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Does resilience moderate the effect of intimate partner violence on signs of depression among Tanzanian pregnant women: A cross-sectional study.

韧性是否缓解了亲密伴侣暴力对坦桑尼亚孕妇抑郁症状的影响: 一项横断面研究。

  • 影响因子:0
  • DOI:10.1111/aogs.14062
  • 作者列表:"Magnusson FL","Rogathi JJ","Sigalla GN","Manongi R","Rasch V","Gammeltoft T","Meyrowitsch DW
  • 发表时间:2021-04-01
Abstract

INTRODUCTION:Exposure to intimate partner violence (IPV) has been found to be associated with a multitude of poor health and quality of life outcomes. Among the risks exacerbated by IPV is prenatal depression. Resilience is hypothesized to protect against psychopathology after exposure to a traumatic influence. The present study aims to investigate resilience as a moderator of the effect of exposure to IPV on prenatal depression among pregnant women in Moshi, Tanzania. MATERIAL AND METHODS:In this cross-sectional study, nested within a larger longitudinal study, pregnant women receiving antenatal care were interviewed about exposure to IPV, signs of depression using the Edinburgh Postpartum Depression Scale, and resilience using the abbreviated Connor-Davidson Resilience Scale. Logistic regression was used to test the effect of the interaction term of resilience and exposure to IPV during pregnancy on the risk of high level of signs of depression. RESULTS:In total, 1013 women completed all interviews, 300 women reported exposure to IPV, and 113 had high levels of signs of depression. Mean resilience score was 14.26 (SD 9.45). Exposure to IPV was correlated with signs of depression (adjusted odds ratio 6.49, 95% CI 3.75-11.24). Resilience was not correlated with signs of depression, nor was the interaction term of resilience and exposure to IPV. CONCLUSIONS:The study did not find that resilience acted as a moderator of the effect of exposure to IPV during pregnancy on the risk of prenatal depression. The cross-sectional design of the study may not be well suited to investigate resilience, which could take time to manifest. The abbreviated Connor-Davidson Resilience Scale has not been validated in a Tanzanian setting, or in the Swahili version. Practitioners should take note that all women and families affected by IPV should be afforded relevant assistance from social services, law enforcement, healthcare practitioners, and other relevant services, regardless of their apparent level of resilience.

摘要

引言: 暴露于亲密伴侣暴力 (IPV) 已被发现与许多不良健康和生活质量结果相关。IPV加剧的风险包括产前抑郁。复原力被假设为在暴露于创伤影响后防止精神病理学。本研究旨在调查坦桑尼亚Moshi孕妇暴露于IPV对产前抑郁影响的调节能力。 材料和方法: 在这项横断面研究中,嵌套在一个更大的纵向研究中,接受产前护理的孕妇接受了关于暴露于IPV、使用爱丁堡产后抑郁量表的抑郁迹象和使用缩写Connor-Davidson复原力量表的复原力的访谈。采用Logistic回归检验复原力交互项和孕期暴露于IPV对高水平抑郁体征风险的影响。 结果: 共有1013名女性完成了所有访谈,300名女性报告暴露于IPV,113有高水平的抑郁迹象。平均弹性评分为14.26 (SD 9.45)。暴露于IPV与抑郁症状相关 (校正比值比6.49,95% CI 3.75-11.24)。复原力与抑郁症状无关,复原力和暴露于IPV的交互项也不相关。 结论: 该研究没有发现复原力在妊娠期暴露于IPV对产前抑郁风险的影响中起调节作用。该研究的横断面设计可能不太适合研究弹性,这可能需要时间来表现。缩写的Connor-Davidson复原力量表尚未在坦桑尼亚环境或斯瓦希里语版本中得到验证。从业人员应注意,所有受IPV影响的妇女和家庭都应得到社会服务、执法、医疗保健从业人员和其他相关服务机构的相关援助,无论其明显的复原力水平如何。

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