Abstract
Background Posttraumatic stress disorder consists of a set of symptoms that occurs in response to one or more traumatic events and can occur in postpartum, from traumatic situations related to the birth or to the baby’s health in the first days of life. It is important tracking the presence of birth trauma, but there is not available instruments in the Brazilian context for this purpose. Objectives To present the cross-cultural adaptation of City Birth Trauma Scale (BiTS) into Brazilian portuguese. Methods Cross-cultural adaptation involved independent translations, synthesis,back-translation, and submission to the original author’s appreciation. After the scale was subjected to face validity, followed by a pilot study with postpartum mothers. Results All steps were performed for the cross-cultural adaptation. Regarding face validity, items evaluated concerning different types of equivalence, presented satisfactory agreement values (≥4.20). Most of the expert’s suggestions were followed, being the main ones related to adjustments in prepositions, pronouns and verbal subjects. Pilot study showed that the mothers had been able to understand and respond to the instrument without adjustments. Discussion BiTS’s Brazilian version proved to be cross-culturally adapted, ensuring the possibility of intercultural data comparison from the semantic, idiomatic, cultural, and conceptual perspectives. New studies are being conducted to attest its psychometric adequacy.
Highlights
Posttraumatic stress disorder consists of a set of symptoms that occurs in response to one or more traumatic events and can occur in postpartum, from traumatic situations related to the birth or to the baby’s health in the first days of life
Posttraumatic stress disorder (PTSD) can be characterized according to the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a set of symptoms that occur in response to traumatic events lasting longer than one month which involve: a) exposure to one or more traumatic episodes experienced directly or witnessed; b) presence of intrusive symptoms such as recurrent and involuntary memories, dreams, flashbacks, intense suffering or physiological reactions; c) a persistent avoidance pattern to stimuli associated with the traumatic event; d) negative changes in cognition and mood; e) changes in arousal and reactivity associated with the traumatic event; f) experience of suffering and social or professional losses[1]
This assessment was made through more general instruments, as in the study by Henriques et al.[2], which assessed the presence of PTSD at birth using the Trauma History Questionnaire and Posttraumatic Stress Disorder Checklist
Summary
Posttraumatic stress disorder (PTSD) can be characterized according to the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a set of symptoms that occur in response to traumatic events lasting longer than one month which involve: a) exposure to one or more traumatic episodes experienced directly or witnessed; b) presence of intrusive symptoms such as recurrent and involuntary memories, dreams, flashbacks, intense suffering or physiological reactions; c) a persistent avoidance pattern to stimuli associated with the traumatic event; d) negative changes in cognition and mood; e) changes in arousal and reactivity associated with the traumatic event; f) experience of suffering and social or professional losses[1].When experienced in the postpartum period, PTSD may arise from traumatic situations related to the moment of the delivery or the baby’s and/or mother’s health after the first days of life[2]. Posttraumatic stress disorder consists of a set of symptoms that occurs in response to one or more traumatic events and can occur in postpartum, from traumatic situations related to the birth or to the baby’s health in the first days of life. It is important tracking the presence of birth trauma, but there is not available instruments in the Brazilian context for this purpose. Objectives: To present the cross-cultural adaptation of City Birth Trauma Scale (BiTS) into Brazilian portuguese. New studies are being conducted to attest its psychometric adequacy
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