Evidence map›Paper›PMID 41555059›Full record

ArticleArchives of women's mental health2026

Psychometric properties of the Urdu version of the Postpartum Bonding Questionnaire (PBQ): a validation study among mothers with prenatal anxiety symptoms in Pakistan.

Md Saiful Islam, Soim Park, Abid Malik, Najia Atif, Lauren M Osborne, Jamie Perin, Atif Rahman, Pamela J Surkan

Abstract readValidation Study
In one paragraph

Article in Archives of women's mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Md Saiful IslamDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.ORCID 0000-0003-3979-2423
Soim ParkDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.ORCID 0000-0003-3217-1210
Abid MalikHuman Development Research Foundation, Islamabad, Pakistan.ORCID 0000-0002-9084-2185
Najia AtifHuman Development Research Foundation, Islamabad, Pakistan.ORCID 0000-0002-9540-9356
Lauren M OsborneDepartment of Obstetrics & Gynecology, Weill Cornell Medical College, New York, NY, 10021, USA.ORCID 0000-0003-0979-7901
Jamie PerinDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.ORCID 0000-0002-5482-6620
Atif RahmanDepartment of Psychological Sciences, University of Liverpool, Liverpool, L69 3GL, UK.ORCID 0000-0002-2066-4467
Pamela J SurkanDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA. psurkan@jhu.edu.ORCID 0000-0002-0334-5931

Funding

An anxiety-focused early prenatal intervention for the prevention of common mental disorders in PakistanR01MH111859 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SURKAN, PAMELA J · 2017 to 2021
$4.5M
NIMH NIH HHS NIMH RO1 MH111859NIMH NIH HHS R01 MH111859
6 · The paper itself

Abstract

purposeMother-infant bonding is crucial for the child's development and the parent's well-being, but research in this area in low- and middle-income countries is rare. We sought to evaluate the psychometric properties of the Urdu version of the Postpartum Bonding Questionnaire (PBQ) among women with prenatal anxiety symptoms in Pakistan.

methodsThis validation study used cross-sectional data within the context of a large randomized clinical trial, called Happy Mother, Healthy Baby (HMHB), conducted from April 2019 to October 2022 among women with at least mild prenatal anxiety symptoms receiving antenatal care from a large tertiary care hospital in Rawalpindi, Pakistan. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and analysis of convergent validity were performed.

resultsThe analysis included 720 mothers with a mean age of 25.23 years (SD = 4.61). The EFA suggested that 19 items (the five-factor model) out of 25 original items (the four-factor model) provided a good fit for the data, explaining a total variance of 64.7%. The CFA demonstrated poor fit for the four-factor model, but acceptable fit for the five-factor model of the PBQ (i.e., Love and affection [eight-item], Rejection [four-item], Withdrawal [two-items], Anger [three-items], and Irritation [two-items]) (CFI = 0.94, TLI = 0.93, RMSEA = 0.07, SRMR = 0.04), with good reliability (ordinal alpha = 0.71-0.93). A moderate positive correlation between impaired bonding and depressive symptoms supported convergent validity; and a negative correlation between impaired bonding and maternal-infant responsiveness supported convergent validity. Potential limitations are that test-retest validity and cutoff specification were not carried out.

conclusionsFindings indicate that the 19-item Urdu version of the PBQ is valid and reliable to assess postpartum bonding among Pakistani women with prenatal anxiety symptoms.

Indexed as

AnxietyMother-Child RelationsMothersObject AttachmentPostpartum PeriodPsychometricsAdultCross-Sectional StudiesFactor Analysis, StatisticalFemaleHumansPakistanPregnancyReproducibility of ResultsSurveys and QuestionnairesYoung AdultCross-sectional studyDepressionLMICsMaternal-infant bondingPsychometric validationReliabilityValidity

Identifiers

PMID41555059
PMCPMC13290297

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