Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/7071
Title: Alcohol misuse among partners: a potential effect modifier in the relationship between physical intimate partner violence and postpartum depression
Authors: Lobato, Gustavo
Moraes, Claudia L.
Dias, Alessandra S.
Reichenheim, Michael E.
Affilliation: Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.
Abstract: PURPOSE: This study evaluated if the probability of postpartum depression (PPD) increases with an upward gradient of physical intimate partner violence (IPV) during pregnancy and whether substance use by any member of the couple modifies this relationship. METHODS: The sample comprised 811 randomly selected mothers of children under 5 months old attending primary health services of Rio de Janeiro, Brazil. The Revised Conflict Tactics Scale (CTS2) gauged physical IPV, and the Edinburgh Postnatal Depression Scale (EPDS) assessed PPD. A hierarchical logistic regression model was employed to deal with confounding. Specific interaction terms between physical IPV and alcohol misuse or use of illicit drugs were also tested. RESULTS: Physical IPV during pregnancy was reported by 37.8% of respondents and 24.3% were presumably depressed (EPDS score ≥ 12). Interaction between physical IPV and partners' alcohol misuse was statistically significant (p = 0.026). Although there was a significant increase in PPD with just one act of physical IPV in the absence of a partners' alcohol misuse, mounting acts did not have any further influence. Conversely, when partners misused alcohol, the probability progressively and steeply increased from two acts onwards, reaching almost sevenfold by six cumulative physical IPV events as opposed to none. CONCLUSIONS: The results reinforce the relevance of physical IPV as a risk factor to PPD. They also suggest that context matters, partners' alcohol misuse acting as an important effect modifier. These evidences justify tailored preventive, screening and intervention procedures for IPV and alcohol misuse during pregnancy and the postpartum period.
Keywords: Intimate Partner Violence
Domestic Violence
Alcohol Abuse
Postpartum Depression
Risk Factor
DeCS: Intoxicação Alcoólica - psicologia
Depressão Pós-Parto - epidemiologia
Depressão Pós-Parto - etiologia
Violência Doméstica - psicologia
Parceiros Sexuais
Feminino
Masculino
Fator de Risco
Issue Date: 2012
Publisher: Springer International
Bibliography : O’Hara MW, Zekoski EM, Philipps LH, Wright EJ (1990) Controlled prospective study of postpartum mood disorders: comparison of childbearing and nonchildbearing women. J Abnorm Psychol 99:3–15.
World Health Organization (2009) Mental health aspects of women’s reproductive health. A global review of the literature. WHO Press, Geneva.
Cooper PJ, Murray L (1998) Postnatal depression. Br Med J 316:1884–1886.
Gjerdingen DK, Yawn BP (2007) Postpartum depression screening: importance, methods, barriers, and recommendations for practice. J Am Board Fam Med 20:280–288.
Lewis G, Drife J (2001) Why mothers die 1997–1999: the Confidential Enquiries into Maternal Deaths in the United Kingdom. RCOG Press, London.
Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T (2005) Perinatal depression. Obstet Gynecol 106:1071–1083.
Leiferman J (2002) The effect of maternal depressive symptomatology on maternal behaviors associated with child health. Health Educ Behav 29:596–607.
Grace SL, Evindar A, Stewart DE (2003) The effect of postpartum depression on child cognitive development and behavior: A review and critical analysis of the literature. Arch Womens Ment Health 6:263–274.
Murray J, Cooper PJ (2003) The impact of postpartum depression on child development. In: Goodyer I (ed) Aetiological mechanisms in developmental psychopathology. Oxford University Press, Oxford.
Hiscock H, Wake M (2001) Infant sleep problems and postnatal depression: a community-based study. Pediatrics 107:1317–1322.
Hammen C, Brennan PA (2003) Severity, chronicity, and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Arch Gen Psychiatry 60:253–258.
Noorlander Y, Bergink V, van den Berg MP (2008) Perceived and observed mother–child interaction at time of hospitalization and release in postpartum depression and psychosis. Arch Womens Ment Health 11:49–56.
Rahman A, Bunn J, Lovel H, Creed F (2007) Maternal depression increases infant risk of diarrhoeal illness: a cohort study. Arch Dis Child 92:24–28.
Thio IM, Oakley Browne MA, Coverdale JH, Argyle N (2006) Postnatal depressive symptoms go largely untreated: a probability study in urban New Zealand. Soc Psychiatry Psychiatr Epidemiol 41:814–818.
Beck CT (2001) Predictors of postpartum depression: an update. Nurs Res 50:275–285.
Robertson E, Grace S, Wallington T, Stewart DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289–295.
Ross LE, Dennis CL (2009) The prevalence of postpartum depression among women with substance use, an abuse history, or chronic illness: a systematic review. J Womens Health (Larchmt) 18:475–486.
Whiffen VE, Gotlib IH (1993) Comparison of postpartum and nonpostpartumdepression: clinical presentation, psychiatric history, and psychosocial functioning. J Consult Clin Psychol 61:485–494.
Whiffen VE (1992) Is postpartum depression a distinct diagnosis? Clin Psychol Rev 12:485–508.
Riecher-Rossler A, Hofecker Fallahpour M (2003) Postpartum depression: do we still need this diagnostic term? Acta Psychiatr Scand Suppl 51–56.
Kendler KS, Gardner CO, Prescott CA (2002) Toward a comprehensive developmental model for major depression in women. Am J Psychiatry 159:1133–1145.
Leung WC, Kung F, Lam J, Leung TW, Ho PC (2002) Domestic violence and postnatal depression in a Chinese community. Int J Gynaecol Obstet 79:159–166.
Tiwari A, Chan KL, Fong D, Leung WC, Brownridge DA, Lam H, Wong B, Lam CM, Chau F, Chan A, Cheung KB, Ho PC (2008) The impact of psychological abuse by an intimate partner on the mental health of pregnant women. Br J Obstet Gynaecol 115:377–384.
Varma D, Chandra PS, Thomas T, Carey MP (2007) Intimate partner violence and sexual coercion among pregnant women in India: relationship with depression and post-traumatic stress disorder. J Affect Disord 102:227–235.
Romito P, Pomicino L, Lucchetta C, Scrimin F, Turan JM (2009) The relationships between physical violence, verbal abuse and women’s psychological distress during the postpartum period. J Psychosom Obstet Gynaecol 30:115–121.
Cohen MM, Schei B, Ansara D, Gallop R, Stuckless N, Stewart DE (2002) A history of personal violence and postpartum depression: is there a link? Arch Womens Ment Health 4:83–92.
Records K, Rice MJ (2009) Lifetime physical and sexual abuse and the risk for depression symptoms in the first 8 months after birth. J Psychosom Obstet Gynaecol 30:181–190.
Gomez-Beloz A, Williams MA, Sanchez SE, Lam N (2009) Intimate partner violence and risk for depression among postpartum women in Lima, Peru. Violence Vict 24:380–398.
Nayak MB, Patel V, Bond JC, Greenfield TK (2010) Partner alcohol use, violence and women’s mental health: populationbased survey in India. Br J Psychiatry 196:192–199.
Marshal MP (2003) For better or for worse? The effects of alcohol use on marital functioning. Clin Psychol Rev 23:959–997.
Steinglass P, Robertson A (1983) The alcoholic family. In: Kissen B, Begleiter H (eds) The pathogenesis of alcoholism. Plenum, New York, pp 243–307.
Halford WK, Bouma R, Kelly A, Mc DYR (1999) Individual psychopathology and marital distress. Analyzing the association and implications for therapy. Behav Modif 23:179–216.
McCrady BS (1982) Marital dysfunction: alcoholism and marriage. In: Pattison EM, Kaufman E (eds) Encyclopedic handbook of alcoholism. Gardner Press, New York, pp 673–685.
Moraes CL, Reichenheim ME (2002) Domestic violence during pregnancy in Rio de Janeiro, Brazil. Int J Gynaecol Obstet 79:269–277.
Garcı´a-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts C (2005) Who multi-country study on women’s health and domestic violence against women: initial results on prevalence, health outcomes and women’s responses. WHO Press, Geneva.
O’Leary KD, Tintle N, Bromet EJ, Gluzman SF (2008) Descriptive epidemiology of intimate partner aggression in Ukraine. Soc Psychiatry Psychiatr Epidemiol 43:619–626.
Kozinszky Z, Dudas RB, Csatordai S, Devosa I, Toth E, Szabo D, Sikovanyecz J, Zadori J, Barabas K, Pal A (2010) Social dynamics of postpartum depression: a population-based screening in South-eastern Hungary. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-010-0206-2.
Boyce P, Hickey A (2005) Psychosocial risk factors to major depression after childbirth. Soc Psychiatry Psychiatr Epidemiol 40:605–612.
Inandi T, Bugdayci R, Dundar P, Sumer H, Sasmaz T (2005) Risk factors for depression in the first postnatal year. A Turkish study. Soc Psychiatry Psychiatr Epidemiol 40:725–730.
Russell M, Martier SS, Sokol RJ, Mudar P, Bottoms S, Jacobson S, Jacobson J (1994) Screening for pregnancy risk-drinking. Alcohol Clin Exp Res 18:1156–1161.
Mayfield D, McLeod G, Hall P (1974) The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry 131:1121–1123.
Ewing JA (1984) Detecting alcoholism: the CAGE questionnaire. JAMA 252:1905–1907.
Masur J, Monteiro MG (1983) Validation of the ‘‘CAGE’’ alcoholism screening test in a Brazilian psychiatric inpatient hospital setting. Braz J Med Biol Res 16:215–218.
Moraes CL, Viellas EF, Reichenheim ME (2005) Assessing alcohol misuse during pregnancy: evaluating psychometric properties of the CAGE, T-ACE, and TWEAK in a Brazilian setting. J Stud Alcohol 66:165–173.
Smart RG, Arif A, Hughes P, Medina Mora ME, Navaratnam V, Varma VK, Wadud KA (1981)Drugs use among non-student youth. World Health Organization (Offset Publication, No. 60), Geneva.
Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786.
Gibson J, McKenzie-McHarg K, Shakespeare J, Price J, Gray R (2009) A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatr Scand 119:350–364.
Santos MFS, Martins FC, Pasquali L (1999) Post-natal depression self-rating scales: Brazilian study. Rev Psiq Clin 26:32–40.
Straus MA, Hamby SL, Boney-McCoy S, Sugarman DB (1996) The Revised Conflict Tactics Scales (CTS2): development and preliminary psychometric data. J Fam Issues 17:283–316.
Moraes CL, Hasselmann MH, Reichenheim ME (2002) Portuguese- language cross-cultural adaptation of the Revised Conflict Tactics Scales (CTS2), an instrument used to identify violence in couples. Cad Saude Publ 18:163–176.
Moraes CL, Reichenheim ME (2002) Cross-cultural measurement equivalence of the Revised Conflict Tactics Scales (CTS2) Portuguese version used to identify violence within couples. Cad Saude Publ 18:783–796.
Reichenheim ME, Klein R, Moraes CL (2007) Assessing the physical violence component of the Revised Conflict Tactics Scales when used in heterosexual couples: an item response theory analysis. Cad Saude Publ 23:53–62.
Reichenheim ME, Harpham T (1990) An intra-community profile of nutritional deficiency: A study of children under 5 years of age in a low-income community in Rio de Janeiro (Brazil). Rev Saude Publ 24:69–79.
EP AB (2003) Brazilian criterion of economic classification. Brazilian Association of Research Institutes, Sao Paulo.
Kotelchuck M (1994) An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed adequacy of prenatal care utilization index. Am J Public Health 84:1414–1420.
World Health Organization, United Nations Children’s Fund (2009) Baby-friendly hospital initiative. Revised, updated and expanded for integrated care. WHO Press, Geneva.
Royston P, Altman DG (1994) Regression using fractional polynomials for continuous covariates: Parsimonious parametric modelling (with discussion). Appl Statist 43:429–467.
StataCorp (2007) Stata statistical software, Release 10. Stata Corporation, College Station, TX.
Dean AG, Dean JA, Burton AH, Dicker RC (1994) Epiinfo, version 6.04: a word processing, database, and statistics program for epidemiology on micro-computers. Centers for Disease Control, Atlanta.
Paranjape A, Heron S, Thompson M, Bethea K, Wallace T, Kaslow N (2007) Are alcohol problems linked with an increase in depressive symptoms in abused, inner-city African American women? Womens Health Issues 17:37–43.
Foran HM, O’Leary KD (2008) Alcohol and intimate partner violence: a meta-analytic review. Clin Psychol Rev 28:1222–1234.
Gil-Gonza´lez C, Vives-Cases C, A ´ lvarez-Dardet C, Latour-Pe´rez J (2006) Alcohol and intimate partner violence: do we have enough information to act? Eur J Public Health 16:278–284.
O’Leary KD, Schumacher JA (2003) The association between alcohol use and intimate partner violence: linear effect, threshold effect, or both? Addict Behav 28:1575–1585.
Dawson DA, Grant BF, Chou SP, Stinson FS (2007) The impact of partner alcohol problems on women’s physical and mental health. J Stud Alcohol Drugs 68:66–75.
Gourion D (2009) Events of life and links with severe depression at different ages. Encephale 35(Suppl 7):S250–S256.
Solomon MB, Herman JP (2009) Sex differences in psychopathology: of gonads, adrenals and mental illness. Physiol Behav 97:250–258.
Moraes CL, Arana FD, Reichenheim ME (2010) Physical intimate partner violence during gestation as a risk factor for low quality of prenatal care. Rev Saude Publ 44:667–676.
Jasinski JL (2004) Pregnancy and domestic violence: a review of the literature. Trauma Violence Abuse 5:47–64.
Mezey GC, Bewley S (1997) Domestic violence and pregnancy. Br J Obstet Gynaecol 104:528–531.
Moraes CL, Reichenheim M, Nunes AP (2009) Severe physical violence among intimate partners: a risk factor for vaginal bleeding during gestation in less privileged women? Acta Obstet Gynecol Scand 88:1041–1048.
Hedin LW, Janson PO (2000) Domestic violence during pregnancy. The prevalence of physical injuries, substance use, abortions and miscarriages. Acta Obstet Gynecol Scand 79:625–630.
Moraes CL, Reichenheim M, Amorim AR (2006) Gestational weight gain differentials in the presence of intimate partner violence. Int J Gynaecol Obstet 95:254–260.
Silverman JG, Decker MR, Reed E, Raj A (2006) Intimate partner violence victimization prior to and during pregnancy among women residing in 26 US states: associations with maternal and neonatal health. Am J Obstet Gynecol 195:140–148.
Vigod SN, Villegas L, Dennis CL, Ross LE (2010) Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: a systematic review. Br J Obstet Gynecol 117:540–550.
Calvete E, Corral S, Este´vez A (2007) Factor structure and validity of the Revised Conflict Tactics Scales for Spanish women. Violence Against Women 13:1072–1087.
Connelly CD, Newton RR, Aarons GA (2005) A psychometric examination of English and Spanish versions of the Revised Conflict Tactics Scales. J Interpers Violence 20:1560–1579.
Jones NT, Peter JI, Beck M, Beck N (2002) The reliability and validity of the Revised Conflict Tactics Scale (CTS2) in a female incarcerated population. J Fam Issues 23:441–457.
Vega EM, O’Leary KD (2007) Test–retest reliability of the Revised Conflict Tactics Scales (CTS2). J Fam Violence 22:703–708.
Halbreich U, Karkun S (2006) Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disord 91:97–111.
World Health Organization (2001) Mental health: new understanding, new hope. WHO Press, Geneva.
Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R (2002) World report on violence and health. WHO Press, Geneva.
Ludermir AB, Schraiber LB, D’Oliveira AFPL, Ivan Franc¸a- Junior I, Jansen HA (2008) Violence against women by their intimate partner and common mental disorders. Soc Sci Med 66:1008–1018.
El-Mohandes AA, Kiely M, Joseph JG, Subramanian S, Johnson AA, Blake SM, Gantz MG, El-Khorazaty MN (2008) An intervention to improve postpartum outcomes in African-American mothers: a randomized controlled trial. Obstet Gynecol 112:611–620.
Manzolli P, Nunes MA, Schmidt MI, Pinheiro AP, Soares RM, Giacomello A, Drehmer M, Buss C, Hoffmann JF, Ozcariz S, Melere C, Manenti CN, Camey S, Ferri CP (2009) Violence and depressive symptoms during pregnancy: a primary care study in Brazil. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127- 009-0145-y.
O’Hara MW, Swain AM (1996) Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry 8:37–54.
Citation: LOBATO, Gustavo et al. Alcohol misuse among partners: a potential effect modifier in the relationship between physical intimate partner violence and postpartum depression. Soc. psychiatr. psychiatr. epidemiol., Berlin, v. 47, n. 3, p. 427-438, mar. 2012.
DOI: 10.1007/s00127-011-0346-z
Copyright: restricted access
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