Domestic Violence and Perinatal Mental Disorders: A Systematic Review and Meta-Analysis
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{"title"=>"Domestic Violence and Perinatal Mental Disorders: A Systematic Review and Meta-Analysis", "type"=>"generic", "authors"=>[{"first_name"=>"Louise M.", "last_name"=>"Howard", "scopus_author_id"=>"7202645145"}, {"first_name"=>"Sian", "last_name"=>"Oram", "scopus_author_id"=>"34873135200"}, {"first_name"=>"Helen", "last_name"=>"Galley", "scopus_author_id"=>"57198336868"}, {"first_name"=>"Kylee", "last_name"=>"Trevillion", "scopus_author_id"=>"36093631800"}, {"first_name"=>"Gene", "last_name"=>"Feder", "scopus_author_id"=>"55749172200"}], "year"=>2013, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491277", "scopus"=>"2-s2.0-84878322023", "sgr"=>"84878322023", "pui"=>"369013963", "isbn"=>"1549-1676", "pmid"=>"23723741", "doi"=>"10.1371/journal.pmed.1001452"}, "id"=>"be7cde4f-1848-3b3c-99eb-40379e0a25cb", "abstract"=>"BACKGROUND: 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). METHODS AND FINDINGS: 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. CONCLUSIONS: 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.", "link"=>"http://www.mendeley.com/research/domestic-violence-perinatal-mental-disorders-systematic-review-metaanalysis", "reader_count"=>204, "reader_count_by_academic_status"=>{"Unspecified"=>7, "Professor > Associate Professor"=>9, "Librarian"=>3, "Researcher"=>34, "Student > Doctoral Student"=>11, "Student > Ph. D. Student"=>29, "Student > Postgraduate"=>18, "Student > Master"=>49, "Other"=>12, "Student > Bachelor"=>21, "Lecturer"=>5, "Professor"=>6}, "reader_count_by_user_role"=>{"Unspecified"=>7, "Professor > Associate Professor"=>9, "Librarian"=>3, "Researcher"=>34, "Student > Doctoral Student"=>11, "Student > Ph. D. Student"=>29, "Student > Postgraduate"=>18, "Student > Master"=>49, "Other"=>12, "Student > Bachelor"=>21, "Lecturer"=>5, "Professor"=>6}, "reader_count_by_subject_area"=>{"Unspecified"=>11, "Environmental Science"=>2, "Nursing and Health Professions"=>16, "Medicine and Dentistry"=>68, "Agricultural and Biological Sciences"=>6, "Neuroscience"=>5, "Philosophy"=>1, "Arts and Humanities"=>2, "Business, Management and Accounting"=>1, "Psychology"=>68, "Social Sciences"=>23, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>68}, "Neuroscience"=>{"Neuroscience"=>5}, "Social Sciences"=>{"Social Sciences"=>23}, "Psychology"=>{"Psychology"=>68}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>6}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>16}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>11}, "Environmental Science"=>{"Environmental Science"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>2}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"Greece"=>1, "Canada"=>2, "Argentina"=>1, "Netherlands"=>1, "Turkey"=>1, "United States"=>4, "United Kingdom"=>1, "South Africa"=>1, "Australia"=>1, "Spain"=>1, "India"=>1}, "group_count"=>14}

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  • {"files"=>["https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068403/Figure_9.tif"], "description"=>"<p>Meta-analysis of the association between any partner violence during pregnancy and postnatal depression (cohort studies).</p>", "links"=>[], "tags"=>["Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "Obstetrics and gynecology", "pregnancy", "women's health", "postnatal"], "article_id"=>707418, "categories"=>["Medicine"], "users"=>["Louise M. Howard", "Siân Oram", "Helen Galley", "Kylee Trevillion", "Gene Feder"], "doi"=>["http://dx.doi.org/10.1371/journal.pmed.1001452.g009"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"http://figshare.com/articles/_Meta_analysis_of_the_association_between_any_partner_violence_during_pregnancy_and_postnatal_depression_cohort_studies_/707418", "title"=>"Meta-analysis of the association between any partner violence during pregnancy and postnatal depression (cohort studies).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-05-28 02:03:38"}
  • {"files"=>["https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068404/Table_2.xls"], "description"=>"<p>n/a, not applicable.</p>", "links"=>[], "tags"=>["Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "Obstetrics and gynecology", "pregnancy", "women's health", "findings", "cross-sectional"], "article_id"=>707419, "categories"=>["Medicine"], "users"=>["Louise M. Howard", "Siân Oram", "Helen Galley", "Kylee Trevillion", "Gene Feder"], "doi"=>["http://dx.doi.org/10.1371/journal.pmed.1001452.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"http://figshare.com/articles/_Summary_of_findings_from_cross_sectional_studies_/707419", "title"=>"Summary of findings from cross-sectional studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-05-28 02:03:39"}
  • {"files"=>["https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068405/Table_1.xls"], "description"=>"<p>Categories are not mutually exclusive, and row totals may therefore add to more than 67. Studies may contribute both longitudinal and cross-sectional data; column totals may therefore be less than the sum of the longitudinal and cross-sectional data columns.</p>", "links"=>[], "tags"=>["Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "Obstetrics and gynecology", "pregnancy", "women's health", "included", "studies"], "article_id"=>707420, "categories"=>["Medicine"], "users"=>["Louise M. Howard", "Siân Oram", "Helen Galley", "Kylee Trevillion", "Gene Feder"], "doi"=>["http://dx.doi.org/10.1371/journal.pmed.1001452.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"http://figshare.com/articles/_Summary_of_included_studies_n_67_/707420", "title"=>"Summary of included studies (<i>n</i> = 67).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-05-28 02:03:40"}
  • {"files"=>["https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068406/Figure_S1.doc", "https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068407/Table_S1.docx", "https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068408/Table_S2.docx", "https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068409/Text_S1.doc", "https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068410/Text_S2.doc", "https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068411/Text_S3.doc", "https://s3-eu-west-1.amazonaws.com/pstorage-plos-3567654/1068412/Text_S4.doc"], "description"=>"<div><p>Background</p><p>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).</p><p>Methods and Findings</p><p>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.</p><p>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.</p><p>Conclusions</p><p>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.</p><p><i>Please see later in the article for the Editors' Summary</i></p></div>", "links"=>[], "tags"=>["Mental health", "psychiatry", "Anxiety disorders", "Mood disorders", "Obstetrics and gynecology", "pregnancy", "women's health", "perinatal", "systematic"], "article_id"=>707421, "categories"=>["Medicine"], "users"=>["Louise M. Howard", "Siân Oram", "Helen Galley", "Kylee Trevillion", "Gene Feder"], "doi"=>["http://dx.doi.org/10.1371/journal.pmed.1001452"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"http://figshare.com/articles/_Domestic_Violence_and_Perinatal_Mental_Disorders_A_Systematic_Review_and_Meta_Analysis_/707421", "title"=>"Domestic Violence and Perinatal Mental Disorders: A Systematic Review and Meta-Analysis", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-05-28 02:03:41"}

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Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences/Mental health and psychiatry", "average_usage"=>[282, 468, 596, 706, 804, 895, 1000, 1081, 1175, 1272, 1356, 1445, 1531]}, {"subject_area"=>"/Social sciences", "average_usage"=>[289, 475, 593, 703, 805, 902, 990, 1078, 1158, 1250, 1336, 1417, 1482]}, {"subject_area"=>"/Social sciences/Sociology", "average_usage"=>[310, 523, 656, 780, 900, 1024, 1120, 1219, 1308, 1395, 1468, 1570, 1642]}]}
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