Childhood physical and sexual abuse experiences associated with post-traumatic stress disorder among pregnant women

2.50
Hdl Handle:
http://hdl.handle.net/10757/622334
Title:
Childhood physical and sexual abuse experiences associated with post-traumatic stress disorder among pregnant women
Authors:
Sanchez, Sixto E. ( 0000-0003-0354-0523 ) ; Pineda, Omar; Chaves, Diana Z.; Zhong, Qiu-Yue; Gelaye, Bizu; Simon, Gregory E.; Rondon, Marta B.; Williams, Michelle A.
Citation:
Childhood physical and sexual abuse experiences associated with post-traumatic stress disorder among pregnant women 2017 Annals of Epidemiology
Publisher:
Elsevier B.V.
Journal:
Annals of Epidemiology
Issue Date:
Oct-2017
URI:
http://hdl.handle.net/10757/622334
DOI:
10.1016/j.annepidem.2017.09.012
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S1047279717302156
Abstract:
Purpose We sought to evaluate the extent to which childhood physical and/or sexual abuse history is associated with post-traumatic stress disorder (PTSD) during early pregnancy and to explore the extent to which the childhood abuse-PTSD association is mediated through, or modified by, adult experiences of intimate partner violence (IPV). Methods In-person interviews collected information regarding history of childhood abuse and IPV from 2,928 women aged 18-49 years old prior to 16 weeks of gestation. PTSD was assessed using the PTSD Checklist-Civilian Version. Multivariate logistic regressions were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Results Compared to women with no childhood abuse, the odds of PTSD were increased 4.31-fold for those who reported physical abuse only (95% CI, 2.18–8.49), 5.33-fold for sexual abuse only (95% CI, 2.38–11.98), and 8.03-fold for those who reported physical and sexual abuse (95% CI, 4.10–15.74). Mediation analysis showed 13% of the childhood abuse-PTSD association was mediated by IPV. Furthermore, high odds of PTSD were noted among women with histories of childhood abuse and IPV compared with women who were not exposed to either (OR = 20.20; 95% CI, 8.18–49.85). Conclusions Childhood abuse is associated with increased odds of PTSD during early pregnancy. The odds of PTSD were particularly elevated among women with a history of childhood abuse and IPV. Efforts should be made to prevent childhood abuse and mitigate its effects on women's mental health.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/restrictedAccess
Language:
eng
Description:
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
Keywords:
Childhood abuse; PTSD; Early pregnancy; Peru
ISSN:
10472797
Email:
bgelaye@hsph.harvard.edu

Full metadata record

DC FieldValue Language
dc.contributor.authorSanchez, Sixto E.es
dc.contributor.authorPineda, Omares
dc.contributor.authorChaves, Diana Z.es
dc.contributor.authorZhong, Qiu-Yuees
dc.contributor.authorGelaye, Bizues
dc.contributor.authorSimon, Gregory E.es
dc.contributor.authorRondon, Marta B.es
dc.contributor.authorWilliams, Michelle A.es
dc.date.accessioned2017-10-30T21:01:04Z-
dc.date.available2017-10-30T21:01:04Z-
dc.date.issued2017-10-
dc.identifier.citationChildhood physical and sexual abuse experiences associated with post-traumatic stress disorder among pregnant women 2017 Annals of Epidemiologyes
dc.identifier.issn10472797-
dc.identifier.doi10.1016/j.annepidem.2017.09.012-
dc.identifier.urihttp://hdl.handle.net/10757/622334-
dc.descriptionEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.es_PE
dc.description.abstractPurpose We sought to evaluate the extent to which childhood physical and/or sexual abuse history is associated with post-traumatic stress disorder (PTSD) during early pregnancy and to explore the extent to which the childhood abuse-PTSD association is mediated through, or modified by, adult experiences of intimate partner violence (IPV). Methods In-person interviews collected information regarding history of childhood abuse and IPV from 2,928 women aged 18-49 years old prior to 16 weeks of gestation. PTSD was assessed using the PTSD Checklist-Civilian Version. Multivariate logistic regressions were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Results Compared to women with no childhood abuse, the odds of PTSD were increased 4.31-fold for those who reported physical abuse only (95% CI, 2.18–8.49), 5.33-fold for sexual abuse only (95% CI, 2.38–11.98), and 8.03-fold for those who reported physical and sexual abuse (95% CI, 4.10–15.74). Mediation analysis showed 13% of the childhood abuse-PTSD association was mediated by IPV. Furthermore, high odds of PTSD were noted among women with histories of childhood abuse and IPV compared with women who were not exposed to either (OR = 20.20; 95% CI, 8.18–49.85). Conclusions Childhood abuse is associated with increased odds of PTSD during early pregnancy. The odds of PTSD were particularly elevated among women with a history of childhood abuse and IPV. Efforts should be made to prevent childhood abuse and mitigate its effects on women's mental health.es
dc.formatapplication/pdfes
dc.language.isoenges
dc.publisherElsevier B.V.es
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S1047279717302156es
dc.rightsinfo:eu-repo/semantics/restrictedAccesses
dc.subjectChildhood abusees
dc.subjectPTSDes
dc.subjectEarly pregnancyes
dc.subjectPerues
dc.titleChildhood physical and sexual abuse experiences associated with post-traumatic stress disorder among pregnant womenes
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.journalAnnals of Epidemiologyes
dc.description.peerreviewRevisión por pareses_PE
dc.contributor.emailbgelaye@hsph.harvard.edues_PE
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