Domestic violence and perinatal mental disorders: a systematic review and meta-analysis.

<h4>Background</h4>Domestic violence in the perinatal period is associated with adverse obstetric outcomes, but evidence is limited on its association with perinatal mental disorders. We aimed to estimate the prevalence and odds of having experienced domestic violence among women with an...

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Autores principales:	Louise M Howard, Sian Oram, Helen Galley, Kylee Trevillion, Gene Feder
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/04580bbb2b614d88bddf14c97cf48e8d
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spelling	oai:doaj.org-article:04580bbb2b614d88bddf14c97cf48e8d2021-11-18T05:42:36ZDomestic violence and perinatal mental disorders: a systematic review and meta-analysis.1549-12771549-167610.1371/journal.pmed.1001452https://doaj.org/article/04580bbb2b614d88bddf14c97cf48e8d2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23723741/?tool=EBIhttps://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>Domestic violence in the perinatal period is associated with adverse obstetric outcomes, but evidence is limited on its association with perinatal mental disorders. We aimed to estimate the prevalence and odds of having experienced domestic violence among women with antenatal and postnatal mental disorders (depression and anxiety disorders including post-traumatic stress disorder [PTSD], eating disorders, and psychoses).<h4>Methods and findings</h4>We conducted a systematic review and meta-analysis (PROSPERO reference CRD42012002048). Data sources included searches of electronic databases (to 15 February 2013), hand searches, citation tracking, update of a review on victimisation and mental disorder, and expert recommendations. Included studies were peer-reviewed experimental or observational studies that reported on women aged 16 y or older, that assessed the prevalence and/or odds of having experienced domestic violence, and that assessed symptoms of perinatal mental disorder using a validated instrument. Two reviewers screened 1,125 full-text papers, extracted data, and independently appraised study quality. Odds ratios were pooled using meta-analysis. Sixty-seven papers were included. Pooled estimates from longitudinal studies suggest a 3-fold increase in the odds of high levels of depressive symptoms in the postnatal period after having experienced partner violence during pregnancy (odds ratio 3.1, 95% CI 2.7-3.6). Increased odds of having experienced domestic violence among women with high levels of depressive, anxiety, and PTSD symptoms in the antenatal and postnatal periods were consistently reported in cross-sectional studies. No studies were identified on eating disorders or puerperal psychosis. Analyses were limited because of study heterogeneity and lack of data on baseline symptoms, preventing clear findings on causal directionality.<h4>Conclusions</h4>High levels of symptoms of perinatal depression, anxiety, and PTSD are significantly associated with having experienced domestic violence. High-quality evidence is now needed on how maternity and mental health services should address domestic violence and improve health outcomes for women and their infants in the perinatal period.Louise M HowardSian OramHelen GalleyKylee TrevillionGene FederPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 10, Iss 5, p e1001452 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Louise M Howard Sian Oram Helen Galley Kylee Trevillion Gene Feder Domestic violence and perinatal mental disorders: a systematic review and meta-analysis.
description	<h4>Background</h4>Domestic violence in the perinatal period is associated with adverse obstetric outcomes, but evidence is limited on its association with perinatal mental disorders. We aimed to estimate the prevalence and odds of having experienced domestic violence among women with antenatal and postnatal mental disorders (depression and anxiety disorders including post-traumatic stress disorder [PTSD], eating disorders, and psychoses).<h4>Methods and findings</h4>We conducted a systematic review and meta-analysis (PROSPERO reference CRD42012002048). Data sources included searches of electronic databases (to 15 February 2013), hand searches, citation tracking, update of a review on victimisation and mental disorder, and expert recommendations. Included studies were peer-reviewed experimental or observational studies that reported on women aged 16 y or older, that assessed the prevalence and/or odds of having experienced domestic violence, and that assessed symptoms of perinatal mental disorder using a validated instrument. Two reviewers screened 1,125 full-text papers, extracted data, and independently appraised study quality. Odds ratios were pooled using meta-analysis. Sixty-seven papers were included. Pooled estimates from longitudinal studies suggest a 3-fold increase in the odds of high levels of depressive symptoms in the postnatal period after having experienced partner violence during pregnancy (odds ratio 3.1, 95% CI 2.7-3.6). Increased odds of having experienced domestic violence among women with high levels of depressive, anxiety, and PTSD symptoms in the antenatal and postnatal periods were consistently reported in cross-sectional studies. No studies were identified on eating disorders or puerperal psychosis. Analyses were limited because of study heterogeneity and lack of data on baseline symptoms, preventing clear findings on causal directionality.<h4>Conclusions</h4>High levels of symptoms of perinatal depression, anxiety, and PTSD are significantly associated with having experienced domestic violence. High-quality evidence is now needed on how maternity and mental health services should address domestic violence and improve health outcomes for women and their infants in the perinatal period.
format	article
author	Louise M Howard Sian Oram Helen Galley Kylee Trevillion Gene Feder
author_facet	Louise M Howard Sian Oram Helen Galley Kylee Trevillion Gene Feder
author_sort	Louise M Howard
title	Domestic violence and perinatal mental disorders: a systematic review and meta-analysis.
title_short	Domestic violence and perinatal mental disorders: a systematic review and meta-analysis.
title_full	Domestic violence and perinatal mental disorders: a systematic review and meta-analysis.
title_fullStr	Domestic violence and perinatal mental disorders: a systematic review and meta-analysis.
title_full_unstemmed	Domestic violence and perinatal mental disorders: a systematic review and meta-analysis.
title_sort	domestic violence and perinatal mental disorders: a systematic review and meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/04580bbb2b614d88bddf14c97cf48e8d
work_keys_str_mv	AT louisemhoward domesticviolenceandperinatalmentaldisordersasystematicreviewandmetaanalysis AT sianoram domesticviolenceandperinatalmentaldisordersasystematicreviewandmetaanalysis AT helengalley domesticviolenceandperinatalmentaldisordersasystematicreviewandmetaanalysis AT kyleetrevillion domesticviolenceandperinatalmentaldisordersasystematicreviewandmetaanalysis AT genefeder domesticviolenceandperinatalmentaldisordersasystematicreviewandmetaanalysis
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Domestic violence and perinatal mental disorders: a systematic review and meta-analysis.

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