Depressive disorder in pregnant Latin women: does intimate partner violence matter?

作者：Fonseca Machado Mariana de Oliveira^*; Alves Lisiane Camargo; dos Santos Monteiro Juliana Cristina; Stefanello Juliana; Spano Nakano Ana Marcia; Haas Vanderlei Jose; Gomes Sponholz Flavia

来源：Journal of Clinical Nursing, 2015, 24(9-10): 1289-1299.

DOI：10.1111/jocn.12728

• antenatal depression
• depressive disorder
• intimate partner violence
• Latin America
• mental health
• nurse midwives
• nursing care
• pregnancy
• safe motherhood
• spouse abuse
• women's health

Aims and objectivesTo identify the association of antenatal depressive symptoms with intimate partner violence during the current pregnancy in Brazilian women.
BackgroundIntimate partner violence is an important risk factor for antenatal depression. To the authors' knowledge, there has been no study to date that assessed the association between intimate partner violence during pregnancy and antenatal depressive symptoms among Brazilian women.
DesignCross-sectional study.
MethodsThree hundred and fifty-eight pregnant women were enrolled in the study. The Edinburgh Postnatal Depression Scale and an adapted version of the instrument used in the World Health Organization Multi-country Study on Women's Health and Domestic Violence were used to measure antenatal depressive symptoms and psychological, physical and sexual acts of intimate partner violence during the current pregnancy respectively. Multiple logistic regression and multiple linear regression were used for data analysis.
ResultsThe prevalence of antenatal depressive symptoms, as determined by the cut-off score of 12 in the Edinburgh Postnatal Depression Scale, was 282% (101). Of the participants, 63 (176%) reported some type of intimate partner violence during pregnancy. Among them, 60 (952%) reported suffering psychological violence, 23 (365%) physical violence and one (16%) sexual violence. Multiple logistic regression and multiple linear regression indicated that antenatal depressive symptoms are extremely associated with intimate partner violence during pregnancy.
ConclusionAmong Brazilian women, exposure to intimate partner violence during pregnancy increases the chances of experiencing antenatal depressive symptoms.
Relevance to clinical practiceClinical nurses and nurses midwifes should pay attention to the particularities of Brazilian women, especially with regard to the occurrence of intimate partner violence, whose impacts on the mental health of this population are extremely significant, both during the gestational period and postpartum.

• 出版日期2015-5