The associations between intimate partner violence (IPV) and postpartum depression (PPD) have been well established in previous reviews. However, none has explored potential differences between IPV subtypes or exposure times, which could help healthcare providers recognize the adverse impacts of various IPV subtypes and conduct comprehensive IPV screening. This study aimed to estimate the impacts of overall IPV and its subtypes (physical, psychological, and sexual) on PPD using an updated meta-analysis and to examine the potential role of IPV exposure time and regional income levels. Four English databases (Medline, PsycINFO, PubMed, and Web of Science) and two Chinese databases (China National Knowledge Infrastructure [CNKI] and Wanfang Database) were systematically searched. We included 76 studies with 388,966 samples. Random-effects models were used to pool the odds ratios (ORs) across studies. Overall, IPV and its subtypes had statistically significant impacts on PPD (overall: OR = 2.50, physical: OR = 2.31, psychological: OR = 2.22, sexual: OR = 1.75). A higher impact of IPV on PPD was observed in middle- and low-income regions (OR = 3.01) than in high-income regions (OR = 1.92). IPV during pregnancy (OR = 2.73) had a greater impact on PPD than lifetime IPV (OR = 2.24). This study provides updated evidence for the significant impact of IPV and its subtypes and exposure time on PPD. Women at risk of exposure to physical IPV, especially during pregnancy, are in urgent need of support to reduce the risk of PPD.
AlvarezC.Lameiras-FernandezM.HollidayC. N.SabriB.CampbellJ. (2021). Latina and Caribbean immigrant women’s experiences with intimate partner violence: A story of ambivalent sexism. Journal of Interpersonal Violence, 36(7–8), 3831–3854. https://doi.org/10.1177/0886260518777006
4.
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). American Psychiatric Publishing, Inc.
5.
AnkerstjerneL. B. S.LaizerS. N.AndreasenK.NormannA. K.WuC.LindeD. S.RaschV. (2022). Landscaping the evidence of intimate partner violence and postpartum depression: A systematic review. BMJ Open, 12(5), e051426. https://doi.org/10.1136/bmjopen-2021-051426
6.
AromatarisE.MunnZ. (2020). JBI manual for evidence synthesis. JBI.
7.
AshenafiW.MengistieB.EgataG.BerhaneY. (2021). The role of intimate partner violence victimization during pregnancy on maternal postpartum depression in Eastern Ethiopia. SAGE Open Medicine, 9, 2050312121989493. https://doi.org/10.1177/2050312121989493
8.
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. https://doi.org/10.1136/bmjopen-2017-019995
9.
Bair-MerrittM. H.Lewis-O’ConnorA.GoelS.AmatoP.IsmailjiT.JelleyM.LenahanP.CronholmP. (2014). Primary care-based interventions for intimate partner violence: A systematic review. American Journal of Preventive Medicine, 46(2), 188–194. https://doi.org/10.1016/j.amepre.2013.10.001
10.
BeggC. B.MazumdarM. (1994). Operating characteristics of a rank correlation test for publication bias. Biometrics, 50(4), 1088–1101. https://doi.org/10.2307/2533446
11.
BenderA. K. (2017). Ethics, methods, and measures in intimate partner violence research: The current state of the field. Violence Against Women, 23(11), 1382–1413. https://doi.org/10.1177/1077801216658977
12.
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. https://doi.org/10.1016/j.socscimed.2012.04.025
13.
BogatG. A.LevendoskyA. A.von EyeA. (2005). The future of research on intimate partner violence: Person-oriented and variable-oriented perspectives. American Journal of Community Psychology, 36(1–2), 49–70. https://doi.org/10.1007/s10464-005-6232-7
14.
BoxallH.MorganA. (2021). Intimate partner violence during the COVID-19 pandemic: A survey of women in Australia (Report). Australia’s National Research Organisation for Women’s Safety. https://apo.org.au/node/314517
15.
ChenH.CohenP.ChenS. (2010). How big is a big odds ratio? Interpreting the magnitudes of odds ratios in epidemiological studies. Communications in Statistics—Simulation and Computation, 39(4), 860–864. https://doi.org/10.1080/03610911003650383
16.
CollC. V. N.EwerlingF.García-MorenoC.HellwigF.BarrosA. J. D. (2020). Intimate partner violence in 46 low-income and middle-income countries: An appraisal of the most vulnerable groups of women using national health surveys. BMJ Global Health, 5(1), e002208. https://doi.org/10.1136/bmjgh-2019-002208
17.
ColombiniM.DockertyC.MayhewS. H. (2017). Barriers and facilitators to integrating health service responses to intimate partner violence in low- and middle-income countries: A comparative health systems and service analysis. Studies in Family Planning, 48(2), 179–200. https://doi.org/10.1111/sifp.12021
18.
ComeçanhaR.MaiaÂ. (2018). Screening tool for psychological intimate partner violence: Portuguese validation of the psychological maltreatment of women inventory. Violence and Victims, 33(1), 75–90. https://doi.org/10.1891/0886-6708.VV-D-16-00060
19.
CoxJ.HoldenJ.SagovskyR. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150(6), 782–786. https://doi.org/10.1192/bjp.150.6.782
20.
DelkerB. C.MichelP. K.TurnerK.McLeanK. C. (2022). Perceptions of physical, sexual, and psychological violence stories: A registered report. Collabra: Psychology, 8(1), 36330. https://doi.org/10.1525/collabra.36330
DestaM.MemiahP.KassieB.KetemaD. B.AmhaH.GetanehT.SintayehuM. (2021). Postpartum depression and its association with intimate partner violence and inadequate social support in Ethiopia: A systematic review and meta-analysis. Journal of Affective Disorders, 279, 737–748. https://doi.org/10.1016/j.jad.2020.11.053
23.
DokkedahlS.KokR. N.MurphyS.KristensenT. R.Bech-HansenD.ElklitA. (2019). The psychological subtype of intimate partner violence and its effect on mental health: Protocol for a systematic review and meta-analysis. Systematic Reviews, 8(1), 198. https://doi.org/10.1186/s13643-019-1118-1
24.
DuvalS.TweedieR. (2000). Trim and fill: A simple funnel-plot–based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56(2), 455–463. https://doi.org/10.1111/j.0006-341X.2000.00455.x
25.
EckhardtC. I.MurphyC. M.WhitakerD. J.SprungerJ.DykstraR.WoodardK. (2013). The effectiveness of intervention programs for perpetrators and victims of intimate partner violence. Partner Abuse, 4(2), 196–231. https://doi.org/10.1891/1946-6560.4.2.196
26.
EggerM.Davey SmithG.SchneiderM.MinderC. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109), 629–634. https://doi.org/10.1136/bmj.315.7109.629
27.
FilsonJ.UlloaE.RunfolaC.HokodaA. (2010). Does powerlessness explain the relationship between intimate partner violence and depression?Journal of Interpersonal Violence, 25(3), 400–415. https://doi.org/10.1177/0886260509334401
28.
FuluE.JewkesR.RoselliT.Garcia-MorenoC. (2013). Prevalence of and factors associated with male perpetration of intimate partner violence: Findings from the UN Multi-Country Cross-Sectional Study on Men and Violence in Asia and the Pacific. The Lancet Global Health, 1(4), e187–e207. https://doi.org/10.1016/s2214-109x(13)70074-3
29.
GibbsA.DunkleK.JewkesR. (2018). Emotional and economic intimate partner violence as key drivers of depression and suicidal ideation: A cross-sectional study among young women in informal settlements in South Africa. PLoS One, 13(4), e0194885. https://doi.org/10.1371/journal.pone.0194885
30.
GilbertP. (2016). Depression: The evolution of powerlessness. Routledge.
31.
GrigaitėU.KaraliusM.JankauskaitėM. (2019). Between experience and social “norms”, identification and compliance: Economic and sexual intimate partner violence against women in Lithuania. Journal of Gender-Based Violence, 3(3), 303–321. https://doi.org/10.1332/239868019X15623411271876
32.
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. https://doi.org/10.1016/j.cpr.2017.11.004
33.
HallM.HillE.MorelandG.HalesG. K.BoduszekD.DebowskaA. (2022). Profiles of intimate partner violence victimization: A systematic review. Trauma Violence Abuse, 0(0). https://doi.org/10.1177/15248380221126183
34.
Halpern-MeekinS.CostanzoM.EhrenthalD.RhoadesG. (2019). Intimate partner violence screening in the prenatal period: Variation by state, insurance, and patient characteristics. Maternal and Child Health Journal, 23(6), 756–767. https://doi.org/10.1007/s10995-018-2692-x
35.
HanusaB. H.ScholleS. H.HaskettR. F.SpadaroK.WisnerK. L. (2008). Screening for depression in the postpartum period: A comparison of three instruments. Journal of Women’s Health, 17(4), 585–596. https://doi.org/10.1089/jwh.2006.0248
36.
HeiseL.PallittoC.Garcia-MorenoC.ClarkC. J. (2019). Measuring psychological abuse by intimate partners: Constructing a cross-cultural indicator for the sustainable development goals. SSM—Population Health, 9, 100377. https://doi.org/10.1016/j.ssmph.2019.100377
37.
HigginsJ. P.ThomasJ.ChandlerJ.CumpstonM.LiT.PageM. J.WelchV. A. (2019). Cochrane handbook for systematic reviews of interventions. John Wiley & Sons.
38.
HillA.PallittoC.McCleary-SillsJ.Garcia-MorenoC. (2016). A systematic review and meta-analysis of intimate partner violence during pregnancy and selected birth outcomes. International Journal of Gynecology & Obstetrics, 133(3), 269–276. https://doi.org/10.1016/j.ijgo.2015.10.023
39.
HolmesA.ChristelisN.ArnoldC. (2013). Depression and chronic pain. Medical Journal of Australia, 199(S6), S17–S20. https://doi.org/https://doi.org/10.5694/mja12.10589
40.
HutchensB. F.KearneyJ. (2020). Risk factors for postpartum depression: An umbrella review. Journal of Midwifery & Women’s Health, 65(1), 96–108. https://doi.org/10.1111/jmwh.13067
41.
LeeA. S. D.McDonaldL. R.WillS.WahabM.LeeJ.ColemanJ. S. (2019). Improving provider readiness for intimate partner violence screening. Worldviews on Evidence-Based Nursing, 16(3), 204–210. https://doi.org/10.1111/wvn.12360
42.
LudermirA. B.LewisG.ValongueiroS. A.De AraújoT. V. B.ArayaR. (2010). Violence against women by their intimate partner during pregnancy and postnatal depression: A prospective cohort study. The Lancet, 376(9744), 903–910. https://doi.org/10.1016/s0140-6736(10)60887-2
43.
MaL. L.WangY. Y.YangZ. H.HuangD.WengH.ZengX. T. (2020). Methodological quality (risk of bias)assessment tools for primary and secondary medical studies: What are they and which is better?Military Medical Research, 7(1), 7. https://doi.org/10.1186/s40779-020-00238-8
44.
ManjiK.HeiseL.CislaghiB. (2020). Couples’ economic equilibrium, gender norms and intimate partner violence in Kirumba, Tanzania. Violence Against Women, 26(15–16), 2062–2082. https://doi.org/10.1177/1077801219895331
45.
Martin-De-Las-HerasS.VelascoC.Luna-Del-CastilloJ. D. D.KhanK. S. (2019). Maternal outcomes associated to psychological and physical intimate partner violence during pregnancy: A cohort study and multivariate analysis. PLoS One, 14(6), e0218255. https://doi.org/10.1371/journal.pone.0218255
46.
Martin-FernandezM.GraciaE.LilaM. (2019). Psychological intimate partner violence against women in the European Union: A cross-national invariance study. BMC Public Health, 19(1), 1739. https://doi.org/10.1186/s12889-019-7998-0
47.
MoraesG. P. D. A.LorenzoL.PontesG. A. R.MontenegroM. C.CantilinoA. (2017). Screening and diagnosing postpartum depression: When and how?Trends in Psychiatry and Psychotherapy, 39(1), 54–61. https://doi.org/10.1590/2237-6089-2016-0034
48.
NnyombiA.BukulukiP.BesigwaS.Ocaya-IramaJ.NamaraC.CislaghiB. (2022). How social norms contribute to physical violence among ever-partnered women in Uganda: A qualitative study. Frontiers in Sociology, 7, 867024. https://doi.org/10.3389/fsoc.2022.867024
49.
OgbeE.HarmonS.Van den BerghR.DegommeO. (2020). A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors. PLoS One, 15(6), e0235177. https://doi.org/10.1371/journal.pone.0235177
OkaforC. N.BarnettW.ZarH. J.NhapiR.KoenN.ShoptawS.SteinD. J. (2021). 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, 36(9–10), NP5060–NP5083. https://doi.org/10.1177/0886260518796522
PalermoT.BleckJ.PetermanA. (2014). Tip of the iceberg: Reporting and gender-based violence in developing countries. American Journal of Epidemiology, 179(5), 602–612. https://doi.org/10.1093/aje/kwt295
PaulsonJ. L. (2022). Intimate partner violence and perinatal post-traumatic stress and depression symptoms: A systematic review of findings in longitudinal studies. Trauma Violence Abuse, 23(3), 733–747. https://doi.org/10.1177/1524838020976098
56.
PeitzmeierS. M.FedinaL.AshwellL.HerrenkohlT. I.TolmanR. (2022). Increases in intimate partner violence during covid-19: Prevalence and correlates. Journal of Interpersonal Violence, 37(21–22), NP20482–NP20512. https://doi.org/10.1177/08862605211052586
57.
PharesT. M.SherinK.HarrisonS. L.MitchellC.FreemanR.LichtenbergK. (2019). Intimate partner violence screening and intervention: The American college of preventive medicine position statement. American Journal of Preventive Medicine, 57(6), 862–872. https://doi.org/10.1016/j.amepre.2019.07.003
58.
PotterL. C.MorrisR.HegartyK.Garcia-MorenoC.FederG. (2021). Categories and health impacts of intimate partner violence in the World Health Organization multi-country study on women’s health and domestic violence. International Journal of Epidemiology, 50(2), 652–662. https://doi.org/10.1093/ije/dyaa220
59.
PuriM.ShahI.TamangJ. (2010). Exploring the nature and reasons for sexual violence within marriage among young women in Nepal. Journal of Interpersonal Violence, 25(10), 1873–1892. https://doi.org/10.1177/0886260509354514
60.
RabinR. F.JenningsJ. M.CampbellJ. C.Bair-MerrittM. H. (2009). Intimate partner violence screening tools: A systematic review. American Journal of Preventive Medicine, 36(5), 439–445. https://doi.org/10.1016/j.amepre.2009.01.024
61.
RaffertyJ.MattsonG.EarlsM. F.YogmanM. W.; Committee on Psychosocial Aspects of Child and Family Health (2019). Incorporating recognition and management of perinatal depression into pediatric practice. Pediatrics, 126(5), 1032–1039. https://doi.org/10.1542/peds.2018-3260
62.
RagavanM. I.IyengarK.WurtzR. M. (2014). Physical intimate partner violence in northern India. Qualitative Health Research, 24(4), 457–473. https://doi.org/10.1177/1049732314524027
63.
SantirsoF. A.GilchristG.LilaM.GraciaE. (2020). Motivational strategies in interventions for intimate partner violence offenders: A systematic review and meta-analysis of randomized controlled trials. Psychosocial Intervention, 29(3), 175–190. https://doi.org/10.5093/pi2020a13
64.
SardinhaL.Maheu-GirouxM.StöcklH.MeyerS. R.García-MorenoC. (2022). Global, regional, and national prevalence estimates of physical or sexual, or both, intimate partner violence against women in 2018. The Lancet, 399(10327), 803–813. https://doi.org/10.1016/s0140-6736(21)02664-7
65.
Schwab-ReeseL. M.RennerL. M. (2018). Screening, management, and treatment of intimate partner violence among women in low-resource settings. Womens Health (Lond), 14, 1745506518766709. https://doi.org/10.1177/1745506518766709
66.
SharplesL.NguyenC.SinghB.LinS. (2018). Identifying opportunities to improve intimate partner violence screening in a primary care system. Family Medicine, 50(9), 702–705. https://doi.org/10.22454/FamMed.2018.311843
67.
SigallaG. N.MushiD.MeyrowitschD. W.ManongiR.RogathiJ. J.GammeltoftT.RaschV. (2017). Intimate partner violence during pregnancy and its association with preterm birth and low birth weight in Tanzania: A prospective cohort study. PLoS One, 12(2), e0172540. https://doi.org/10.1371/journal.pone.0172540
68.
SilversteinL. B.GoodrichT. J. (Eds.). (2003). Feminist family therapy: Empowerment in social context. American Psychological Association.
69.
SpiegelhalterD. J.AbramsK. R.MylesJ. P. (2004). Bayesian approaches to clinical trials and health-care evaluation (Vol. 13). John Wiley & Sons.
70.
SpragueS.McKayP.MaddenK.ScottT.TikaszD.SlobogeanG. P.BhandariM. (2017). Outcome measures for evaluating intimate partner violence programs within clinical settings: A systematic review of the literature. Trauma, Violence, & Abuse, 18(5), 508–522. https://doi.org/10.1177/1524838016641667
71.
The American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice. (2018). ACOG Committee opinion no. 757: Screening for perinatal depression. Obstetrics & Gynecology, 132(5), e208–e212. https://doi.org/10.1097/aog.0000000000002927
WangT.LiuY.LiZ.LiuK.XuY.ShiW.ChenL. (2017). Prevalence of intimate partner violence (IPV) during pregnancy in China: A systematic review and meta-analysis. PLoS One, 12(10), e0175108. https://doi.org/10.1371/journal.pone.0175108
75.
WinstokZ. (2013). Partner violence: A new paradigm for understanding conflict escalation. Springer Science + Business Media.
76.
WoodS. N.GlassN.DeckerM. R. (2021). An integrative review of safety strategies for women experiencing intimate partner violence in low- and middle-income countries. Trauma, Violence, & Abuse, 22(1), 68–82. https://doi.org/10.1177/1524838018823270
77.
World Health Organization. (2012). Understanding and addressing violence against women: Intimate partner violence. World Health Organization. https://apps.who.int/iris/handle/10665/77432
78.
World Health Organization. (2013). Global and regional estimates of violence against women: Prevalence and health effects of intimate partner violence and non-partner sexual violence. World Health Organization. https://apps.who.int/iris/handle/10665/85239
79.
YalchM. M.RickmanS. R. M. (2022). Association between intimate partner violence subtypes and post-traumatic stress disorder symptoms and hazardous substance use. Journal of Interpersonal Violence, 37(17–18), NP16236–NP16252. https://doi.org/10.1177/08862605211021963
80.
YuanW.HeskethT. (2021). Intimate partner violence and depression in women in China. Journal of Interpersonal Violence, 36(21–22), NP12016–NP12040. https://doi.org/10.1177/0886260519888538
81.
ZhangS.WangL.YangT.ChenL.QiuX.WangT.ChenL.ZhaoL.YeZ.ZhengZ.QinJ. (2019). Maternal violence experiences and risk of postpartum depression: A meta-analysis of cohort studies. European Psychiatry, 55, 90–101. https://doi.org/10.1016/j.eurpsy.2018.10.005
82.
ZubaranC.SchumacherM.RoxoM. R.ForestiK. (2010). Screening tools for postpartum depression: Validity and cultural dimensions. African Journal of Psychiatry, 13(5), 357–365. https://doi.org/10.4314/ajpsy.v13i5.63101
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