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Cited by 55Maternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health InterventionsPosttraumatic Stress Disorder Research

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·2017·Archives of Women's Mental Health
DOI 10.1007/s00737-016-0705-6
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Abstract

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.

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Authors
Oliveira, A. G. E. S. D., Reichenheim, M. E., Moraes, C. L., Howard, L. M., & Lobato, G.
Affiliations
  • Universidade do Estado do Rio de Janeiro (BR)
  • King's College London (GB)
  • Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (BR)
Corresponding author
Oliveira, Aline Gaudard e Silva de
ORCID
Venue
Archives of Women's Mental Health
Publisher
Springer Science and Business Media LLC
Published
2016-12-28
Volume
20
Issue
2
Pages
297-309
ISSN
  • 1434-1816 (ISSN-L)
  • 1435-1102
DOI
10.1007/s00737-016-0705-6
OpenAlex
W2564799910
Cited by
55
References
87
Citations by year
2026: 3 · 2025: 4 · 2024: 7 · 2023: 6 · 2022: 14 · 2021: 6 · 2020: 9 · 2019: 4 · 2018: 2
FWCI
1.98
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (unspecified)
Locations
  • Archives of Women s Mental Health (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
Funders
Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (E-26/111.161/2011, E-26/101.563/2014)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
child sexual abuse, intimate partner violence, violence against pregnant women, post-traumatic stress disorder, postpartum period, fear of childbirth, physical abuse, psychological violence, trauma history, psychiatric history, high-risk pregnancy, mediation pathways
MeSH terms
Intimate Partner Violence, Adult, Brazil, Cross-Sectional Studies, Female, Humans, Middle Aged, Predictive Value of Tests, Pregnancy, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Sex Offenses, Sexual Partners, Socioeconomic Factors, Spouse Abuse, Stress Disorders, Post-Traumatic, Prevalence, Postpartum Period, Adult Survivors of Child Abuse, Young Adult

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