Domestic Violence Screening Practices of Obstetrician-Gynecologists

Horan, Deborah L; Klein, Luella; Schulkin, Jay

doi:10.1097/00006250-199811000-00009

Cited by 18 publications

(28 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Asking about domestic violence at the antenatal booking appointment was found to be almost universally acceptable and worthwhile to pregnant women (99%, n=481). 3 When surveyed, however, only 39% of American obstetricians routinely screened their antenatal patients for domestic violence 31 and only 11% of primary care doctors routinely asked antenatal patients about abuse. 32 The doctor's perception of the prevalence of domestic violence and his or her sense of responsibility for addressing this were the only variables associated with screening.…”

Section: Identifying Domestic Violencementioning

confidence: 99%

Acknowledging a persistent truth: domestic violence in pregnancy

Cook

Bewley

2008

J R Soc Med

View full text Add to dashboard Cite

SummaryViolence against women has a devastating effect on women's sexual and reproductive health, and also affects the health of their children. Such behaviour is rooted in gender inequality, which is sadly persistent, arguably throughout all societies.This phenomenon is a serious health and development concern, in addition to a violation of a woman's human rights. Violence can begin or escalate in pregnancy and has significant consequences for the woman, fetus and child. Questioning pregnant women about the presence of violence and offering referral to a secondary agency can help to break the pattern of abuse.

show abstract

Section: Identifying Domestic Violencementioning

confidence: 99%

Acknowledging a persistent truth: domestic violence in pregnancy

Cook

Bewley

2008

J R Soc Med

View full text Add to dashboard Cite

show abstract

“…Depression, ranging from 38% to 51% among pregnant Latinas, 30,31 is the most common mental health outcome associated with intimate partner violence. There is also evidence of an association between intimate partner violence and posttraumatic stress disorder (PTSD), [32][33][34][35][36][37] but little is known about PTSD rates among pregnant Latinas or differences in depression or PTSD and exposure to intimate partner violence. [38][39][40] In addition, research is scarce on strength factors, such as extensive social networks or personal coping factors, that may protect Latinas from the negative effects of violence or trauma.…”

Section: Introductionmentioning

confidence: 99%

“…34 Without universal screening, such screening primarily occurs only when clinicians already suspect abuse. 35 Although most women are not screened for violence during prenatal visits (38.7% were screened in 1 study during prenatal care), 1 study found that most women screened for violence (97%) were not embarrassed, angry, or offended; therefore, there are few negative ramifi cations to screening pregnant women. 36 Unfortunately, clinicians are frequently unaware of their patients' mental health status and exposure to violence.…”

mentioning

confidence: 99%

Intimate Partner Violence, Depression, and PTSD Among Pregnant Latina Women

Rodríguez¹,

Heilemann²,

Fielder³

et al. 2008

The Annals of Family Medicine

161

126

View full text Add to dashboard Cite

PURPOSE We undertook a study to describe factors related to depression and posttraumatic stress disorder (PTSD) among pregnant Latinas who were or were not exposed to intimate partner violence. METHODSWe interviewed 210 pregnant Latinas attending prenatal clinics located in Los Angeles, California. Latinas who did and did not have histories of intimate partner violence were recruited. We then assessed the women for strengths, adverse social behavioral circumstances, posttraumatic stress disorder (PTSD), and depression. RESULTSSignifi cantly more women exposed to intimate partner violence scored at or above the cutoff point for depression than women who were not (41% vs 18.6%; P <.001). Signifi cantly more women exposed to intimate partner violence scored at or above the cutoff point for PTSD than women who were not (16% vs 7.6%; P <.001). Lack of mastery, which measures feelings of being in control of forces that affect life (odds ratio [OR], 0.72; 95% confi dence interval [CI], 0.62-0.84), a history of trauma not associated with intimate partner violence (OR, 1.33; 95% CI, 1.08-1.63), and exposure to intimate partner violence (OR, 2.43; 95% CI, 1.16-5.11) were associated with depression after adjusting for age, language of interview, and site effects. Stress (OR, 1.72; 95% CI, 1.34-2.2) and a history of trauma (OR, 1.45; 95% CI, 1.03-2.04) were independently associated with PTSD, whereas higher income was associated with decreased risk of PTSD (OR, 0.10; 95% CI, 0.02-0.63), after adjusting for age, language of interview, and site effects.CONCLUSIONS Intimate partner violence was signifi cantly associated with depression and PTSD but was associated with depression only after controlling for other factors in the multivariate model. The risk for depression declined with greater mastery but increased with a history of trauma or exposure to intimate partner violence. Stress, a history of trauma not associated with intimate partner violence, and lower income were all independently associated with increased risk for PTSD. INTRODUCTIONA pproximately 1.5 million women in the United States experience intimate partner violence every year. [1][2][3][4][5][6][7][8][9][10][11][12][13] The prevalence among pregnant women is estimated at 5.2%.14 Thus, intimate partner violence is at least as common as gestational diabetes (2% to 3%) and approaches rates of preeclampsia (5.7% to 14.3%). 15 Moreover, 23% to 52% of women who experienced abuse during pregnancy were battered in the year before conception. 5,16,17 Women abused during pregnancy have 3 times the odds of attempted or completed homicide, 18 are more likely to have unplanned pregnancies and seek pregnancy care after 20 weeks, and are at greater risk for adverse birth outcomes 19 and maternal complications. [20][21][22][23] Intimate partner violence is also associated with such adverse health behaviors as smoking [24][25][26] and problem drinking. 26,27 The prevalence of intimate partner violence among Latinas in the United States during pregnancy and the perin...

show abstract

“…However, there is little information on the impact of physicians' personal experiences with depression on practice patterns regarding screening, diagnosis, and treatment of depression in patients. In a previous study, we did find that ObGyns who had personal experience with domestic violence were more likely to screen their patients for domestic violence [Horan et al, 1998]. A strong relationship between personal prevention habits, and related patient counseling and screening practices has been shown in selfreports by women physicians [Frank et al, 2000].…”

Section: Introductionmentioning

confidence: 92%

“…Our purpose in this study was to assess the frequency of self-identified depression in a population of ObGyns, as well as their awareness of depression among close family and friends, and to see whether experiences with depression influence screening for, judgments of, and treatment decisions concerning depression in patients at three life stages of the female reproductive process: adolescence, postpartum, and perimenopause. [Hill et al, 2001;Horan et al, 1998]. CARN was established to increase response rates on survey studies and thus facilitate assessment of clinical practice patterns and aid the development of educational materials.…”

Section: Introductionmentioning

confidence: 99%

Obstetrician–gynecologists and self-identified depression: personal and clinical

Morgan

Schulkin

2006

Depress. Anxiety

Self Cite

View full text Add to dashboard Cite

A survey was designed to explore the effect of obstetrician-gynecologists' subjective awareness of depression in themselves and close family/friends on screening patients for depression and on assessing and treating depression in three scenarios describing hypothetical patients during the adolescence, postpartum, and perimenopausal periods. Questionnaires were mailed to 397 members of the American College of Obstetricians and Gynecologists (ACOG) who participate in the Collaborative Ambulatory Research Network (CARN). Fifty-five percent of the questionnaires were returned. One third of physicians reported having suffered from depression occasionally (28.1%), often (3.8%), or all the time (2.4%) during the past year. Having personally suffered from depression was associated with elevated assessment of depression in the scenarios but not with elevated rates of screening for depression in actual practice, nor with aggressiveness of treatment choices in the scenarios. Awareness that a close friend suffered from depression was not associated with lowered mood as measured, but was associated with increased rates of screening for depression in adolescent, postpartum, and perimenopausal patients, and with elevated assessment of depression and more aggressive treatment practices for depression in hypothetical patients at these three life stages. As such, physicians' practices regarding depression may be influenced by something other than reactivity to their own emotional state.

show abstract

Domestic Violence Screening Practices of Obstetrician-Gynecologists

Cited by 18 publications

References 0 publications

Acknowledging a persistent truth: domestic violence in pregnancy

Acknowledging a persistent truth: domestic violence in pregnancy

Intimate Partner Violence, Depression, and PTSD Among Pregnant Latina Women

Obstetrician–gynecologists and self-identified depression: personal and clinical

Contact Info

Product

Resources

About