Violence and depressive symptoms during pregnancy in BRISA cohort: using structural equation modeling approach

Abstract Objectives: to analyze associations among violence against pregnant women, depressive symptoms during pregnancy and maternal depression symptoms. Methods: a sample of 1,139 mothers was conducted on a prenatal cohort study in the municipality of São Luís in Brazil. Psychological and physical...

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Veröffentlicht in:Revista Brasileira de Saúde Materno Infantil 2019-03, Vol.19 (1), p.173-184
Hauptverfasser: Ribeiro, Sabrina Varão Oliveira, Batista, Rosângela Fernandes Lucena, Ribeiro, Marizélia Rodrigues Costa, Pessoa, Kivania Carla, Simões, Vanda Maria Ferreira, Figueiredo, Felipe Pinheiro de, Bettiol, Heloisa
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container_title Revista Brasileira de Saúde Materno Infantil
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creator Ribeiro, Sabrina Varão Oliveira
Batista, Rosângela Fernandes Lucena
Ribeiro, Marizélia Rodrigues Costa
Pessoa, Kivania Carla
Simões, Vanda Maria Ferreira
Figueiredo, Felipe Pinheiro de
Bettiol, Heloisa
description Abstract Objectives: to analyze associations among violence against pregnant women, depressive symptoms during pregnancy and maternal depression symptoms. Methods: a sample of 1,139 mothers was conducted on a prenatal cohort study in the municipality of São Luís in Brazil. Psychological and physical violence against pregnant women were measured by the World Health Organization Violence Against Woman. Depressive symptoms during pregnancy were measured by the Escala de Depressão do Centro de Estudos Epidemiológicos (CES-D) (Depression Scale for Epidemiological Studies Center) and maternal depression symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS). The conceptual model of the structural equation modeling contained socioeconomic situation, social support, psychological and physical violence and depression during pregnancy as determinants of the maternal depression symptoms. Results: maternal depression symptoms were more frequently reported by pregnant women who suffered psychological violence (Standardized Coefficient, SC=0.256; p-value, p
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Methods: a sample of 1,139 mothers was conducted on a prenatal cohort study in the municipality of São Luís in Brazil. Psychological and physical violence against pregnant women were measured by the World Health Organization Violence Against Woman. Depressive symptoms during pregnancy were measured by the Escala de Depressão do Centro de Estudos Epidemiológicos (CES-D) (Depression Scale for Epidemiological Studies Center) and maternal depression symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS). The conceptual model of the structural equation modeling contained socioeconomic situation, social support, psychological and physical violence and depression during pregnancy as determinants of the maternal depression symptoms. Results: maternal depression symptoms were more frequently reported by pregnant women who suffered psychological violence (Standardized Coefficient, SC=0.256; p-value, p<0.001), physical violence (SC=0.221 p<0.001) and those who presented depressive symptoms during pregnancy SC=0.322, p<0.001). Depressive symptoms during pregnancy mediated the effects on physical and psychological violence on maternal depression. Conclusions: pregnant women who were submitted to psychological and physical violence and presented depressive symptoms during pregnancy frequently reported more of having maternal depression symptoms. Resumo Objetivos: analisar associações entre violência contra gestantes, sintomas de depressão na gestação e sintomas de depressão materna. Métodos: estudo em uma coorte de pré-natal no município de São Luís (Brasil) com amostra de 1.139 mães. Violência psicológica e violência física contra gestantes foram medidas pelo instrumento World Health Organization Violence against woman. Sintomas de depressão na gestação foram medidos pela Escala de Depressão do Centro de Estudos Epidemiológicos (CES-D) e sintomas de depressão materna foram medidos pela Escala de Depressão materna de Edimburgo (EPDS). O modelo conceitual, por modelagem de equações estruturais, teve situação socioeconômica, suporte social, violência psicológica, física e depressão na gestação como determinantes de sintomas de depressão materna. Resultados: Sintomas de depressão materna foram relatados por gestantes que mais frequentemente sofreram violência psicológica (Coeficiente Padronizado, CP=0.256; p-valor, p<0.001), violência física (CP=0.221 p<0.001) e apresentavam sintomas de depressão na gestação (CP=0.322 p<0.001). Sintomas de depressão na gestação mediaram efeitos das violências física e psicológica na depressão materna. Conclusões: gestantes submetidas à violência psicológica e física e que apresentaram sintomas de depressão na gestação relataram com mais frequência sintomas de depressão materna.]]></description><identifier>ISSN: 1519-3829</identifier><identifier>ISSN: 1806-9304</identifier><identifier>EISSN: 1806-9304</identifier><identifier>DOI: 10.1590/1806-93042019000100010</identifier><language>eng</language><publisher>Instituto de Medicina Integral Prof. Fernando Figueira</publisher><subject>Depression ; PEDIATRICS ; Pregnancy ; Violence against women</subject><ispartof>Revista Brasileira de Saúde Materno Infantil, 2019-03, Vol.19 (1), p.173-184</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3230-ec300d2c3ea4576a8a52f407219dae131e4293de50bbd7de8dd22f789505aa6e3</citedby><cites>FETCH-LOGICAL-c3230-ec300d2c3ea4576a8a52f407219dae131e4293de50bbd7de8dd22f789505aa6e3</cites><orcidid>0000-0001-5046-0994 ; 0000-0001-8807-639X ; 0000-0001-8351-1348 ; 0000-0001-8616-0483 ; 0000-0001-8744-4373 ; 0000-0003-4289-4527 ; 0000-0002-1529-0165</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,864,885,27924,27925</link.rule.ids></links><search><creatorcontrib>Ribeiro, Sabrina Varão Oliveira</creatorcontrib><creatorcontrib>Batista, Rosângela Fernandes Lucena</creatorcontrib><creatorcontrib>Ribeiro, Marizélia Rodrigues Costa</creatorcontrib><creatorcontrib>Pessoa, Kivania Carla</creatorcontrib><creatorcontrib>Simões, Vanda Maria Ferreira</creatorcontrib><creatorcontrib>Figueiredo, Felipe Pinheiro de</creatorcontrib><creatorcontrib>Bettiol, Heloisa</creatorcontrib><title>Violence and depressive symptoms during pregnancy in BRISA cohort: using structural equation modeling approach</title><title>Revista Brasileira de Saúde Materno Infantil</title><addtitle>Rev. Bras. Saude Mater. Infant</addtitle><description><![CDATA[Abstract Objectives: to analyze associations among violence against pregnant women, depressive symptoms during pregnancy and maternal depression symptoms. Methods: a sample of 1,139 mothers was conducted on a prenatal cohort study in the municipality of São Luís in Brazil. Psychological and physical violence against pregnant women were measured by the World Health Organization Violence Against Woman. Depressive symptoms during pregnancy were measured by the Escala de Depressão do Centro de Estudos Epidemiológicos (CES-D) (Depression Scale for Epidemiological Studies Center) and maternal depression symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS). The conceptual model of the structural equation modeling contained socioeconomic situation, social support, psychological and physical violence and depression during pregnancy as determinants of the maternal depression symptoms. Results: maternal depression symptoms were more frequently reported by pregnant women who suffered psychological violence (Standardized Coefficient, SC=0.256; p-value, p<0.001), physical violence (SC=0.221 p<0.001) and those who presented depressive symptoms during pregnancy SC=0.322, p<0.001). Depressive symptoms during pregnancy mediated the effects on physical and psychological violence on maternal depression. Conclusions: pregnant women who were submitted to psychological and physical violence and presented depressive symptoms during pregnancy frequently reported more of having maternal depression symptoms. Resumo Objetivos: analisar associações entre violência contra gestantes, sintomas de depressão na gestação e sintomas de depressão materna. Métodos: estudo em uma coorte de pré-natal no município de São Luís (Brasil) com amostra de 1.139 mães. Violência psicológica e violência física contra gestantes foram medidas pelo instrumento World Health Organization Violence against woman. Sintomas de depressão na gestação foram medidos pela Escala de Depressão do Centro de Estudos Epidemiológicos (CES-D) e sintomas de depressão materna foram medidos pela Escala de Depressão materna de Edimburgo (EPDS). O modelo conceitual, por modelagem de equações estruturais, teve situação socioeconômica, suporte social, violência psicológica, física e depressão na gestação como determinantes de sintomas de depressão materna. Resultados: Sintomas de depressão materna foram relatados por gestantes que mais frequentemente sofreram violência psicológica (Coeficiente Padronizado, CP=0.256; p-valor, p<0.001), violência física (CP=0.221 p<0.001) e apresentavam sintomas de depressão na gestação (CP=0.322 p<0.001). Sintomas de depressão na gestação mediaram efeitos das violências física e psicológica na depressão materna. Conclusões: gestantes submetidas à violência psicológica e física e que apresentaram sintomas de depressão na gestação relataram com mais frequência sintomas de depressão materna.]]></description><subject>Depression</subject><subject>PEDIATRICS</subject><subject>Pregnancy</subject><subject>Violence against women</subject><issn>1519-3829</issn><issn>1806-9304</issn><issn>1806-9304</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNplUV1r3DAQNKWFhDR_IegPOF1Jli31LQ39OAgUmravYi2tLwo-yZXswv372rmQPPRh2WVndxhmquqKwzVXBj5wDW1tJDQCuAEA_lRvqvMX4O06K25qqYU5qy5LCT2AUlwKA-dV_B3SSNERw-iZpynTevGXWDkepjkdCvNLDnHPVmAfMbojC5F9-rG7v2EuPaQ8f2RL2Q7KnBc3LxlHRn8WnEOK7JA8jRuI05QTuof31bsBx0KXz_2i-vXl88_bb_Xd96-725u72kkhoSYnAbxwkrBRXYsalRga6AQ3HolLTo0w0pOCvvedJ-29EEOnjQKF2JK8qHYnXp_w0U45HDAfbcJgnxYp7y3mObiRrPOy1brpofW-wcYZoTXHxuDQa94ps3Jdn7iKCzQm-5iWHFfx9n7z1W6-vprPO7k-tKcHl1MpmYYXARzslprdwrH_pSb_AW7SiOc</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Ribeiro, Sabrina Varão Oliveira</creator><creator>Batista, Rosângela Fernandes Lucena</creator><creator>Ribeiro, Marizélia Rodrigues Costa</creator><creator>Pessoa, Kivania Carla</creator><creator>Simões, Vanda Maria Ferreira</creator><creator>Figueiredo, Felipe Pinheiro de</creator><creator>Bettiol, Heloisa</creator><general>Instituto de Medicina Integral Prof. Fernando Figueira</general><general>Instituto Materno Infantil de Pernambuco</general><scope>AAYXX</scope><scope>CITATION</scope><scope>GPN</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-5046-0994</orcidid><orcidid>https://orcid.org/0000-0001-8807-639X</orcidid><orcidid>https://orcid.org/0000-0001-8351-1348</orcidid><orcidid>https://orcid.org/0000-0001-8616-0483</orcidid><orcidid>https://orcid.org/0000-0001-8744-4373</orcidid><orcidid>https://orcid.org/0000-0003-4289-4527</orcidid><orcidid>https://orcid.org/0000-0002-1529-0165</orcidid></search><sort><creationdate>20190301</creationdate><title>Violence and depressive symptoms during pregnancy in BRISA cohort: using structural equation modeling approach</title><author>Ribeiro, Sabrina Varão Oliveira ; Batista, Rosângela Fernandes Lucena ; Ribeiro, Marizélia Rodrigues Costa ; Pessoa, Kivania Carla ; Simões, Vanda Maria Ferreira ; Figueiredo, Felipe Pinheiro de ; Bettiol, Heloisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3230-ec300d2c3ea4576a8a52f407219dae131e4293de50bbd7de8dd22f789505aa6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Depression</topic><topic>PEDIATRICS</topic><topic>Pregnancy</topic><topic>Violence against women</topic><toplevel>online_resources</toplevel><creatorcontrib>Ribeiro, Sabrina Varão Oliveira</creatorcontrib><creatorcontrib>Batista, Rosângela Fernandes Lucena</creatorcontrib><creatorcontrib>Ribeiro, Marizélia Rodrigues Costa</creatorcontrib><creatorcontrib>Pessoa, Kivania Carla</creatorcontrib><creatorcontrib>Simões, Vanda Maria Ferreira</creatorcontrib><creatorcontrib>Figueiredo, Felipe Pinheiro de</creatorcontrib><creatorcontrib>Bettiol, Heloisa</creatorcontrib><collection>CrossRef</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista Brasileira de Saúde Materno Infantil</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ribeiro, Sabrina Varão Oliveira</au><au>Batista, Rosângela Fernandes Lucena</au><au>Ribeiro, Marizélia Rodrigues Costa</au><au>Pessoa, Kivania Carla</au><au>Simões, Vanda Maria Ferreira</au><au>Figueiredo, Felipe Pinheiro de</au><au>Bettiol, Heloisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Violence and depressive symptoms during pregnancy in BRISA cohort: using structural equation modeling approach</atitle><jtitle>Revista Brasileira de Saúde Materno Infantil</jtitle><addtitle>Rev. Bras. Saude Mater. Infant</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>19</volume><issue>1</issue><spage>173</spage><epage>184</epage><pages>173-184</pages><issn>1519-3829</issn><issn>1806-9304</issn><eissn>1806-9304</eissn><abstract><![CDATA[Abstract Objectives: to analyze associations among violence against pregnant women, depressive symptoms during pregnancy and maternal depression symptoms. Methods: a sample of 1,139 mothers was conducted on a prenatal cohort study in the municipality of São Luís in Brazil. Psychological and physical violence against pregnant women were measured by the World Health Organization Violence Against Woman. Depressive symptoms during pregnancy were measured by the Escala de Depressão do Centro de Estudos Epidemiológicos (CES-D) (Depression Scale for Epidemiological Studies Center) and maternal depression symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS). The conceptual model of the structural equation modeling contained socioeconomic situation, social support, psychological and physical violence and depression during pregnancy as determinants of the maternal depression symptoms. Results: maternal depression symptoms were more frequently reported by pregnant women who suffered psychological violence (Standardized Coefficient, SC=0.256; p-value, p<0.001), physical violence (SC=0.221 p<0.001) and those who presented depressive symptoms during pregnancy SC=0.322, p<0.001). Depressive symptoms during pregnancy mediated the effects on physical and psychological violence on maternal depression. Conclusions: pregnant women who were submitted to psychological and physical violence and presented depressive symptoms during pregnancy frequently reported more of having maternal depression symptoms. Resumo Objetivos: analisar associações entre violência contra gestantes, sintomas de depressão na gestação e sintomas de depressão materna. Métodos: estudo em uma coorte de pré-natal no município de São Luís (Brasil) com amostra de 1.139 mães. Violência psicológica e violência física contra gestantes foram medidas pelo instrumento World Health Organization Violence against woman. Sintomas de depressão na gestação foram medidos pela Escala de Depressão do Centro de Estudos Epidemiológicos (CES-D) e sintomas de depressão materna foram medidos pela Escala de Depressão materna de Edimburgo (EPDS). O modelo conceitual, por modelagem de equações estruturais, teve situação socioeconômica, suporte social, violência psicológica, física e depressão na gestação como determinantes de sintomas de depressão materna. Resultados: Sintomas de depressão materna foram relatados por gestantes que mais frequentemente sofreram violência psicológica (Coeficiente Padronizado, CP=0.256; p-valor, p<0.001), violência física (CP=0.221 p<0.001) e apresentavam sintomas de depressão na gestação (CP=0.322 p<0.001). Sintomas de depressão na gestação mediaram efeitos das violências física e psicológica na depressão materna. Conclusões: gestantes submetidas à violência psicológica e física e que apresentaram sintomas de depressão na gestação relataram com mais frequência sintomas de depressão materna.]]></abstract><pub>Instituto de Medicina Integral Prof. Fernando Figueira</pub><doi>10.1590/1806-93042019000100010</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-5046-0994</orcidid><orcidid>https://orcid.org/0000-0001-8807-639X</orcidid><orcidid>https://orcid.org/0000-0001-8351-1348</orcidid><orcidid>https://orcid.org/0000-0001-8616-0483</orcidid><orcidid>https://orcid.org/0000-0001-8744-4373</orcidid><orcidid>https://orcid.org/0000-0003-4289-4527</orcidid><orcidid>https://orcid.org/0000-0002-1529-0165</orcidid><oa>free_for_read</oa></addata></record>
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subjects Depression
PEDIATRICS
Pregnancy
Violence against women
title Violence and depressive symptoms during pregnancy in BRISA cohort: using structural equation modeling approach
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