The association of childhood sexual abuse with depressive symptoms during pregnancy, and selected pregnancy outcomes

Benedict, Mary I.; Paine, Lynn S.; Brandt, D.; Stallings, Rebecca

doi:10.1016/s0145-2134(99)00040-x

Cited by 113 publications

(136 citation statements)

References 49 publications

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“…To the knowledge of the authors, unfortunately, no other data on this association have been published. In agreement with other authors [1,19], a considerable number of pregnancies were complicated by abusive relationships. Abuse during pregnancy has been confirmed as a risk factor for reduced perinatal outcome for example premature delivery [2,27].…”

Section: Discussionsupporting

confidence: 93%

“…Smoking is known to relieve stress, unhappiness, depression, and anxiety, which can be increased during pregnancies in women with abusive childhood experiences [11]. In agreement with two other studies [1], we could not confirm the association between CSA and alcohol or drug abuse during pregnancy found by others [6,8,9,22]. It seems unlikely that underestimation of illegal drug use is responsible for our results, as this would be expected for exposed and unexposed women likewise.…”

Section: Discussionsupporting

confidence: 59%

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Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Leeners

Rath

Block³

et al. 2013

Journal of Perinatal Medicine

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Aims: To explore the association between childhood sexual abuse (CSA), physical abuse, as well as other adverse childhood experiences (ACE), and different obstetrical risk factors/behaviors. Methods: In this cohort study, obstetrical risk factors and perinatal outcome in 85 women exposed to CSA were compared to 170 matched unexposed women. CSA, physical abuse, and ACE were explored by face-to-face interviews and by questionnaire. Data on perinatal outcome were extracted from medical charts. Fisher's exact, χ 2 -test, and multiple logistic regression were used for statistical analysis. Results: During pregnancy women with CSA experiences were significantly more often smoking (31.7%/9.4%; P < 0.0001), had partners abusing drugs (10.6%/1.2%; P < 0.0005), experienced physical (16.5%/0; P < 0.0001), sexual (12.9%/0; P < 0.0001), and emotional abuse (44.7%/1.7%; P < 0.0001), reported depression (24.7%/1.8%; P < 0.0001), and suicidal ideation (10.6%/0; P < 0.0001) than women without CSA experiences. Differences in risk factors were more often correlated with physical than with sexual abuse during childhood. The probability for premature delivery was associated with CSA, physical abuse and ACE as well as with several of the risk factors investigated. Conclusion: Women with CSA, physical, and ACE present with a variety of abuse-associated obstetrical risk factors and an increased risk for premature delivery. Therefore, all types of abusive and other ACE should be considered in prenatal care.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 59%

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Leeners

Rath

Block³

et al. 2013

Journal of Perinatal Medicine

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“…Women who were abused as a child are more likely to experience abuse in their adult relationships 5,8 or during pregnancy. 9 Their pregnancies are more likely to be unintended. [10][11][12] Their educational attainment and socioeconomic status also tend to be lower than nonabused women.…”

Section: Abstract Breastfeeding Initiation; Childhood Sexual Abusementioning

confidence: 99%

The Association Between Reported Childhood Sexual Abuse and Breastfeeding Initiation

Prentice

Lange

et al. 2002

J Hum Lact

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This study examined the association between self-identified childhood sexual abuse and breastfeeding initiation. A nationally representative sample of 2017 parents with children younger than 3 years was surveyed by telephone about child-rearing needs. Respondents were asked to report childhood sexual abuse and breastfeeding practices. Responses of 1220 biological mothers were analyzed. A possible association between self-reported childhood sexual abuse and breastfeeding initiation was investigated through multivariate logistic regression. Seven percent of the respondents reported experiencing childhood sexual abuse. Women who reported childhood sexual abuse were more than twice (adjusted odds ratio = 2.58; 95% confidence interval = 1.14, 5.85; P = .02) as likely to initiate breastfeeding compared with women who did not report childhood sexual abuse. Parenting attitudes and behaviors were compared to consider whether greater concern with parenting is an explanation for this association. In this nationally representative sample, self-identified childhood sexual abuse is associated with an increased likelihood of breastfeeding initiation.

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“…Assim, à excepção do abuso sexual, cuja prevalência não é significativamente diferente para o período antes (1.8%) e depois (1.4%) dos 13 anos de idade, a presença de algum tipo de abuso (71.9% e 48.3%), assim como a presença de todos os tipos de abuso físico -sem sequelas (70.8% e 47.0%) e com sequelas (8.6% e 6.2%) -é mais corrente no período que antecede do que no período que sucede os 13 anos de idade, sendo que estas diferenças se mostraram significativas. Estes resultados são em tudo idênticos aos resultados de outros au-tores, que, usando o mesmo ou um questionário diferente, verificam que o abuso durante a infância é mais frequente do que o abuso durante a adolescência, sobretudo no que se refere ao abuso físico, o que não é tão claro no que se refere ao abuso sexual (Benedict et al, 1999;Crouch et al, 1995;Epstein & Bottoms, 1998;Linksey & Fergusson, 1997;Milner et al, 1990;Paúl et al, 1995). Também os estudos que consideram os registos junto de organismos oficiais verificam um maior número de queixas relativas a crianças do que a adolescentes (Egami et al, 1996;McGuigan & Pratt, 2001;Mollerstrom, et al 1995;National Centre on Child Abuse and Neglect, 1986; National Study of the Incidence and Severity of Child Abuse and Neglect, 1988; U.S. Department of Health and Human Services, The Third National Incidence Study of Child Abuse and Neglect, 1996).…”

Section: Discussão Dos Resultadosunclassified

“…Algumas investigações assinalam, por sua vez, que mais de metade destes relatos de abuso sexual se referem a apenas um incidente (Benedict et al, 1999;Epstein & Bottoms, 1998); contudo, Kinzl et al (1995) observam que o abuso sexual ocorre mais vezes repetidamente. Outras investigações demonstram ainda que com frequência as vítimas de abuso físico são igualmente vítimas de abuso sexual (e.g., Fish & Scott, 1999;Liem & Boudewyn, 1999;Rosen & Martin, 1996), o que é uma evidência empírica que também deve ser assinalada.…”

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História de abuso durante a infância

Figueiredo

Paiva²,

Matos

et al. 2012

Análise Psicológica

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INTRODUÇÃOEstimar a prevalência ou a incidência de maus tratos à criança e ao adolescente é um objectivo que tem norteado muitos estudos empíricos, os quais seguiram duas metodologias distintas. Alguns estudos procuraram avaliar, junto de indiví-duos na idade adulta, a presença de história de maus tratos na infância; outros estudos procuraram estimar, através da consulta de registos oficiais ou da observação directa dos sujeitos, o nú-mero de crianças sobre as quais estaria a acontecer uma situação de abuso.No primeiro grupo de estudos, que enverga pela metodologia adoptada na investigação que apresentamos neste artigo, verifica-se que experiências de maus tratos e negligência durante a infância e a adolescência são relatadas por um elevado número de indivíduos na idade adulta.A prevalência de história de abuso físico na infância e adolescência, com base nos relatos na idade adulta, é estimada em 14 a 50% dos sujeitos das amostras recolhidas na comunidade, tendo em conta as amostras e os instrumentos que usam diferentes definições para o abuso (Belt & Abidin, 1996;Browne & Hamilton, 1998;Crouch, Milner, & Caliso, 1995;Eisen & Carlson, 1998; Epps, Carlin, & Ward, 1999;Fish & Scott, 1999;Liem & Boudewyn, 1999;Litty, Kowalski, & Minor, 1996;Milner, Robertson, & Rogers, 1990;Paúl, Milner, & Múgica, 1995;Rosen & Martin, 1996).No que se refere especificamente à história de abuso sexual durante a infância e adolescência, este tipo de abuso tem sido igualmente relatado por um número considerável de indivíduos na 365

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The association of childhood sexual abuse with depressive symptoms during pregnancy, and selected pregnancy outcomes

Cited by 113 publications

References 49 publications

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

The Association Between Reported Childhood Sexual Abuse and Breastfeeding Initiation

História de abuso durante a infância

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