孕期和产后亲密伴侣暴力以及与抑郁症和围产期健康的关系:一项孕期队列研究的结果。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Megan Galbally, Stuart Watson, Kelli MacMillan, Katherine Sevar, Louise M Howard
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引用次数: 0

摘要

目的:比较有临床抑郁症和无临床抑郁症的孕妇在怀孕期间和产后第一年遭受情感和身体亲密伴侣暴力(IPV)的发生率,并评估围产期母亲童年创伤、当前生活压力事件和抑郁症与 IPV 之间的关联:我们从 "美慈妊娠与情感幸福研究"(MPEWS)中获得了 505 名孕妇的数据,该研究是一项队列研究,收集的数据贯穿整个孕期直至产后 12 个月。使用 DSM-IV 结构化临床访谈(SCID-IV)测量产妇产前抑郁情况,并使用爱丁堡产后抑郁量表(EPDS)重复测量围产期抑郁症状。使用童年创伤问卷对创伤进行测量,并使用生活压力事件量表中的项目对亲密伴侣的身体和情感暴力经历进行测量:结果:在围产期遭受过亲密伴侣暴力的妇女在 EPDS 中得分超过 13 分的几率明显更高(p 结论:该研究证实了童年时期遭受亲密伴侣暴力的风险因素:这项研究证实,童年创伤和当前的生活压力事件是围产期遭受 IPV 的风险因素。此外,经历过 IPV 的妇女报告了较高的抑郁症状,为评估 EPDS 中 IPV 筛选较高的妇女提供了证据支持。总之,这些研究结果也支持在整个孕期和产后提供创伤知情护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Intimate partner violence across pregnancy and the postpartum and the relationship to depression and perinatal wellbeing: findings from a pregnancy cohort study

Intimate partner violence across pregnancy and the postpartum and the relationship to depression and perinatal wellbeing: findings from a pregnancy cohort study

Purpose

To compare the prevalence of emotional and physical intimate partner violence (IPV) across pregnancy and the first year postpartum in those with and without clinical depression and assess the association between maternal childhood trauma, current stressful life events and depression and IPV over the perinatal period.

Methods

Data were obtained from 505 pregnant women from the Mercy Pregnancy and Emotional Wellbeing Study (MPEWS), a cohort study with data collected across pregnancy until 12 months postpartum. Maternal antenatal depression was measured using the Structured Clinical Interview for DSM-IV (SCID-IV) with repeat measurement of perinatal depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS). Trauma was measured using the Childhood Trauma Questionnaire, and experiences of physical and emotional intimate partner violence using items in the Stressful Life Events Scale.

Results

Women experiencing IPV across the perinatal period were significantly more likely to score over 13 on the EPDS (p < .001) at each timepoint in pregnancy and the postpartum and physical IPV was associated with clinical depression. Further, a history of childhood trauma and current additional stressful life events were significantly associated with reporting current IPV in the perinatal period.

Conclusions

This study confirmed the risk factors of childhood trauma and current stressful life events for reporting experiences of IPV in the perinatal period. Furthermore, women experiencing IPV reported higher depressive symptoms, providing evidence supporting the value of assessing those women who screen higher on the EPDS for IPV. Together these findings also support trauma informed care across pregnancy and the postpartum.

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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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