4324/9781410600219.

Chin, W. W., & Todd, P. A. (1995). On the use, usefulness, and ease of use of Structural Equation Modeling in MIS research: A note of caution. MIS Quarterly, 19(2), 237–246. https://www.jstor.org/stable/249690.CrossRef

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.

Cooper, P. J., Tomlinson, M., Swartz, L., Landman, M., Molteno, C., Stein, A., McPherson, K., & Murray, L. (2009). Improving quality of mother-infant relationship and infant attachment in socioeconomically deprived community in South Africa: Randomised controlled trial. BMJ, 338, b974 https://doi.org/10.1136/bmj.b974.CrossRefPubMedPubMedCentral

Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782–786. https://doi.org/10.1192/bip.150.6.782.CrossRef

Da Silva, A. A. M., Simões, V. M. F., Barbieri, M. A., Cardoso, V. C., Alves, C. M. C., Thomaz, E. B. A. F., de Sousa Queiroz, R. C., Cavalli, R. C., Batista, R. F., & Bettiol, H. (2014). A protocol to identify non-classical risk factors for preterm births: The Brazilian Ribeirão Preto and São Luís prenatal cohort (BRISA). Reproductive Health, 11, 79 https://doi.org/10.1186/1742-4755-11-79.CrossRefPubMedPubMedCentral

Dib, E. P., Padovani, F. H. P., & Perosa, G. B. (2019). Mother-child interaction: Implications of chronic maternal anxiety and depression. Psicologia: Reflexão e Crítica, 32, 1–9. https://doi.org/10.1186/s41155-019-0123-6.CrossRef

Dubber, S., Reck, C., Muller, M., & Gawlik, S. (2015). Postpartum bonding: The role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Archives of Women’s Mental Health, 18(2), 187–195. https://doi.org/10.1007/s00737-014-0445-4.CrossRefPubMed

Edhborg, M., Nasreen, H. E., & Kabir, Z. N. (2011). Impact of postpartum depressive and anxiety symptoms on mothers’ emotional tie to their infants 2-3 months postpartum: A population-based study from rural Bangladesh. Archives of Women’s Mental Health, 14(4), 307–316. https://doi.org/10.1007/s00737-011-0221-7.CrossRefPubMed

Figueiredo, F. P., Parada, A. P., Cardoso, V. C., Batista, R. F., Silva, A. A., Barbieri, M. A., Cavalli, R., de, C., Bettiol, H., & Del-Ben, C. M. (2015). Postpartum depression screening by telephone: a good alternative for public health and research.Archives of Women’s Mental Health, 18(3), 547–553. https://doi.org/10.1007/s00737-014-0480-1.CrossRefPubMed

Finney, S. J., & DiStefano, C. (2013). Nonnormal and categorical data in structural equation modeling. In G. R. Hancock & R. O. Mueller (Eds.), Structural equation modeling: A second course (2nd ed., pp. 439–492). Information Age Publishing.

Finney, S. J., DiStefano, C., & Kopp, J. P. (2016). Overview of estimation methods and preconditions for their application with structural equation modeling. In K. Schweizer & C. DiStefano (Eds.), Principles and methods of test construction: Standards and recent advances (pp. 134–165). Hogrefe. https://doi.org/10.1027/00449-000.

Fisher, J., Cabral de Mello, M., Patel, V., Rahman, A., Tran, T., Holton, S., & Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low and lower-middle-income countries: A systematic review. Bulletin of the World Health Organization, 90(2), 139–149. https://doi.org/10.2471/BLT.11.091850.CrossRef

Fox, J., & Weisberg, S. (2019). An R Companion to applied regression (3rd ed.). Sage.

Freeman, M. P. (2019). Perinatal depression: Recommendations for prevention and the challenges of implementation. Journal of the American Medical Association, 321(6), 550–552. https://doi.org/10.1001/jama.2018.21247.CrossRefPubMed

Garcia-Esteve, L., Torres, A., Lasheras, G., Palacios-Hernandez, B., Farre-Sender, B., Subira, 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-x.CrossRefPubMed

Ghahremani, S., Aryan, H., Ghahremani, S., Rakhshanizadeh, F., Rahimi, R., & Ghazanfarpour, M. (2019). Factorial structures of Postpartum Bonding Questionnaire (PBQ): A systematic review. International Journal of Pediatrics, 7(4), 9295–9303. https://doi.org/10.22038/ijp.2018.36262.3164.CrossRef

Hays, W. L. (1963). Statistics for psychologists. Holt, Rinehart: Winston.

Hill, R., & Flanagan, J. (2020). The maternal-infant bond: Clarifying the concept. International Journal of Nursing Knowledge, 31(1), 14–18. https://doi.org/10.1111/2047-3095.12235.CrossRefPubMed

Højsgaard, S., & Halekoh, U. (2018). doBy: Groupwise statistics, LSmeans, linear contrasts, utilities (R package version 4.6-2) [Computer software]. https://cran.r-project.org/package=doBy.

Jorgensen, T. D., Pornprasertmanit, S., Schoemann, A. M., & Rosseel, Y. (2019). semTools: Useful tools for structural equation modeling (R package version 0.5-1.933) [Computer software]. https://cran.r-project.org/package=semTools.

Kaneko, H., & Honjo, S. (2014). The psychometric properties and factor structure of the postpartum bonding questionnaire in Japanese mothers. Psychology, 5(9), 1135–1142. https://doi.org/10.4236/psych.2014.59126.CrossRef

Kerstis, B., Aarts, C., Tillman, C., Persson, H., Engström, G., Edlund, B., Öhrvik, J., Sylvén, S., & Skalkidou, S. (2016). Association between parental depressive symptoms and impaired bonding with the infant. Archives of Women’s Mental Health, 19(1), 87–94. https://doi.org/10.1007/s00737-015-0522-3.CrossRefPubMed

Kinsey, C. B., Baptiste-Roberts, K., Zhu, J., & Kjerulff, K. H. (2014). Birth-related, psychosocial, and emotional correlates of positive maternal-infant bonding in a cohort of first-time mothers. Midwifery, 30(5), e188–e194. https://doi.org/10.1016/j.midw.2014.02.006.CrossRefPubMedPubMedCentral

Klier, C. M. (2006). Mother-infant bonding disorders in patients with postnatal depression: The Postpartum Bonding Questionnaire in clinical practice. Archives of Women’s Mental Health, 9(5), 289–291. https://doi.org/10.1007/s00737-006-0150-z.CrossRefPubMed

Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). The Guilford Press.

Lemon, J. (2006). Plotrix: A package in the red light district of R. R-News, 6(4), 8–12. https://www.r-project.org/doc/Rnews/Rnews_2006-4.pdf.

Lüdecke, D. (2019). sjstats: Statistical functions for regression models (R package version 0.17.3) [Computer software]. https://doi.org/10.5281/zenodo.1284472.

Marôco, J. (2014). Análise de equações estruturais: Fundamentos teóricos, software & aplicações (2nd ed.). Report Number.

Marôco, J. (2018). Análise estatística com o SPSS Statistics (7th ed.). Report Number.

Mason, M. (2015). Impact of bonding questionnaires in an assessment of maternal–infant bonding: A review of the literature. Journal of Health Visiting, 3(8), 432–438. https://doi.org/10.12968/johv.2015.3.8.432.CrossRef

McDonald, R. P., & Ho, M.-H. R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods, 7(1), 64–82. https://doi.org/10.1037/1082-989X.7.1.64.CrossRefPubMed

McNamara, A., Arino de la Rubia, E., Zhu, H., Ellis, S., & Quinn, M. (2018). skimr: Compact and flexible summaries of data (R package version 1.0.3) [Computer software]. https://cran.r-project.org/package=skimr.

Millsap, R. E., & Yun-Tein, J. (2004). Assessing factorial invariance in ordered-categorical measures. Multivariate Behavioral Research, 39(3), 479–515. https://doi.org/10.1207/S15327906MBR3903_4.CrossRef

Moehler, E., Brunner, R., Wiebel, A., Reck, C., & Resch, F. (2006). Maternal depressive symptoms in the postnatal period are associated with long-term impairment of mother-child bonding. Archives of Women’s Mental Health, 9(5), 273–278. https://doi.org/10.1007/s00737-006-0149-5.CrossRefPubMed

Muthén, B. O. (1983). Latent variable structural equation modeling with categorical data. Journal of Econometrics, 22(1–2), 43–65. https://doi.org/10.1016/0304-4076(83)90093-3.CrossRef

Nazaré, B., Fonseca, A., & Canavarro, M. C. (2011). Postpartum Bonding Questionnaire: Estudo da versão portuguesa numa amostra comunitária. In A. S. Ferreira, A. Verhaeghe, D. R. Silva, L. S. Almeida, R. Lima, & S. Fraga (Eds.), Actas do VIII Congresso Iberoamericano de Avaliação Psicológica e XV Conferência Internacional de Avaliação Psicológica: Formas e contextos (pp. 1961−1973). Sociedade Portuguesa de Psicologia. http://hdl.handle.net/10316/18233.

Nazaré, B., Fonseca, A., & Canavarro, M. C. (2012). Avaliação da ligação parental ao bebé após o nascimento: Análise fatorial confirmatória da versão portuguesa do Postpartum Bonding Questionnaire (PBQ). Análise Psicológica, 10(1), 47–61. http://hdl.handle.net/10400.12/3442.

Nonnenmacher, N., Noe, D., Ehrenthal, J. C., & Reck, C. (2016). Postpartum bonding: The impact of maternal depression and adult attachment style. Archives of Women’s Mental Health, 19(5), 927–935. https://doi.org/10.1007/s00737-016-0648-y.CrossRefPubMed

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 (Basel), 4(3), E50 https://doi.org/10.3390/healthcare4030050.CrossRef

Oliden, P. E., & Zumbo, B. D. (2008). Reliability coefficients for ordinal response scales. Psicothema, 20(4), 896–901. http://www.psicothema.com/pdf/3572.pdf.

Örün, E., Yalçin, S. S., & Mutlu, B. (2013). Relations of maternal psychopathologies, social-obstetrical factors and mother-infant bonding at 2-month postpartum: A sample of Turkish mothers. World Journal of Pediatrics, 9(4), 350–355. https://doi.org/10.1007/s12519-013-0432-2.CrossRefPubMed

Papenberg, M. (2018). minDiff: Minimize differences between groups (R package version 0.01-3) [Computer software]. https://github.com/m-Py/minDiff.

R Core Team. (2019). R: A language and environment for statistical computing (version 3.6.1) [Computer software]. https://www.r-project.org/.

Raykov, T. (2001). Estimation of congeneric scale reliability using covariance structure analysis with nonlinear constraints. The British Journal of Mathematical and Statistical Psychology, 54(2), 315–323. https://doi.org/10.1348/000711001159582.CrossRefPubMed

Reay, R., Matthey, S., Ellwood, D., & Scott, M. (2011). Long-term outcomes of participants in a perinatal depression early detection program. Journal of Affective Disorders, 129(1-3), 94–103. https://doi.org/10.1016/j.jad.2010.07.035.CrossRefPubMed

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. https://doi.org/10.1007/s00737-006-0144-x.CrossRefPubMed

Revelle, W. (2019). psych: Procedures for psychological, psychometric, and personality research (R package version 1.9.4) [Computer software]. https://cran.r-project.org/package=psych.

Rodriguez, J. D., da Silva, A. A., Bettiol, H., Barbieri, M. A., & Rona, R. J. (2011). The impact of perinatal and socioeconomic factors on mental health problems of children from a poor Brazilian city: A longitudinal study. Social Psychiatry and Psychiatric Epidemiology, 46(5), 381–391. https://doi.org/10.1007/s00127-010-0202-6.CrossRefPubMed

Rosseel, Y. (2012). lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–21. https://doi.org/10.18637/jss.v048.i02.CrossRef

RStudio Team. (2019). RStudio: Integrated development for R (version 1.2.1330) [Computer software]. http://www.rstudio.com/.

Ruscio, J. (2018). RGenData: Generates multivariate nonnormal data and determines how many factors to retain (R package version 1.0) [Computer software]. https://cran.r-project.org/package=RGenData.

Ruscio, J., & Roche, B. (2012). Determining the number of factors to retain in an exploratory factor analysis using comparison data of known factorial structure. Psychological Assessment, 24(2), 282–292. https://doi.org/10.1037/a0025697.CrossRefPubMed

Santos, I. S., Matijasevich, A., Tavares, B. F., Barros, A. J., Botelho, I. P., Lapolli, C., Magalhães, P. V. S., Barbosa, A. P. P. N., & Barros, F. C. (2007). Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study. Cadernos de Saúde Pública, 23(11), 2577–2588. https://doi.org/10.1590/S0102-311X2007001100005.CrossRefPubMed

Saur, A. M., & Dos Santos, M. A. (2021). Risk factors associated with stress symptoms during pregnancy and postpartum: integrative literature review. Women Health, 61(7), 651–667. https://doi.org/10.1080/03630242.2021.1954132.CrossRefPubMed

Signorell, A., Aho, K., Alfons, A., Anderegg, N., Aragon, T., Arppe, A., Baddeley, A., Barton, K., Bolker, B., Borchers, H. W., Caeiro, F., Champely, S., Chessel, D., Chhay, L., Cummins, C., Dewey, M., Doran, H. C., Dray, S., Dupont, C., … Zeileis, A. (2019). DescTools: Tools for descriptive statistics (R package version 0.99.28) [Computer software]. https://cran.r-project.org/package=DescTools.

Siu, B. W., Ip, P., Chow, H. M., Kwok, S. S., Li, O. L., Koo, M. L., Cheung, E. F., Yeung, T. M., & Hung, S. F. (2010). Impairment of mother-infant relationship: Validation of the Chinese version of Postpartum Bonding Questionnaire. Journal of Nervous and Mental Disease, 198(3), 174–179. https://doi.org/10.1097/NMD.0b013e3181d14154.CrossRefPubMed

Slade, A., & Sadler, L. S. (2018). Pregnancy and infant mental health. In C. H. Zeanah (Ed.), Handbook of infant mental health (4th ed., pp. 25−40). The Guilford Press.

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.2015.02.008.CrossRefPubMed

van Bussel, J. C., 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-z.CrossRefPubMed

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 Pediatrics, 40, 62–67. https://doi.org/10.1016/j.ajp.2019.01.018.CrossRef

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. British Journal of Clinical Psychology, 49(Pt 2), 163–172. https://doi.org/10.1348/014466509x445589.CrossRefPubMed

Wittkowski, A., Vatter, S., Muhinyi, A., Garrett, C., & Henderson, M. (2020). Measuring bonding or attachment in the parent-infant-relationship: A systematic review of parent-report assessment measures, their psychometric properties and clinical utility. Clinical Psychology Review, 82, 101906 https://doi.org/10.1016/j.cpr.2020.101906.CrossRefPubMedPubMedCentral

Titel: The Postpartum Bonding Questionnaire: validity evidence from the Brazilian version
Auteurs: Adriana M. Saur
Jorge Sinval
Cristina M. Del-Ben
Rosângela F. L. Batista
Antônio A. M. Da Silva
Marco A. Barbieri
Heloisa Bettiol
Publicatiedatum: 19-08-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 6/2023
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-022-02406-x

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2023

Factor Structure, Reliability, and Validity of the Wraparound Fidelity Index Short Form (WFI-EZ)

Adaptations to the Learning Environment for Elementary School Children in Georgia during the COVID-19 Pandemic

Pilot Study Examining Caregiver–Child and Family Functioning in PEERS® for Preschoolers

Absent and Problematic: The Representation of Fathers in the Program Policies of Organizations that Provide Family-Centred Services in Vancouver’s Downtown Eastside

Assessing the Feasibility of Peer Coach Training for Disruptive Middle School Youth: A Mixed Methods Pilot Study

Personality Traits and Parental Burnout Among Fathers: A Moderated Mediation Model