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Cited by 491Maternal Mental Health During Pregnancy and PostpartumIntimate Partner and Family ViolenceMaternal and Perinatal Health Interventions

Domestic Violence and Perinatal Mental Disorders: A Systematic Review and Meta-Analysis

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Howard, Louise M., Oram, Sian, Galley, Helen, Trevillion, Kylee, Feder, Gene·2013·PLoS Medicine
DOI 10.1371/journal.pmed.1001452PMC PMC3665851
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Abstract

BACKGROUND: Domestic violence in the perinatal period is associated with adverse obstetric outcomes, but evidence is limited on its association with perinatal mental disorders. We aimed to estimate the prevalence and odds of having experienced domestic violence among women with antenatal and postnatal mental disorders (depression and anxiety disorders including post-traumatic stress disorder [PTSD], eating disorders, and psychoses). METHODS AND FINDINGS: We conducted a systematic review and meta-analysis (PROSPERO reference CRD42012002048). Data sources included searches of electronic databases (to 15 February 2013), hand searches, citation tracking, update of a review on victimisation and mental disorder, and expert recommendations. Included studies were peer-reviewed experimental or observational studies that reported on women aged 16 y or older, that assessed the prevalence and/or odds of having experienced domestic violence, and that assessed symptoms of perinatal mental disorder using a validated instrument. Two reviewers screened 1,125 full-text papers, extracted data, and independently appraised study quality. Odds ratios were pooled using meta-analysis. Sixty-seven papers were included. Pooled estimates from longitudinal studies suggest a 3-fold increase in the odds of high levels of depressive symptoms in the postnatal period after having experienced partner violence during pregnancy (odds ratio 3.1, 95% CI 2.7-3.6). Increased odds of having experienced domestic violence among women with high levels of depressive, anxiety, and PTSD symptoms in the antenatal and postnatal periods were consistently reported in cross-sectional studies. No studies were identified on eating disorders or puerperal psychosis. Analyses were limited because of study heterogeneity and lack of data on baseline symptoms, preventing clear findings on causal directionality. CONCLUSIONS: High levels of symptoms of perinatal depression, anxiety, and PTSD are significantly associated with having experienced domestic violence. High-quality evidence is now needed on how maternity and mental health services should address domestic violence and improve health outcomes for women and their infants in the perinatal period.

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  • Previous systematic reviews of observational studies have identified associations between experiencing IPV and depression, suicide, PTSD, and prenatal depression.

    “Previous systematic reviews of observational studies have identified associations between experiencing IPV and depression, suicide, PTSD, and prenatal depression”

    From Global Prevalence and Mental Health Outcomes of Intimate Partner Violence Among Women: A Systematic Review and Meta-Analysis (2024) · cites this paper as L. M. Howard et al., 2013

    The Discussion (Main Findings; page not provided) reports associations between domestic violence and perinatal depression and PTSD, including antenatal depression. Our copy does not report an association with suicide; a study title mentioning suicidal ideation appears in the References, but that does not establish the claimed association. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • More than 10% of postnatal depression may be potentially attributable to IPV.

    “More than 10% of postnatal depression, for example, may be potentially attributable to IPV (L. M. Howard et al., 2013).”

    From Global Prevalence and Mental Health Outcomes of Intimate Partner Violence Among Women: A Systematic Review and Meta-Analysis (2024) · cites this paper as L. M. Howard et al., 2013

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Authors
Howard, L. M., Oram, S., Galley, H., Trevillion, K., & Feder, G.
Affiliations
  • King's College London (GB)
  • South London and Maudsley NHS Foundation Trust (GB)
  • University of Bristol (GB)
Corresponding author
Howard, Louise M.
ORCID
Venue
PLoS Medicine
Publisher
Public Library of Science (PLoS)
Published
2013-05-28
Volume
10
Issue
5
Pages
e1001452
ISSN
  • 1549-1277 (ISSN-L)
  • 1549-1676
DOI
10.1371/journal.pmed.1001452
PMC
PMC3665851
OpenAlex
W2042586591
Cited by
491
References
111
Citations by year
2026: 26 · 2025: 32 · 2024: 32 · 2023: 39 · 2022: 39 · 2021: 59 · 2020: 52 · 2019: 46 · 2018: 33 · 2017: 31 · 2016: 28 · 2015: 44 · 2014: 23 · 2013: 7
FWCI
4.86
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS Medicine (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • Research Portal (King's College London) (submittedVersion, other-oa)
  • Bristol Research (University of Bristol) (submittedVersion)
  • Explore Bristol Research (submittedVersion, cc-by)
Funders
  • South London and Maudsley NHS Foundation Trust
  • National Institute for Health and Care Research (RP-PG-0108-10084, NIHR-RP-R3-12-011)
  • King's College London
  • Programme Grants for Applied Research (RP-PG-0108-10084)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
domestic violence, perinatal mental disorders, postpartum depression, post-traumatic stress disorder, anxiety disorders, eating disorders, postpartum psychosis, prevalence of domestic violence, maternal mental health
MeSH terms
Anxiety, Mental Disorders, Female, Humans, Mental Health, Mental Health Services, Pregnancy, Risk Factors, Stress Disorders, Post-Traumatic, Prevalence, Odds Ratio, Domestic Violence, Risk Assessment, Perinatal Care, Depression, Postpartum

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