nach oben

Archives of Women's Mental Health

Erschienen in:

01.02.2011 | Original Article

An interpersonally based intervention for low-income pregnant women with intimate partner violence: a pilot study

verfasst von: Caron Zlotnick, Nicole M. Capezza, Donna Parker

Erschienen in: Archives of Women's Mental Health | Ausgabe 1/2011

Einloggen, um Zugang zu erhalten

Abstract

This study assessed the initial feasibility, acceptability, and efficacy of an intervention aimed at reducing depression and posttraumatic stress disorder (PTSD) in a sample of low-income pregnant women with recent intimate partner violence (IPV). Fifty-four women were randomly assigned to the intervention or control group. The intervention consisted of four sessions during pregnancy and one “booster” session within 2 weeks of delivery. Based on principles of Interpersonal Psychotherapy, the intervention was designed to help participants improve their interpersonal relationships, including their social support networks, and master their role transition to motherhood. Assessments were administered at four time points (intake, 5–6 weeks post-intake, 2 weeks postpartum, 3 months postpartum) to assess for depression, PTSD, and IPV. The intervention did not significantly reduce the likelihood of a major depressive episode, PTSD, or IPV during pregnancy or up to 3-month postpartum. However, we found moderate effects for the intervention in reducing symptoms of PTSD and depression during pregnancy and a large effect for PTSD symptoms from pregnancy up to 3 months postpartum. This study suggests some initial support for our intervention. Larger randomized trials are needed to further examine the intervention both during and after pregnancy.

Ansara D, Cohen MM, Gallop R et al (2005) Predictors of women's physical health problems after childbirth. J Psychosom Obst Gy 26:115–125CrossRef

Astin MC, Lawrence KJ, Foy DW (1993) Posttraumatic stress disorder among battered women: risk and resiliency factors. Violence Vict 8:17–28PubMed

Bachman R, Saltzman LE (1995) Violence against Women: Estimates from the Redesigned National Crime Victimization Survey, (NCJ-154348). Bureau of Justice Statistics, U.S. Department of Justice

Bair-Merritt MH, Jennings JM, Chen R et al (2010) Reducing maternal intimate partner violence after the birth of a child: a randomized controlled trial of the Hawaii Healthy Start Home Visitation Program. Arch Pediatr Adolesc Med 164:16–23PubMedCrossRef

Beck CT (1998) The effects of postpartum depression on child development: a meta-analysis. Arch Psychiat Nurs 12:12–20CrossRef

Belle D (1990) Poverty and women's mental health. Am Psychol 45:385–389CrossRef

Bergman B, Larson G, Brismar B, Klang M (1987) Psychiatric morbidity and personality characteristics of battered women. Acta Psychiat Scand 76:678–683PubMedCrossRef

Buist A, Janson H (2001) Childhood sexual abuse, parenting, and postpartum depression: a 3-year follow-up study. Child Abuse Negl 25:909–921PubMedCrossRef

Burnam MA, Stein JA, Golding JM et al (1988) Sexual assault and mental disorders in a community population. J Consult Clin Psych 56:843–851CrossRef

Buzi RS, Weinman ML, Smith PB (2007) The relationship between adolescent depression and a history of sexual abuse. Adolescence 42:679–688PubMed

Campbell JC, Moracco KE, Saltzman LE (2000) Future directions for violence against women and reproductive health: science, prevention and action. Matern Child Health J 4:149–154PubMedCrossRef

Carter AS, Garrity-Rokous FE, Chazan-Cohen R, Little C, Briggs-Gowan MJ (2001) Maternal depression and comorbidity: predicting early parenting, attachment security, and toddler social-emotional problems and competencies. J Am Acad Child Adolesc Psychiatry 40:18–26PubMedCrossRef

Cascardi M, O'Leary KD (1992) Depressive symptomatology, self-esteem, and self-blame in battered women. J Fam Violence 7:249–259CrossRef

CDC (2009) Intimate partner violence during pregnancy: a guide for clinicians. http://www.cdc.gov/reproductivehealth/violence/intimatePartnerViolence/sld001.htm#2. Accessed 28 December 2009

Cicchetti D, Rogosch FA, Toth SL (2000) The efficacy of toddler-parent psychotherapy for fostering cognitive development in offspring of depressed mothers. J Abnorm Child Psych 28:135–148CrossRef

Cogill SR, Caplan HL, Alexandra H, Robson KM, Kumar R (1986) Impact of maternal postnatal depression on cognitive development of young children. Br Med J 292:1165–1167CrossRef

Cohen S, Willis TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357PubMedCrossRef

Coker AL, Watkins KW, Smith PH, Brandt HM (2003) Social support reduces the impact of partner violence on health: application of structural equation models. Prev Med 37:259–267PubMedCrossRef

Coker AL, Sanderson M, Dong B (2004) Partner violence during pregnancy and risk of adverse pregnancy outcomes. Paediatr Perinat Epidemiol 18:260–269PubMedCrossRef

Collins NL, Dunkel-Schetter C, Lobel M, Scrimshaw SC (1993) Social support in pregnancy: psychosocial predictors of birth outcomes and postpartum depression. J Pers Soc Psychol 65:1243–1258PubMedCrossRef

Cox J, Holden J (2003) Perinatal mental health: a guide to the Edinburgh Postnatal Depression Scale (EPDS). Gaskell, London

Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Brit J Psychiat 150:782–786PubMedCrossRef

Davidson J (1995) Self-rating traumatic stress scale. Duke University Medical Center, Durham, NC

Dawson R, Lavori PW, Coryell WH, Endicott J, Keller MB (1999) Course of treatment received by depressed patients. J Psychiat Res 33:233–242PubMedCrossRef

Dunkel-Schetter C (1998) Maternal stress and preterm delivery. Prenat Neonat Med 3:39–42

Dutton MA (1992) Empowering and healing the battered woman: a model for assessment and intervention. Springer Publishing Co, New York

First MB, Spitzer RL, Gibbon M, Williams JB (1996) Structured Clinical Interview for the DSM-IV Axis I Disorders. American Psychiatric Publishing, Washington, DC

Gallagher-Thompson D, Hanley-Peterson P, Thompson LW (1990) Maintenance of gains versus relapse following brief psychotherapy for depression. J Consult Clin Psych 58:371–374CrossRef

Gazmararian JA, Lazorick S, Spitz AM, Ballard TJ, Saltzman LE, Marks JS (1996) Prevalence of violence against pregnant women. JAMA 275:1915–1920PubMedCrossRef

Gleason WJ (1993) Mental disorders in battered women: an empirical study. Violence Vict 8:53–68PubMed

Golding JM (1999) Intimate partner violence as a risk factor for mental disorders: a meta-analysis. J Fam Violence 14:99–132CrossRef

Gottlieb AS (2008) Intimate partner violence: a clinical review of screening and intervention. Womens Health 4:529–539

Graham-Bermann SA (1998) The impact of woman abuse on children's social development: research and theoretical perspectives. In: Holden GW, Geffner R, Jouriles EN (eds) Children exposed to marital violence: theory, research, and applied issues. American Psychological Association, Washington, DC, pp 21–54CrossRef

Griffing S, Lewis CS, Chu M et al (2006) Exposure to interpersonal violence as a predictor of PTSD symptomatology in domestic violence survivors. J Interpers Violence 21:936–954PubMedCrossRef

Hathaway JE, Mucci LA, Silverman JG, Brooks DR, Mathews R, Pavlos CA (2000) Health status and health care use of Massachusetts women reporting partner abuse. Am J Prev Med 19:318–321CrossRef

Hay DF, Pawlby S, Sharp D, Asten P, Mills A, Kumar R (2001) Intellectual problems shown by 11-year-old children whose mothers had postnatal depression. J Child Psychol Psych 42:871–889CrossRef

Herman JL (1992) Trauma and recovery. Basic Books, New York

Hobfoll SE, Johnson RJ, Ennis NE, Jackson AP (2003) Resource loss, resource gain, and emotional outcomes among inner-city women. J Pers Soc Psychol 84:632–643PubMedCrossRef

House JS, Landis KR, Umberson D (1988) Social relationships and health. Science 241:540–545PubMedCrossRef

Houskamp BM, Foy DW (1991) The assessment of posttraumatic stress disorder in battered women. J Interpers Violence 6:367–375CrossRef

Huth-Bocks AC, Levendosky AA, Bogat GA (2002) The effects of domestic violence during pregnancy on maternal and infant health. Violence Vict 17:169–185PubMedCrossRef

Johnson JE, Zlotnick C (2008) A pilot study of group interpersonal psychotherapy for depression in substance abusing women prisoners. J Subst Abuse Treat 34:371–377PubMedCrossRef

Johnson DM, Zlotnick C, Perez S (2008) The relative contribution of abuse severity and PTSD severity on the psychiatric and social morbidity of battered women in shelters. Behav Ther 39:232–241PubMedCrossRef

Keller MB, Lavori PW, Nielsen E (1987) SCALUP (SCID-P plus SADS-L). Butler Hospital, Providence RI, 02906

Kemp A, Rawlings EI, Green BL (1991) Post-traumatic stress disorder (PTSD) in battered women: a shelter sample. J Trauma Stress 4:137–148CrossRef

Kessler RC, Sonnega A, Bromet E et al (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiat 52:1048–1060PubMed

Klerman GL, Weissman MM, Rounsaville BJ, Chevron ES (1984) Interpersonal psychotherapy of depression. Basic Books, New York

Koopman C, Ismailji T, Palesh O, Gore-Felton C et al (2007) Relationships of depression to child and adult abuse and bodily pain among women who have experienced intimate partner violence. J Interpers Violence 22:438–455PubMedCrossRef

Krupnick JL (2001) Interpersonal psychotherapy for PTSD after interpersonal trauma. Dir Psychiatry 20:237–253

Kurstjens S, Wolke D (2001) Effects of maternal depression on cognitive development of children over the first 7 years of life. J Child Psychol Psych 42:623–636CrossRef

Lyons-Ruth K, Zoll D, Connell D, Grunebaum H (1986) The depressed mother and her one-year-old infant: environmental context, mother-infant interaction and attachment, and infant development. In: Trontck E, Field T (eds) Maternal depression and infant disturbance. Jossey-Bass, San Francisco, pp 61–82

Lyons-Ruth K, Wolfe R, Lyubchik A (2000) Depression and the parenting of young children: making the case for early preventive mental health services. Harv Rev Psychiat 8:148–153

Martin SL, Mackie L, Kupper LL et al (2001) Physical abuse of women before, during, and after pregnancy. JAMA 285:1581–1584PubMedCrossRef

Martins C, Gaffan EA (2000) Effects of early maternal depression on patterns of infant-mother attachment: a meta-analytic investigation. J Child Psychol Psyc 41:737–746CrossRef

McFarlane J, Parker B, Soeken K (1998) Safety behaviors of abused women after an intervention during pregnancy. J Obstet Gynecol Neonatal Nurs 27:64–69PubMedCrossRef

McFarlane J, Soeken K, Wiist W (2000) An evaluation of interventions to decrease intimate partner violence to pregnant women. Public Health Nurs 17:443–451PubMedCrossRef

Mertin P, Mohr PB (2001) A follow-up study of posttraumatic stress disorder, anxiety, and depression in Australian victims of domestic violence. Violence Vict 16:645–654PubMed

Mitchell RE, Hudson CA (1983) Coping with domestic violence: social support and psychological health among battered women. Am J Commun Psychol 2:629–654CrossRef

Murray L (1992) The impact of postnatal depression on infant development. J Child Psychol Psyc 33:543–561CrossRef

Murray L, Cooper P (1997) Postpartum depression and child development. Guilford Press, New York

Newport DJ, Wilcox MM, Stowe ZN (2001) Antidepressants during pregnancy and lactation: defining exposure and treatment issues. Semin Perinatol 25:177–190PubMedCrossRef

Nishith P, Mechanic MB, Resick PA (2000) Prior interpersonal trauma: the contribution to current PTSD symptoms in female rape victims. J Abnorm Psychol 109:20–25PubMedCrossRef

Nolen-Hoeksema S (2006) The etiology of gender differences in depression. In: Mazure CN, Keita GP (eds) Understanding depression in women: applying empirical research to practice and policy. American Psychological Association, Washington, pp 9–44CrossRef

Nonacs RM, Cohen LS (1998) Postpartum mood disorders: diagnosis and treatment guidelines. J Clin Psychiat 59:34–40

Oakley A (1985) Social support in pregnancy: the 'soft' way to increase birthweight. Soc Sci Med 21:1259–1268PubMedCrossRef

O'Hara MW (1995) Childrearing. In: O'Hara MW et al (eds) Psychological aspects of women's reproductive health. Springer, New York, pp 26–48

O'Mahen H, Flynn (2008) Preferences and Perceived Barriers to Treatment for Depression during the Perinatal Period. J Women's Ment Health 8:1301–1309

Parker B, McFarlane J, Soeken K et al (1999) Testing an intervention to prevent further abuse to pregnant women. Res Nurs Health 22:59–66PubMedCrossRef

Philipps LH, O'Hara MW (1991) Prospective study of postpartum depression: 4 1/2-year follow-up of women and children. J Abnorm Psychol 100:151–155PubMedCrossRef

Ramsay J, Carter Y, Davidson L, et al (2009) Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse (Review). The Cochrane Library 3 Art. No.: CD005043 DOI:10.1002/14651858.CD005043.pub2

Rayburn NR, Wenzel SL, Elliott MN et al (2005) Trauma, depression, coping, and mental health service seeking among impoverished women. J Consult Clin Psych 73:667–677CrossRef

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 Obst Gyn 30:181–190CrossRef

Rennison CM, Welchans S (2000) Intimate partner violence. Bureau of Justice Statistics, Washington DC

Rini CK, Dunkel-Schetter C, Sandman CA, Wadhwa PD (1999) Psychological adaptation and birth outcomes: the role of personal resources, stress, and sociocultural context in pregnancy. Health Psychol 18:333–345PubMedCrossRef

Ritter C (1988) Social supports, social networks, and health behaviors. In: Gochman DS (ed) Health behavior: emerging research perspectives. Plenum Press, New York, pp 149–161

Roberts GL, Lawrence JM, Williams GM, Raphael B (1998) The impact of domestic violence on women's mental health. Aust NZ J Psychiat 22:796–801

Sarkar (2008) The impact of intimate partner violence on women's reproductive health and pregnancy outcome. J Obstet Gynaecol 28:266–271PubMedCrossRef

Saunders DG (1994) Posttraumatic stress symptom profiles of battered women: a comparison of survivors in two settings. Violence Vict 9:31–44PubMed

Seifer R, Dickstein S, Sameroff AJ, Magee KD, Hayden LC (2001) Infant mental health and variability of parental mental illness. J Am Acad Child Psy 40:1375–1382CrossRef

Sharp D, Hay DF, Pawlby S, Schmucker G, Allen H, Kuman R (1995) The impact of postnatal depression on boys' intellectual development. J Child Psychol Psych 36:1315–1336CrossRef

Sinclair D, Murray L (1998) Effects of postnatal depression on children's adjustment to school: teacher's reports. Br J Psychiat 172:58–63CrossRef

Smith MV, Rosenheck RA, Cavaleri MA et al (2004) Screening for and detection of depression, panic disorder, and PTSD in public-sector obstetric clinics. Psychiatr Serv 55:407–414PubMedCrossRef

Söderquist J, Wijma K, Wijma B (2004) Traumatic stress in late pregnancy. J Anxiety Disord 18:127–142PubMedCrossRef

Stack C (ed) (1974) All our kin: strategies for survival in a black community. Harper & Row, New York

Stewart DE (1994) Incidence of postpartum abuse in women with a history of abuse during pregnancy. Can Med Assoc J 151:1601–1604

Straus MA, Hamby SL, McCoy SB, Sugarman DB (1996) The revised conflict tactic scales (CTS2). J Fam Issues 17:283–316CrossRef

Sullivan CM (2003) Using the ESID model to reduce intimate male violence against women. Am J Commun Psychol 32:295–303CrossRef

Sullivan CM, Cain D (2004) Ethical and safety considerations when obtaining information from or about battered women for research purposes. J Interpers Violence 19:603–618PubMedCrossRef

Tan C, Basta J, Sullivan CM, Davidson WS (1995) The role of social support in the lives of women exiting domestic violence shelters: an experimental study. J Interpers Violence 10:437–451CrossRef

Thompson WM, Harris B, Lazarus J, Richards C (1998) A comparison of the performance of rating scales used in the diagnosis of postnatal depression. Acta Psychiatr Scand 98:224–227PubMedCrossRef

Tiwari WC, Leung TW, Leung J, Humphreys B, Parker PC (2005) A randomised controlled trial of empowerment training for Chinese abused pregnant women in Hong Kong. BJOG Intern J Obstet Gynaecol 112:1249–1256CrossRef

Turner RJ, Grindstaff CF, Phillips N (1990) Social support and outcome in teenage pregnancy. J Health Soc Behav 31:43–57PubMedCrossRef

U.S. Department of Health and Human Services (2008) The 2008 HHS poverty guidelines. http://www.census.gov/hhes/www/poverty/threshld/thresh08.html. Accessed 28 May 2009

Van Wyk JA, Benson ML, Fox GL, DeMaris A (2003) Detangling individual, partner, and community level correlates of partner violence. Crime Delinquency 49:412–439CrossRef

Warshaw MG, Keller MB, Stout R (1994) Reliability and validity of the longitudinal interval follow-up evaluation for assessing outcome of anxiety disorders. J Psychiatr Res 28:531–545PubMedCrossRef

Weinberg MK, Tronick EZ (1998) The impact of maternal psychiatric illness on infant development. J Clin Psychiat 59:53–61

Weiss EL, Longhurst JG, Mazure CM (1999) Childhood sexual abuse as a risk factor for depression in women: psychosocial and neurobiological correlates. Am J Psychiat 156:816–828PubMed

West CG, Fernandez A, Hillard JR et al (1990) Psychiatric disorders of abused women at a shelter. Psychiat Quart 61:295–301PubMedCrossRef

Woods SJ (2000) Prevalence and patterns of posttraumatic stress disorder in abused and postabused women. Issues Ment Health Nurs 21:309–324PubMedCrossRef

Zlotnick C, Johnson DM (2002) Depression and sexual abuse: psychosocial treatment of depression in adult survivors of childhood sexual abuse. S Afr Psychiat Rev 5:8–13

Zlotnick C, Davidson J, Shea MT, Pearlstein T (1996) Validation of the Davidson Trauma Scale in a sample of survivors of childhood sexual abuse. J Nerv Ment Dis 184:225–257

Zlotnick C, Kohn R, Peterson J, Pearlstein T (1998) Partner physical victimization in a national sample of American families: relationship to psychological functioning, psychosocial factors and gender. J Interpers Violence 13:156–166CrossRef

Zlotnick C, Johnson S, Miller I, Howard M, Pearlstein T (2001) Postpartum depression in women on public assistance: pilot study of an interpersonally-oriented group. Am J Psychiat 158:638–640PubMedCrossRef

Zlotnick C, Miller IW, Pearlstein T, Howard M, Sweeney P (2006) A preventive intervention for pregnant women on public assistance at risk for postpartum depression. Am J Psychiat 63:1443–1445CrossRef

Zlotnick C, Johnson J, Kohn R (2008) Childhood trauma, trauma in adulthood, and psychiatric diagnoses: results from a community sample. Compr Psychiat 49:163–169PubMedCrossRef

Titel: An interpersonally based intervention for low-income pregnant women with intimate partner violence: a pilot study
verfasst von: Caron Zlotnick
Nicole M. Capezza
Donna Parker
Publikationsdatum: 01.02.2011
Verlag: Springer Vienna
Erschienen in: Archives of Women's Mental Health / Ausgabe 1/2011
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-010-0195-x

Neu in den Fachgebieten Neurologie und Psychiatrie

18.04.2024 | Arterielle Hypertonie | Nachrichten

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

An interpersonally based intervention for low-income pregnant women with intimate partner violence: a pilot study

Abstract

Neu in den Fachgebieten Neurologie und Psychiatrie

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Delir kann Demenz begünstigen

Manche Gestagene können das Risiko für Meningeome erhöhen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2011

Refugee, asylum seeker, immigrant women and postnatal depression: rates and risk factors

Reviewers 2010

Estimation of desvenlafaxine transfer into milk and infant exposure during its use in lactating women with postnatal depression

The DSM IV diagnoses of melancholic and atypical depression in pregnancy

Uneventful use of haloperidol and trihehexyphenidyl during three consecutive pregnancies

Letter from the Editors

Neu in den Fachgebieten Neurologie und Psychiatrie

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Delir kann Demenz begünstigen

Manche Gestagene können das Risiko für Meningeome erhöhen