Maternal history of child maltreatment and maternal depression risk in the perinatal period: A longitudinal study |
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| Institution: | 1. School of Nursing, Shandong University, No.44 Wenhua Xi Road, Jinan, Shandong, 250012, PR China;2. Shandong Provincial Qianfoshan Hospital, No.16766 Jingshi Road, Lixia, Jinan, Shandong, 250014, PR China;1. School of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;2. Department of Obstetrics and Gynecology, School of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;3. Department of Mental Health, School of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;4. National Institute of Science and Technology–Molecular Medicine (INCT-MM), School of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;1. Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA;2. Department of Obstetrics and Gynecology, University of Texas Medical Branch at Galveston, University of Texas, Galveston;3. Department of Obstetrics and Gynecology, School of Medicine, University of Utah, Salt Lake City;4. Department of Obstetrics and Gynecology, School of Medicine, University of Virginia, Charlottesville;5. McGovern Medical School, University of Texas Health Science Center, Houston;6. Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, San Antonio;7. Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY;1. Marmara University School of Medicine, Department of Medical Education, ?stanbul, Turkey;2. Marmara University School of Medicine, Department of Forensic Medicine, ?stanbul, Turkey;3. Marmara University School of Medicine, Department of Obstetrics and Gynecology, ?stanbul, Turkey;1. Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health (BIH); the University of California–Irvine; and the University of California–Irvine Development, Health and Disease Research Program, Orange, CA;2. Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health (BIH);3. Pennsylvania State University, State College;4. Oregon Health and Science University, Portland;5. Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA;6. University of California–Irvine and the University of California–Irvine Development, Health and Disease Research Program |
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| Abstract: | Existing research is limited, with only a few studies considering each single type and multiple types of child maltreatment (CM) as well as multiple assessments of maternal depression throughout the perinatal period. The purpose of the study was to assess each type and accumulative types of CM in relation to the risk of maternal depression throughout the perinatal period. In total, 276 pregnant women were recruited from the prenatal clinic at a general hospital in China. Maternal CM history and depression risk were assessed at late pregnancy, postpartum week 1, and postpartum week 4 using the Childhood Trauma Questionnaire (CTQ) and Edinburgh Postnatal Depression Scale (EPDS). The GEE showed that physical and emotional neglect and multiple types of CM were associated with higher overall depression risk across the perinatal period. The multinomial regression models showed physical neglect and multiple types of CM predicted higher risk of both antepartum and postpartum depression. Emotional and sexual abuse and emotional neglect predicted antepartum depression risk, while none of the three types of CM predicted postpartum depression risk. Physical abuse did not predict antepartum and postpartum depression risk. The findings suggest that maternal history of child physical and emotional neglect play significant roles in perinatal depression risk with physical neglect as the most important predictor. Routine screening for maternal CM history and depression risk in prenatal clinics is needed to aid in the early detection and treatment of depression. |
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| Keywords: | Child maltreatment Depression Perinatal period Woman Longitudinal study |
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