Kastello Jennifer C, Jacobsen Kathryn H, Gaffney Kathleen F, Kodadek Marie P, Sharps Phyllis W, Bullock Linda C
School of Nursing, University of Virginia, 225 Jeanette Lancaster Way, Charlottesville, VA, 22903, USA.
Department of Community and Global Health, George Mason University, 4400 University Drive, Fairfax, VA, USA.
Community Ment Health J. 2016 Aug;52(6):683-90. doi: 10.1007/s10597-015-9977-y. Epub 2015 Dec 17.
Women experiencing perinatal intimate partner violence (IPV) may be at increased risk for depression. Baseline data was analyzed from 239 low-income pregnant women participating in an intervention study designed to reduce exposure to IPV. Depression risk was assessed using the Edinburgh Postnatal Depression Scale (EPDS) and IPV factors were measured with the Conflict Tactics Scale-Revised (CTS-2). Stepwise regression was conducted to identify predictors of risk for depression. Race (p = 0.028), psychological IPV (p = 0.035) and sexual IPV (p = 0.031) were strongly associated with risk for depression. Regression results indicated that women experiencing severe psychological IPV were more likely to develop depression (OR 3.16, 95 % CI 1.246, 8.013) than those experiencing severe physical or sexual IPV. Experiencing severe psychological IPV during pregnancy is strongly linked to risk for depression. Routine screening for psychological IPV may increase identification and treatment of women at high risk for depression during pregnancy.
遭受围产期亲密伴侣暴力（IPV）的女性可能患抑郁症的风险更高。对239名参与旨在减少IPV暴露的干预研究的低收入孕妇的基线数据进行了分析。使用爱丁堡产后抑郁量表（EPDS）评估抑郁风险，并用修订后的冲突策略量表（CTS-2）测量IPV因素。进行逐步回归以确定抑郁风险的预测因素。种族（p = 0.028）、心理IPV（p = 0.035）和性IPV（p = 0.031）与抑郁风险密切相关。回归结果表明，遭受严重心理IPV的女性比遭受严重身体或性IPV的女性更易患抑郁症（比值比3.16，95%置信区间1.246，8.013）。孕期遭受严重心理IPV与抑郁风险密切相关。对心理IPV进行常规筛查可能会增加对孕期抑郁症高危女性的识别和治疗。
