The link between maternal violence exposure and adverse obstetric outcomes is well-documented, but less is understood about the relationship between intimate partner violence (IPV) exposure and perinatal post-traumatic stress symptoms(PTSS) and depression in women around the world. A systematic review was conducted to synthesize empirical literature on the associations between IPV (e.g., before pregnancy, during pregnancy, postpartum) and post-traumatic stress and depression symptoms in the perinatal period. This review acknowledged the effects of IPV exposure timing, timing of assessment, and IPV subtypes. Forty-seven longitudinal studies met inclusion criteria and were reviewed to determine the effects of IPV exposure on perinatal mental health. Findings suggested a strong relationship between IPV exposure and perinatal mental health. Results were more consistent between perinatal mental health and IPV sustained close to or during the perinatal period than for lifetime IPV exposure. In general, physical, sexual, and psychological IPV were independently associated with perinatal depression and PTSS. Findings underscore the importance of theoretically driven research and the development of treatment protocols for women worldwide.
AdynskiH.ZimmerC.ThorpJ.JrSantosH. P.Jr. (2019). Predictors of psychological distress in low-income mothers over the first postpartum year. Research in Nursing & Health, 42(3), 205–216.
2.
AgrawalA.IckovicsJ.LewisJ. B.MagriplesU.KershawT. S. (2014). Postpartum intimate partner violence and health risks among young mothers in the United States: A prospective study. Maternal and Child Health Journal, 18(8), 1985–1992.
3.
AndersonC. A.ConnollyJ. P. (2018). Predicting posttraumatic stress and depression symptoms among adolescents in the extended postpartum period. Heliyon, 4(11), e00965.
4.
AyersS.EagleA.WaringH. (2006). The effects of childbirth-related post-traumatic stress disorder on women and their relationships: A qualitative study. Psychology, Health & Medicine, 11(4), 389–398. https://doi.org/0.1080/13548500600708409
5.
BacchusL. J.RanganathanM.WattsC.DevriesK. (2018). Recent intimate partner violence against women and health: A systematic review and meta-analysis of cohort studies. BMJ Open, 8(7), e019995.
6.
BennettH. A.EinarsonA.TaddioA.KorenG.EinarsonT. R. (2004). Prevalence of depression during pregnancy: systematic review. Obstetrics & Gynecology, 103(4), 698–709.
7.
BeydounH. A.BeydounM. A.KaufmanJ. S.LoB.ZondermanA. B. (2012). Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: A systematic review and meta-analysis. Social Science & Medicine, 75(6), 959–975.
8.
BitewT.HanlonC.MedhinG.FekaduA. (2019). Antenatal predictors of incident and persistent postnatal depressive symptoms in rural Ethiopia: A population-based prospective study. Reproductive Health, 16(1), 1–9.
9.
BogatG. A.LevendoskyA. A.TheranS.Von EyeA.DavidsonW. S. (2003). Predicting the psychosocial effects of interpersonal partner violence (IPV): How much does a woman’s history of IPV matter?Journal of Interpersonal Violence, 18(11), 1271–1291.
10.
BreidingM. J.BlackM. C.RyanG. W. (2008). Prevalence and risk factors of intimate partner violence in eighteen US states/territories, 2005. American Journal of Preventive Medicine, 34(2), 112–118.
11.
BronfenbrenerU. (1979). The ecology of human development. Harvard University Press.
12.
BudhathokiN.BhusalS.OjhaH.BasnetS. (2013). Violence against women by their husband and postpartum depression. Journal of Nepal Health Research Council, 10(22), 176–180.
13.
ChavesK.EastwoodJ.OgboF. A.HendryA.JalaludinB.KhanlariS.PageA. (2019). Intimate partner violence identified through routine antenatal screening and maternal and perinatal health outcomes. BMC Pregnancy and Childbirth, 19(1), 357.
14.
CintoraP.LaurentH. K. (2020). Childhood trauma exposure exacerbates the impact of concurrent intimate partner violence exposure on women’s posttraumatic symptoms. Journal of Traumatic Stress. https://doi.org/10.1002/jts.22545
15.
CoxJ. L.HoldenJ. M.SagovskyR. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150(6), 782–786.
16.
DawsonD. N.VolpeV. V.LaurentH. K. (2019). Synergistic effects of psychological intimate partner violence exposure and gender discrimination on postnatal mental health trajectories. Journal of Interpersonal Violence. https://doi.org/10.1177/0886260519844274
17.
DennisC. L.VigodS. (2013). The relationship between postpartum depression, domestic violence, childhood violence, and substance use: Epidemiologic study of a large community sample. Violence Against Women, 19(4), 503–517.
18.
DevriesK. M.MakJ. Y.BacchusL. J.ChildJ. C.FalderG.PetzoldM.…WattsC. H. (2013). Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Med, 10(5), e1001439.
19.
Dikmen-YildizP.AyersS.PhillipsL. (2018). Longitudinal trajectories of post-traumatic stress disorder (PTSD) after birth and associated risk factors. Journal of Affective Disorders, 229, 377–385.
20.
DolmanC.JonesI.HowardL. M. (2013). Pre-conception to parenting: a systematic review and meta-synthesis of the qualitative literature on motherhood for women with severe mental illness. Archives of Women’s Mental Health, 16(3), 173–196.
21.
ElliottD. M.BriereJ. (1992). Sexual abuse trauma among professional women: Validating the Trauma Symptom Checklist-40 (TSC-40). Child Abuse & Neglect, 16(3), 391–398.
22.
Escribà-AgüirV.Royo-MarquésM.ArtazcozL.RomitoP.Ruiz-PérezI. (2013). Longitudinal study of depression and health status in pregnant women: Incidence, course and predictive factors. European Archives of Psychiatry and Clinical Neuroscience, 263(2), 143–151.
23.
FisherJ.MelloM. C. D.PatelV.RahmanA.TranT.HoltonS.HolmesW. (2012). Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle-income countries: a systematic review. Bulletin of the World Health Organization, 90, 139–149.
24.
FisherJ.TranT. D.BiggsB.DangT. H.NguyenT. T.TranT. (2013). Intimate partner violence and perinatal common mental disorders among women in rural Vietnam. International Health, 5(1), 29–37.
25.
FisherJ.TranT.TranT. D.DwyerT.NguyenT.CaseyG. J.Anne SimpsonJ.HaniehS.BiggsB. A. (2013). Prevalence and risk factors for symptoms of common mental disorders in early and late pregnancy in Vietnamese women: A prospective population-based study. Journal of Affective Disorders, 146(2), 213–219.
26.
FitzPatrickK. M.BrownS.HegartyK.MensahF.GartlandD. (2020). Physical and Emotional Intimate Partner Violence and Women’s Health in the First Year After Childbirth: An Australian Pregnancy Cohort Study. Journal of Interpersonal Violence. https://doi.org/10.1177/0886260520934426
27.
FlachC.LeeseM.HeronJ.EvansJ.FederG.SharpD.HowardL. M. (2011). Antenatal domestic violence, maternal mental health and subsequent child behaviour: A cohort study. BJOG: An International Journal of Obstetrics & Gynaecology, 118(11), 1383–1391.
28.
FlanaganJ. C.GordonK. C.MooreT. M.StuartG. L. (2015). Women’s stress, depression, and relationship adjustment profiles as they relate to intimate partner violence and mental health during pregnancy and postpartum. Psychology of Violence, 5(1), 66–73.
29.
FrickerA. E.SmithD. W.DavisJ. L.HansonR. F. (2003). Effects of context and question type on endorsement of childhood sexual abuse. Journal of Traumatic Stress, 16, 265–268. https://doi.org/10.1023/A:1023748124626
30.
GaillardA.Le StratY.MandelbrotL.KeitaH.DubertretC. (2014). Predictors of postpartum depression: Prospective study of 264 women followed during pregnancy and postpartum. Psychiatry Research, 215(2), 341–346.
31.
Garcia-MorenoCJansenH. A. F. M.EllsbergM.HeiseL.WattsC. H., & on behalf of the WHO Multi-Country Study on Women’s Health and Domestic Violence against Women Study Team. (2006). Prevalence of intimate partner violence: Findings from the WHO multi-country study on women’s health and domestic violence. Lancet, 368, 1260–1269.
32.
GausiaK.FisherC.AliM.OosthuizenJ. (2009). Magnitude and contributory factors of postnatal depression: A community-based cohort study from a rural subdistrict of Bangladesh. Psychological Medicine, 39(6), 999–1007.
33.
GavinN. I.GaynesB. N.LohrK. N.Meltzer-BrodyS.GartlehnerG.SwinsonT. (2005). Perinatal depression: a systematic review of prevalence and incidence. Obstetrics & Gynecology, 106(5), 1071–1083.
34.
GellerP. A.StaskoE. C. (2017). Effect of previous posttraumatic stress in the perinatal period. Journal of Obstetric, Gynecologic & Neonatal Nursing, 46(6), 912–922.
35.
Guyon-HarrisK. L.Ahlfs-DunnS.Huth-BocksA. (2017). PTSD symptom trajectories among mothers reporting interpersonal trauma: Protective factors and parenting outcomes. Journal of Family Violence, 32(7), 657–667.
36.
HalimN.BeardJ.MesicA.PatelA.HendersonD.HibberdP. (2018). Intimate partner violence during pregnancy and perinatal mental disorders in low and lower middle income countries: A systematic review of literature, 1990–2017. Clinical Psychology Review, 66, 117–135.
37.
HardtJ.RutterM. (2004). Validity of adult retrospective reports of adverse childhood experiences: Review of the evidence. Journal of Child Psychology and Psychiatry, 45, 260–273.
38.
HeetkampK. M.PetersI. A.BertensL. C.KnapenM. F. (2020). An unwanted pregnancy and language proficiency level are associated with first antenatal visit after the first trimester: Results from a prospective cohort study. Midwifery. https://doi.org/10.1016/j.midw.2020.102784
39.
HouF.ZhangX.CerulliC.HeW.MoY.GongW. (2020). The impact of intimate partner violence on the trajectory of perinatal depression: A cohort study in a Chinese sample. Epidemiology and Psychiatric Sciences, 29, e133.
40.
HousekampB. M.GoyD. W. (1991). The assessment of posttraumatic stress disorder. Journal of Interpersonal Violence, 6, 367–375.
41.
HowardL. M.OramS.GalleyH.TrevillionK.FederG. (2013). Domestic violence and perinatal mental disorders: A systematic review and meta-analysis. PLoS Medicine, 10(5), e1001452.
42.
Huth-BocksA. C.KrauseK.Ahlfs-DunnS.GallagherE.ScottS. (2013). Relational trauma and posttraumatic stress symptoms among pregnant women. Psychodynamic Psychiatry, 41(2), 277–301.
43.
JacksonC. L.CiciollaL.CrnicK. A.LueckenL. J.GonzalesN. A.CoonrodD. V. (2015). Intimate partner violence before and during pregnancy: Related demographic and psychosocial factors and postpartum depressive symptoms among Mexican American women. Journal of Interpersonal Violence, 30(4), 659–679.
44.
KastelloJ. C.JacobsenK. H.GaffneyK. F.KodadekM. P.BullockL. C.SharpsP. W. (2016). Posttraumatic stress disorder among low-income women exposed to perinatal intimate partner violence. Archives of Women’s Mental Health, 19(3), 521–528.
Killian-FarrellC.RizoC. F.LombardiB. M.Meltzer-BrodyS.BledsoeS. E. (2017). Traumatic experience, polytraumatization, and perinatal depression in a diverse sample of adolescent mothers. Journal of Interpersonal Violence. https://doi.org/10.1177/0886260517726410
47.
KitaS.HarunaM.MatsuzakiM.KamibeppuK. (2016). Associations between intimate partner violence (IPV) during pregnancy, mother-to-infant bonding failure, and postnatal depressive symptoms. Archives of Women’s Mental Health, 19(4), 623–634.
48.
KitaS.HarunaM.MatsuzakiM.KamibeppuK. (2020). Does antenatal social support affect the relationships between intimate partner violence during pregnancy and perinatal mental health?. Violence Against Women, 26(6-7), 573–589.
49.
KitaS.HayashiM.UmeshitaK.TobeH.UeharaN.MatsunagaM.KamibeppuK. (2019). Intimate partner violence and maternal child abuse: The mediating effects of mothers’ postnatal depression, mother-to-infant bonding failure, and hostile attributions to children’s behaviors. Psychology of Violence, 10(3), 279–289.
50.
LancasterC. A.GoldK. J.FlynnH. A.YooH.MarcusS. M.DavisM. M. (2010). Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecology, 202(1), 5–14.
51.
LudermirALewisGValongueiroS (2010). Violence against women by their intimate partner during pregnancy and postnatal depression: A prospective cohort study. Lancet, 376, 903–910.
52.
MaltaL. A.McDonaldS. W.HegadorenK. M.WellerC. A.ToughS. C. (2012). Influence of interpersonal violence on maternal anxiety, depression, stress and parenting morale in the early postpartum: A community based pregnancy cohort study. BMC Pregnancy and Childbirth, 12(1), 153.
53.
MattheyS.HenshawC.ElliottS.BarnettB. (2006). Variability in use of cutoff scores and formats on the Edinburgh Postnatal Depression Scale—Implications for clinical and research practice. Archives of Women’s Mental Health, 9(6), 309–315.
54.
McEwenB. S.SeemanT. (1999). Protective and damaging effects of mediators of stress: elaborating and testing the concepts of allostasis and allostatic load. Annals of the New York Academy of Sciences, 896(1), 30–47.
55.
McFarlaneJ.ParkerB.SoekenK.BullockL. (1992). Assessing for abuse during pregnancy: Severity and frequency of injuries and associated entry into prenatal care. JAMA, 267(23), 3176–3178.
56.
McMahonS.HuangC. C.BoxerP.PostmusJ. L. (2011). The impact of emotional and physical violence during pregnancy on maternal and child health at one year post-partum. Children and Youth Services Review, 33(11), 2103–2111.
57.
MillerE.DeckerM. R.McCauleyH. L.TancrediD. J.LevensonR. R.WaldmanJ.SchoenwaldP.SilvermanJ. G. (2010). Pregnancy coercion, intimate partner violence and unintended pregnancy. Contraception, 81(4), 316–322.
58.
NongrumR.ThomasE.LionelJ.JacobK. S. (2014). Domestic violence as a risk factor for maternal depression and neonatal outcomes: A hospital-based cohort study. Indian Journal of Psychological Medicine, 36(2), 179–181.
59.
OgbonnayaI. N.MacyR. J.KupperL. L.MartinS. L.Bledsoe-MansoriS. E. (2013). Intimate partner violence and depressive symptoms before pregnancy, during pregnancy, and after infant delivery: An exploratory study. Journal of Interpersonal Violence, 28(10), 2112–2133.
60.
OkaforC. N.BarnettW.ZarH. J.NhapiR.KoenN.ShoptawS.SteinD. J. (2018). Associations of emotional, physical, or sexual intimate partner violence and depression symptoms among South African women in a prospective cohort study. Journal of Interpersonal Violence. https://doi.org/10.1177/0886260518796522
61.
OverstreetN. M.QuinnD. M. (2013). The intimate partner violence stigmatization model and barriers to help seeking. Basic and Applied Social Psychology, 35(1), 109–122.
62.
PatelV.RodriguesM.DeSouzaN. (2002). Gender, poverty, and postnatal depression: A study of mothers in Goa, India. American Journal of Psychiatry, 159(1), 43–47.
63.
PaulsonJ. L.Miller-GraffL. (2019). Prenatal sleep quality and mental health symptoms across the perinatal period: A longitudinal study of high-risk women. Journal of Psychosomatic Research, 116, 31–36.
64.
PellowskiJ. A.BengtsonA. M.BarnettW.DiClementeK.KoenN.ZarH. J.SteinD. J. (2019). Perinatal depression among mothers in a South African birth cohort study: Trajectories from pregnancy to 18 months postpartum. Journal of Affective Disorders, 259, 279–287.
65.
PeltzerK.RodriguezV. J.LeeT. K.JonesD. (2018). Prevalence of prenatal and postpartum depression and associated factors among HIV-infected women in public primary care in rural South Africa: A longitudinal study. AIDS Care, 30(11), 1372–1379.
66.
RadloffL. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.
67.
RamchandaniP. G.RichterL. M.SteinA.NorrisS. A. (2009). Predictors of postnatal depression in an urban South African cohort. Journal of Affective Disorders, 113(3), 279–284.
68.
Robertson BlackmoreE.MittalM.CaiX.MoynihanJ. A.MatthieuM. M.O’ConnorT. G. (2016). Lifetime exposure to intimate partner violence and proinflammatory cytokine levels across the perinatal period. Journal of Women’s Health, 25(10), 1004–1013.
69.
RodríguezM. A.ValentineJ.AhmedS. R.EisenmanD. P.SumnerL. A.HeilemannM. V.LiuH. (2010). Intimate partner violence and maternal depression during the perinatal period: A longitudinal investigation of Latinas. Violence Against Women, 16(5), 543–559.
70.
RogathiJ. J.ManongiR.MushiD.RaschV.SigallaG. N.GammeltoftT.MeyrowitschD. W. (2017). Postpartum depression among women who have experienced intimate partner violence: A prospective cohort study at Moshi, Tanzania. Journal of Affective Disorders, 218, 238–245.
71.
SchneiderM.BaronE.DaviesT.MunodawafaM.LundC. (2018). Patterns of intimate partner violence among perinatal women with depression symptoms in Khayelitsha, South Africa: A longitudinal analysis. Global Mental Health, 5, e13.
72.
SharpsP. W.LaughonK.GiangrandeS. K. (2007). Intimate partner violence and the childbearing year: maternal and infant health consequences. Trauma, Violence, & Abuse, 8(2), 105–116.
73.
StrausM. A.HambyS. L.Boney-McCoyS.SugarmanD. B. (1996). The revised Conflict Tactics Scales (CTS2) development and preliminary psychometric data. Journal of Family Issues, 17(3), 283–316.
74.
SumnerL. A.WongL.SchetterC. D.MyersH. F.RodriguezM. (2012). Predictors of posttraumatic stress disorder symptoms among low-income Latinas during pregnancy and postpartum. Psychological Trauma: Theory, Research, Practice, and Policy, 4(2), 196.
75.
TaillieuT. L.BrownridgeD. A. (2010). Violence against pregnant women: Prevalence, patterns, risk factors, theories, and directions for future research. Aggression and Violent Behavior, 15(1), 14–35.
76.
Tho NhiT.HanhN. T. T.HinhN. D.ToanN. V.GammeltoftT.RaschV.MeyrowitschD. W. (2019). Intimate partner violence among pregnant women and postpartum depression in Vietnam: A longitudinal study. BioMed Research International, 2019, 9. Article ID 4717485.
77.
Tho TranN.NguyenH. T. T.NguyenH. D.NgoT. V.GammeltoftT.RaschV.MeyrowitschD. W. (2018). Emotional violence exerted by intimate partners and postnatal depressive symptoms among women in Vietnam: A prospective cohort study. PLoS One, 13(11), e0207108.
78.
TiwariA.ChanK. L.FongD.LeungW. C.BrownridgeD. A.LamH.WongB.LamC. M.ChauF.ChanA.CheungK. B.HoP. C. (2008). The impact of psychological abuse by an intimate partner on the mental health of pregnant women. BJOG: An International Journal of Obstetrics & Gynaecology, 115(3), 377–384.
79.
TsaiA. C.TomlinsonM.ComuladaW. S.Rotheram-BorusM. J. (2016). Intimate partner violence and depression symptom severity among South African women during pregnancy and postpartum: Population-based prospective cohort study. PLoS Medicine, 13(1), e1001943.
80.
ValentineJ. M.RodriguezM. A.LapeyrouseL. M.ZhangM. (2011). Recent intimate partner violence as a prenatal predictor of maternal depression in the first year postpartum among Latinas. Archives of Women’s Mental Health, 14(2), 135–143.
81.
VelonisA. J.O’CampoP.Kaufman-ShriquiV.KennyK.SchaferP.VanceM.SchetterC. D.HillemeierM. M.LanziR.ChinchilliV. M. (2017). The impact of prenatal and postpartum partner violence on maternal mental health: Results from the community child health network multisite study. Journal of Women’s Health, 26(10), 1053–1061.
82.
WeathersF. W.LitzB. T.KeaneT. M.PalmieriP. A.MarxB. P.SchnurrP. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD fromwww.ptsd.va.gov
83.
WikmanA.AxforsC.IliadisS. I.CoxJ.FranssonE.SkalkidouA. (2020). Characteristics of women with different perinatal depression trajectories. Journal of Neuroscience Research, 98(7), 1268–1282.
84.
WoolhouseH.GartlandD.HegartyK.DonathS.BrownS. J. (2012). Depressive symptoms and intimate partner violence in the 12 months after childbirth: A prospective pregnancy cohort study. BJOG: An International Journal of Obstetrics & Gynaecology, 119(3), 315–323.
WuQ.ChenH. L.XuX. J. (2012). Violence as a risk factor for postpartum depression in mothers: A meta-analysis. Archives of Women’s Mental Health, 15(2), 107–114.
87.
ZhangY.ZouS.CaoY.ZhangY. (2012). Relationship between domestic violence and postnatal depression among pregnant Chinese women. International Journal of Gynecology & Obstetrics, 116(1), 26–30.
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