scholarly journals Intimate partner violence and its association with maternal depressive symptoms 6–8 months after childbirth in rural Bangladesh

2014 ◽  
Vol 7 (1) ◽  
pp. 24725 ◽  
Author(s):  
Zarina N. Kabir ◽  
Hashima-E Nasreen ◽  
Maigun Edhborg
2017 ◽  
Vol 35 (21-22) ◽  
pp. 4779-4795 ◽  
Author(s):  
Maigun Edhborg ◽  
Hashima E-Nasreen ◽  
Zarina Nahar Kabir

Intimate partner violence (IPV) during the first year postpartum is common in Bangladesh, and many infants are exposed to hostile and aggressive environment. The aim of the current study was to investigate how IPV (physical, emotional, and sexual) impacts on the mother’s perception of her infant’s temperament 6 to 8 months postpartum, and whether maternal depressive symptom at 6 to 8 months postpartum is a mediator in this association. A total of 656 rural Bangladeshi women and their children 6 to 8 months postpartum were included in this study. Data were collected by structured interviews. The women were asked about physical, sexual, and emotional IPV; depressive symptoms (Edinburgh Postnatal Depressive Symptoms [EPDS]); and their perception of infant temperament assessed by the Infant Characteristic Questionnaire (ICQ). Descriptive analyses were conducted for prevalence of IPV and maternal depressive symptoms. Mediation analysis was conducted with a series of linear regressions with types of IPV as independent variables, ICQ including its subscales as dependent variables and maternal depressive symptoms as potential mediator. All the analyses were adjusted for the woman’s and her husband’s ages and number of children of the couple. Nearly 90% of the mothers reported some kind of IPV at 6 to 8 months postpartum. All types of IPV were directly associated with the mother’s perception of her infant as unadaptable. Maternal depressive symptom was a mediating factor between physical IPV and the ICQ subscales fussy-difficult and unpredictable. In addition, depressive symptoms mediated between sexual and emotional IPV, and the mother’s perception of the infant as unpredictable. The results showed that IPV influenced how mothers perceived their infant’s temperament. It is important that health care professionals at maternal and child health services enquire about IPV with possibilities to refer the family or the mother and infant for appropriate support.


2019 ◽  
Author(s):  
Yitbarek Kidane Woldetensay ◽  
Tefera Belachew ◽  
Shibani Ghosh ◽  
Eva Johanna Kantelhardt ◽  
Hans Konrad Biesalski ◽  
...  

Abstract Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depressive symptoms have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; e.g. early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship between maternal depressive symptoms and IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with rolling recruitment and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts (Woliso, Tiro-Afeta and Gomma) in the southwest of Ethiopia. The sample size was 4680 with pregnant women recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Data collection was conducted by trained nurses electronically using Open Data Kit (ODK) software. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. Maternal depressive symptoms (prenatal and postnatal) were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs and maternal depression. Results: Early postnatal depressive symptoms were inversely and significantly associated with IFPs (ß= -1.031, P=0.001). However, prenatal maternal depression was not significantly associated with IFPs (ß= -0.024, P=0.953). Similarly, intimate partner violence (ß= -0.208, P=0.001) was negatively associated with IFPs. On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal education, gestational age at birth, maternal social support and social participation are positive predictors of IFPs. Overall, we conclude that a multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve IFPs.Key words: Infant feeding practices, prenatal depression, postnatal depression, household food insecurity, intimate partner violence, social support, Ethiopia


2020 ◽  
Author(s):  
Yitbarek Kidane Woldetensay ◽  
Tefera Belachew ◽  
Shibani Ghosh ◽  
Eva Johanna Kantelhardt ◽  
Hans Konrad Biesalski ◽  
...  

Abstract Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depression and other psychosocial factors have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; for instance, early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with “rolling recruitment” procedure and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Standardized questionnaire were used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence, maternal social support, active social participation, and other socio-demographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors. Results: Postnatal depressive symptoms (ß= -1.031, P=0.001) and intimate partner violence (ß= -0.208, P=0.001) were inversely and significantly associated with IFPs. However, prenatal maternal depressive symptoms was not significantly associated with IFPs (ß= -0.024, P=0.953). On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal social support, social participation, maternal education and gestational age at birth were positive predictors of IFPs. Overall, we can conclude that multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve IFPs.


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.


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.


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