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, Cláudia Leite; Howard, Louise M.; Lobato, Gustavo

doi:10.1007/s00737-016-0705-6

Cited by 40 publications

(28 citation statements)

References 73 publications

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“…Consistent with the existing literature, 3,20,21 the present study showed that women with a history of abuse reported higher CityBiTS scores. Similarly, in accordance with past findings, 6,9,[20][21][22] we found that psychiatric medication intake before pregnancy was associated with higher PTSD scores. Therefore, women with a history of abuse and psychiatric medication intake before pregnancy should be closely followed and screened for PP-PTSD.…”

Section: Discussionsupporting

confidence: 91%

“…Financially disadvantaged individuals often prefer to live as a part of large families. Consistent with the existing literature, 3,20,21 the present study showed that women with a history of abuse reported higher CityBiTS scores. Similarly, in accordance with past findings, 6,9,20‐22 we found that psychiatric medication intake before pregnancy was associated with higher PTSD scores.…”

Section: Discussionsupporting

confidence: 91%

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The risk factors for postpartum posttraumatic stress disorder and depression

Bingöl

Bal

2020

Perspect Psychiatr Care

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Purpose: In this study, we examined the association between specific birth-related variables and postpartum posttraumatic stress disorder (PTSD) and depressive symptoms. Design and Methods: In this descriptive study, data were collected using a personal information form, the City Birth Trauma Scale, and the Edinburgh Postpartum Depression Scale. Findings: The findings revealed that 8.5% of participants met all the diagnostic criteria for PTSD. The risk of developing depression was 9.7 times higher among women who met all the criteria for PTSD than among those who did not meet all the criteria.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

The risk factors for postpartum posttraumatic stress disorder and depression

Bingöl

Bal

2020

Perspect Psychiatr Care

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“…The literature on risk factors for PPD, including low social support [25], low social economic status [26], cigarette smoking [27], low sleep quality [28,29], unplanned pregnancy [26], and intimate partner violence [30] is substantial. The potential risk factors for PP-PTSD include childhood sexual abuse [31], intimate partner violence [31], low social support [32], instrumental birth, and caesarean section [33,34]. Indeed, the potential risk factors that have been identified and tested in other countries or regions have not been thoroughly investigated in China.…”

Section: Introductionmentioning

confidence: 99%

Postpartum depression and postpartum post-traumatic stress disorder: prevalence and associated factors

et al. 2021

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Background Despite the increased global interest from researchers in postpartum depression (PPD) and postpartum post-traumatic stress disorder (PP-PTSD), studies of PPD in China have shown a wide range of variability. Indeed, the prevalence and risk factors for PP-PTSD have received little attention in China. Aim To determine the prevalence of PPD and PP-PTSD in China, and to examine the relationships between a range of sociodemographic, pregnancy-related, and newborn-related variables, and PPD and PP-PTSD. Methods A cross-sectional study involving 1136 women who returned to the obstetrics clinic for routine postpartum examination were enrolled. The sociodemographic, pregnancy-related, and newborn-related characteristics were collected. Social support, and PPD and PP-PTSD symptoms were measured by the Perceived Social Support Scale (PSSS), the Edinburgh Postnatal Depression Scale (EPDS), and the Perinatal Post-traumatic Stress Questionnaire (PPQ). Results The prevalence rates of PPD and PP-PTSD symptoms were 23.5 and 6.1%, respectively. A multivariate model showed that the presence of PP-PTSD was the strongest risk factor for PPD symptoms and vice versa. Other risk factors for PPD included low sleep quality, low social support and newborn’s incubator admission. In terms of PP-PTSD symptoms, risk factors included the presence of PPD symptoms, non-Han ethnicity, and low social support, while having one child was a protective factor. Conclusions This study addressed some gaps in the literature and provided a better understanding of PPD and PP-PTSD in China, which may contribute to early detection and intervention. Attention should be paid to women who are most susceptible to PPD and/or PP-PTSD, including those with low social support, low sleep quality, newborn’s incubator admission, non-Han ethnicity, and women with siblings.

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“…To regain a feeling of safety, women-survivors of CSA may seek a means to control the situation and therefore cope with feelings of threat or disempowerment during their maternity care. Although the literature-base is small (Montgomery, 2013), scholars have written regarding women's experiences of childbearing after CSA and how they cope during times of distress when engaging with maternity care services (Gaudard e Silva de Oliveira et al, 2016;Leeners et al, 2016). These ways of coping are crucial to maintaining a sense of control in situations in which they feel they have none (Byrne et al, 2017;Montgomery et al, 2015b).…”

Section: Introductionmentioning

confidence: 99%

(Re)activation of survival strategies during pregnancy and childbirth following experiences of childhood sexual abuse

Roberts

Montgomery

Richens

et al. 2021

Journal of Reproductive and Infant Psychology

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Objectives: To explore the pregnancy and childbearing experiences of women-survivors of childhood sexual abuse [CSA]. We aimed to generate a theory explaining those experiences for this population (women), this phenomenon (pregnancy and childbirth), and this context (those who have survived CSA). Method: Participants (N=6) were recruited to semi-structured interviews about their experiences of CSA and subsequent pregnancy and childbirth. Data saturated early, and were analysed using Grounded Theory (appropriate to cross-disciplinary health research). Coding was inductive and iterative, to ensure rigour and achieve thematic saturation. Results: Open and focused coding led to the generation of supercategories, which in-turn were collapsed into three distinct, but related themes. These themes were: Chronicity of Childhood (Sexual) Abuse; Pregnancy and Childbirth as Paradoxically (Un)safe Experiences; Enduring Nature of Survival Strategies. The relationship between these themes was explained as the theory of: (Re) activation of Survival Strategies during Pregnancy and Childbirth following Experiences of Childhood Sexual Abuse. Conclusion: Pregnancy and childbirth can be triggering for women-survivors of CSA. Survival strategies learnt during experiences of CSA can be (re)activated as a way of not only coping, but surviving (the sometimes unconsented) procedures, such as monitoring and physical examinations, as well as the feelings of lack of control and bodily agency.

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

Cited by 40 publications

References 73 publications

The risk factors for postpartum posttraumatic stress disorder and depression

The risk factors for postpartum posttraumatic stress disorder and depression

Postpartum depression and postpartum post-traumatic stress disorder: prevalence and associated factors

(Re)activation of survival strategies during pregnancy and childbirth following experiences of childhood sexual abuse

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