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Trauma and traumatic stress in a sample of pregnant women.
Gelaye, Bizu; Zhong, Qiu-Yue; Basu, Archana; Levey, Elizabeth J; Rondon, Marta B; Sanchez, Sixto; Koenen, Karestan C; Henderson, David C; Williams, Michelle A.
Afiliação
  • Gelaye B; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA; Center for Bioethics, Harvard Medical School, Boston, MA, USA; The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA, USA. Electronic address: bgelaye@hsph.harvard.e
  • Zhong QY; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
  • Basu A; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
  • Levey EJ; The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Institute for Juvenile Research, University of Illinois College of Medicine, Chicago, IL, USA.
  • Rondon MB; Department of Medicine, Cayetano Heredia Peruvian University, Lima, Peru.
  • Sanchez S; Universidad Peruana de Ciencias Aplicadas, Lima, Peru; Asociación Civil PROESA, Lima, Peru.
  • Koenen KC; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
  • Henderson DC; Department of Psychiatry, Boston University Medical School, Boston, MA, USA.
  • Williams MA; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Psychiatry Res ; 257: 506-513, 2017 11.
Article em En | MEDLINE | ID: mdl-28843870
OBJECTIVE: To examine the construct validity of the 9 item Traumatic Events Questionnaire (TEQ) and to evaluate the extent to which experiences of trauma assessed using the TEQ are associated with symptoms of psychiatric disorders among 3342 pregnant women in Lima, Peru. METHODS: Symptoms of depression were assessed using the Patient Health Questionnaire-9 (PHQ-9) and Edinburgh Postnatal Depression Scale (EPDS) while the PTSD Checklist-civilian (PCL-C) and Generalized Anxiety Disorder-7 (GAD-7) were used to assess symptoms of PTSD and generalized anxiety. Hierarchical logistic regression procedures were used to evaluate relations between TEQ and symptoms of psychiatric disorders. RESULTS: The majority of participants (87.8%) experienced at least one traumatic event (mean = 2.5 events). The trauma occurrence score was moderately correlated with symptoms of PTSD (PCL-C: rho = 0.38, P-value < 0.0001), depression (EPDS: rho = 0.31, P-value < 0.0001; PHQ-9: rho = 0.20, P-value < 0.0001), and GAD (GAD-7: rho = 0.29, P-value < 0.0001). Stronger correlations were observed between the trauma intensity score with symptoms of psychiatric disorders (PCL-C: rho = 0.49, P-value < 0.0001; EPDS: rho = 0.36, P-value < 0.0001; PHQ-9: rho = 0.31, P-value < 0.0001; GAD-7: rho = 0.39, P-value < 0.0001). CONCLUSION: Given the high burden of trauma experiences and the enduring adverse consequences on maternal and child health, there is an urgent need for integrating evidence-based trauma informed care programs in obstetrical practices serving Peruvian patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Complicações na Gravidez / Ferimentos e Lesões / Gestantes / Depressão Tipo de estudo: Diagnostic_studies / Evaluation_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: America do sul / Peru Idioma: En Revista: Psychiatry Res Ano de publicação: 2017 Tipo de documento: Article País de publicação: Irlanda
Texto completo
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XML
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Complicações na Gravidez / Ferimentos e Lesões / Gestantes / Depressão Tipo de estudo: Diagnostic_studies / Evaluation_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: America do sul / Peru Idioma: En Revista: Psychiatry Res Ano de publicação: 2017 Tipo de documento: Article País de publicação: Irlanda