scholarly journals Longitudinal path analysis of depressive symptoms and functioning among women of child-rearing age in postconflict Timor-Leste

2020 ◽  
Vol 5 (3) ◽  
pp. e002039
Author(s):  
Derrick Silove ◽  
Mohammed Mohsin ◽  
Louis Klein ◽  
Natalino De Jesus Tam ◽  
Mark Dadds ◽  
...  

This longitudinal study indicates that exposure to the traumas of mass conflict and subsequent depressive symptoms play an important role in pathways leading to functional impairment in the postconflict period among women of child-rearing age. Our study, conducted in Timor-Leste, involved an analytic sample of 1292 women recruited at antenatal clinics in the capital and its surrounding districts. Women were re-interviewed at home 2 years later (77.3% retention). We applied the Edinburgh Postnatal Depression Scale, the Harvard Trauma Questionnaire for conflict-related traumatic events, the WHO Violence Against Women Instrument covering the past year for intimate partner violence and the WHO Disability Assessment Schedule (WHODAS V.2.0) to assess functional impairment. A longitudinal path analysis tested direct and indirect relationships involving past conflict-related trauma exposure, depressive symptoms measured over the two time points and functional impairment at follow-up. The prevalence of predefined clinically significant depressive symptoms diminished from 19.3% to 12.8%. Nevertheless, there was a tendency for depressive symptoms to persist over time (β=0.20; p<0.001). Follow-up depressive symptoms were associated with functional impairment (β=0.35; p<0.001). Reported conflict-related trauma occurring a minimum of 6 years earlier (β=0.23; p<0.001) and past-year physical intimate partner violence (β=0.26; p<0.001) were each associated with depressive symptoms at baseline and at follow-up. A measure of poverty specific to the context and reported health problems in the mother and infant also contributed to depressive symptoms. The findings highlight the association between ongoing trauma-related depressive symptoms and the capacity of women in the childbearing age to function in multiple areas of their lives in a postconflict country. Recognition of these relationships is important in the formulation and implementation of contemporary international recovery and development policies applied to postconflict countries.

Author(s):  
Lacy E. Jamison ◽  
Kathryn H. Howell ◽  
Kristina M. Decker ◽  
Laura E. Schwartz ◽  
Idia B. Thurston

2016 ◽  
Vol 50 (4) ◽  
pp. 582-601 ◽  
Author(s):  
Jesse Cale ◽  
Stacy Tzoumakis ◽  
Benoit Leclerc ◽  
Jan Breckenridge

The aim of this study was to examine the relationship between child abuse, depression, and patterns of Intimate Partner Violence victimization among female university students in Australia and New Zealand. Data were based on the Australia/New Zealand portion of the International Dating Violence Study (2001–2005) (n = 293). Using Latent Class Analysis, Low-, Moderate-, and High-level Intimate Partner Violence profiles were identified that differed according to the variety, degree, and severity of Intimate Partner Violence. Furthermore, the combination of child maltreatment and self-reported depressive symptoms differed across profiles. The results highlighted differential pathways from child maltreatment to specific Intimate Partner Violence victimization patterns. These findings provide further evidence for the importance of early intervention strategies to prevent Intimate Partner Violence, and specifically for children who experience abuse and neglect to help prevent subsequent victimization experiences in intimate relationship contexts.


2018 ◽  
pp. 088626051881702 ◽  
Author(s):  
Amanda K. Gilmore ◽  
Anna E. Jaffe ◽  
Christine K. Hahn ◽  
Leigh E. Ridings ◽  
Kathy Gill-Hopple ◽  
...  

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lourah M. Kelly ◽  
Cory A. Crane ◽  
Kristyn Zajac ◽  
Caroline J. Easton

Purpose Past studies demonstrated the efficacy of integrated cognitive-behavioral therapy (CBT) for substance use disorder (SUD) and intimate partner violence (IPV) as well as high rates of depressive symptoms in this population. However, little is known about how depressive symptoms impact treatment outcomes. The authors hypothesized that integrated CBT, but not standard drug counseling (DC), would buffer the negative effects of depressive symptoms on treatment response. Design/methodology/approach A secondary analysis of a randomized trial compared men assigned to 12 weeks of integrated CBT for SUD and IPV (n = 29) to those in DC (n = 34). Findings Most (60%) of the sample reported any depressive symptoms. Controlling for baseline IPV, reporting any depressive symptoms was associated with more positive cocaine screens during treatment. Among men with depressive symptoms, integrated CBT but not DC was associated with fewer positive cocaine screens. Controlling for baseline alcohol variables, integrated CBT and depressive symptoms were each associated with less aggression outside of intimate relationships (family, strangers, etc.) during treatment. For men without depressive symptoms, integrated CBT was associated with less non-IPV aggression compared to DC. Effects were not significant for other substances, IPV, or at follow-up. Research limitations/implications This study found some evidence for differential response to CBT by depressive symptoms on cocaine and aggression at end of treatment, which did not persist three months later. Future studies should explore mechanisms of integrated CBT for SUD and IPV, including mood regulation, on depressive symptoms in real-world samples. Practical implications Integrated CBT buffered depressive symptoms’ impact on cocaine use, yet only improved non-IPV aggression in men without depressive symptoms. Originality/value Although integrated CBT’s efficacy for improving SUD and IPV has been established, moderators of treatment response have not been investigated.


2018 ◽  
Vol 5 ◽  
Author(s):  
Susan Rees ◽  
Mohammed Mohsin ◽  
Alvin Kuowei Tay ◽  
Zachary Steel ◽  
Natalino Tam ◽  
...  

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