Childhood sexual abuse, intimate partner violence during pregnancy, and posttraumatic stress symptoms following childbirth: a path analysis.

Oliveira, Aline Gaudard E Silva de; Reichenheim, Michael Eduardo; Moraes, Claudia Leite; Howard, Louise Michele; Lobato, Gustavo

Oliveira, Aline Gaudard E Silva de; Reichenheim, Michael Eduardo; Moraes, Claudia Leite; Howard, Louise Michele; Lobato, Gustavo.

Afiliação

Oliveira AG; Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rua São Francisco Xavier 524 7° andar, Rio de Janeiro, RJ, 20559-900, Brazil. alinegaudard@yahoo.com.br.
Reichenheim ME; Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rua São Francisco Xavier 524 7° andar, Rio de Janeiro, RJ, 20559-900, Brazil.
Moraes CL; Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rua São Francisco Xavier 524 7° andar, Rio de Janeiro, RJ, 20559-900, Brazil.
Howard LM; Medical School, Estácio de Sá University, Rua Riachuelo 27, Rio de Janeiro, RJ, 20230-010, Brazil.
Lobato G; Institute of Psychiatry, King's College London, PO31 De Crespigny Park, London, SE5 8AF, UK.

Arch Womens Ment Health ; 20(2): 297-309, 2017 04.

Article em En | MEDLINE | ID: mdl-28032212

RESUMO

The aim of the study was to explore the pathways by which childhood sexual abuse (CSA), psychological and physical intimate partner violence (IPV) during pregnancy, and other covariates relate to each other and to posttraumatic stress disorder (PTSD) symptoms in the postpartum period. The sample comprised 456 women who gave birth at a maternity service for high-risk pregnancies in Rio de Janeiro, Brazil, interviewed at 6-8 weeks after birth. A path analysis was carried out to explore the postulated pathways between exposures and outcome. Trauma History Questionnaire, Conflict Tactics Scales and Posttraumatic Stress Disorder Checklist were used to assess information about exposures of main interest and outcome. The link between CSA and PTSD symptoms was mediated by history of trauma, psychiatric history, psychological IPV, and fear of childbirth during pregnancy. Physical IPV was directly associated with postnatal PTSD symptoms, whereas psychological IPV connection seemed to be partially mediated by physical abuse and fear of childbirth during pregnancy. The role of CSA, IPV, and other psychosocial characteristics on the occurrence of PTSD symptoms following childbirth as well as the intricate network of these events should be acknowledged in clinic and intervention approaches.

Assuntos

Sobreviventes Adultos de Maus-Tratos Infantis/psicologia; Violência por Parceiro Íntimo/psicologia; Delitos Sexuais/psicologia; Maus-Tratos Conjugais/psicologia; Transtornos de Estresse Pós-Traumáticos/psicologia; Adulto; Sobreviventes Adultos de Maus-Tratos Infantis/estatística & dados numéricos; Brasil/epidemiologia; Estudos Transversais; Feminino; Humanos; Violência por Parceiro Íntimo/estatística & dados numéricos; Pessoa de Meia-Idade; Período Pós-Parto; Valor Preditivo dos Testes; Gravidez; Prevalência; Escalas de Graduação Psiquiátrica; Fatores de Risco; Parceiros Sexuais/psicologia; Fatores Socioeconômicos; Transtornos de Estresse Pós-Traumáticos/epidemiologia; Inquéritos e Questionários; Adulto Jovem

Palavras-chave

Childhood sexual abuse; Intimate partner violence; Path analysis; Postpartum; Posttraumatic stress disorder

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Delitos Sexuais / Maus-Tratos Conjugais / Transtornos de Estresse Pós-Traumáticos / Sobreviventes Adultos de Maus-Tratos Infantis / Violência por Parceiro Íntimo Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Middle aged / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Arch Womens Ment Health Assunto da revista: PSICOLOGIA / SAUDE DA MULHER Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Áustria

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