Department of Psychology, University of Notre Dame, IN, USA.
Trauma Violence Abuse. 2022 Jul;23(3):733-747. doi: 10.1177/1524838020976098. Epub 2020 Nov 28.
The link between maternal violence exposure and adverse obstetric outcomes is well-documented, but less is understood about the relationship between intimate partner violence (IPV) exposure and perinatal post-traumatic stress symptoms(PTSS) and depression in women around the world. A systematic review was conducted to synthesize empirical literature on the associations between IPV (e.g., before pregnancy, during pregnancy, postpartum) and post-traumatic stress and depression symptoms in the perinatal period. This review acknowledged the effects of IPV exposure timing, timing of assessment, and IPV subtypes. Forty-seven longitudinal studies met inclusion criteria and were reviewed to determine the effects of IPV exposure on perinatal mental health. Findings suggested a strong relationship between IPV exposure and perinatal mental health. Results were more consistent between perinatal mental health and IPV sustained close to or during the perinatal period than for lifetime IPV exposure. In general, physical, sexual, and psychological IPV were independently associated with perinatal depression and PTSS. Findings underscore the importance of theoretically driven research and the development of treatment protocols for women worldwide.
母亲遭受暴力与不良产科结局之间的关联已有充分记录,但对于全球范围内,亲密伴侣暴力(IPV)暴露与围产期创伤后应激症状(PTSS)和抑郁之间的关系,人们知之甚少。本系统综述旨在综合有关 IPV(如怀孕前、怀孕期间、产后)与围产期创伤后应激和抑郁症状之间关联的实证文献。本综述承认了 IPV 暴露时间、评估时间和 IPV 亚型的影响。有 47 项纵向研究符合纳入标准,并对其进行了审查,以确定 IPV 暴露对围产期心理健康的影响。研究结果表明,IPV 暴露与围产期心理健康之间存在很强的关系。在围产期期间或接近围产期持续发生的 IPV 暴露与围产期心理健康之间的结果更为一致,而终生 IPV 暴露则不然。一般来说,身体、性和心理 IPV 与围产期抑郁和 PTSS 独立相关。这些研究结果强调了理论驱动研究和为全球妇女制定治疗方案的重要性。