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

Anna Torres-Giménez, Alba Roca-Lecumberri, Bàrbara Sureda, Susana Andrés-Perpiña, Bruma Palacios-Hernández, Estel Gelabert, Borja Farré-Sender, Susana Subirà-Álvarez, Lluïsa García-Esteve

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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.

Original languageEnglish
Article numbere47
JournalThe Spanish Journal of Psychology
Publication statusPublished - 11 Oct 2021


  • Depression, Postpartum/diagnosis
  • Female
  • Humans
  • Mother-Child Relations
  • Mothers
  • Object Attachment
  • Postpartum Period
  • Pregnancy
  • Reproducibility of Results
  • Surveys and Questionnaires

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