Abstract:
INTRODUCTION:Intimate partner violence (IPV) is a common form of violence experienced by pregnant women and is believed to have adverse mental health effects postnatally. This study investigated the association of postnatal depression (PND) and suicidal ideation with emotional, physical and sexual IPV experienced by women during pregnancy. METHODS:Data were collected from 842 women interviewed postnatally in six postnatal clinics in Harare, Zimbabwe. We used the World Health Organization versions of IPV and Centre for Epidemiological Studies - Depression Scale measures to assess IPV and PND respectively. We derived a violence severity variable and combined forms of IPV variables from IPV questions. Logistic regression was used to analyse data whilst controlling for past mental health and IPV experiences. RESULTS:One in five women [21.4% (95% CI 18.6-24.2)] met the diagnostic criteria for PND symptomatology whilst 21.6% (95% CI 18.8-24.4) reported postpartum suicide thoughts and 4% (95% CI 2.7-5.4) reported suicide attempts. Two thirds (65.4%) reported any form of IPV. Although individual forms of severe IPV were associated with PND, stronger associations were found between PND and severe emotional IPV or severe combined forms of IPV. Suicidal ideation was associated with emotional IPV. Other forms of IPV, except when combined with emotional IPV, were not individually associated with suicidal ideation. CONCLUSION:Emotional IPV during pregnancy negatively affects women's mental health in the postnatal period. Clinicians and researchers should include it in their conceptualisation of violence and health. Further research must look at possible indirect relationships between sexual and physical IPV on mental health.
journal_name
Gen Hosp Psychiatryjournal_title
General hospital psychiatryauthors
Shamu S,Zarowsky C,Roelens K,Temmerman M,Abrahams Ndoi
10.1016/j.genhosppsych.2015.10.005subject
Has Abstractpub_date
2016-01-01 00:00:00pages
109-14eissn
0163-8343issn
1873-7714pii
S0163-8343(15)00231-5journal_volume
38pub_type
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
pub_type: 杂志文章,随机对照试验
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journal_title:General hospital psychiatry
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journal_title:General hospital psychiatry
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pub_type: 更正并重新发布的文章,杂志文章
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journal_title:General hospital psychiatry
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更新日期:2016-01-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2008-03-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:General hospital psychiatry
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更新日期:2013-03-01 00:00:00
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更新日期:2018-01-01 00:00:00
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pub_type: 杂志文章
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