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Archives of Women's Mental Health
Erschienen in: Archives of Women's Mental Health 1/2015

01.02.2015 | Review Article

Childhood sexual abuse and posttraumatic stress disorder among pregnant and postpartum women: review of the literature

verfasst von: Adaeze C. Wosu, Bizu Gelaye, Michelle A. Williams

Erschienen in: Archives of Women's Mental Health | Ausgabe 1/2015

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Abstract

The aims of this review are (i) to summarize and evaluate current knowledge on the association between childhood sexual abuse (CSA) and posttraumatic stress disorder (PTSD) in pregnant and postpartum women, (ii) to provide suggestions for future research on this topic, and (iii) to highlight some clinical implications. Relevant publications were identified through literature searches of four databases (PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and PsycARTICLES) using keywords such as “child abuse,” “posttraumatic stress,” “pregnancy,” and “postpartum”. Five studies were included in this review. Findings across all studies were consistent with higher prevalence of PTSD diagnosis or symptomatology among women with history of CSA. However, only findings from two studies were statistically significant. One study observed higher overall PTSD scores in women with CSA history compared to women with non-CSA trauma history or no trauma history during pregnancy (mean ± SD 1.47 (0.51) vs. 1.33 (0.41) vs. 1.22 (0.29), p < 0.001), at 2 months postpartum (mean ± SD 1.43 (0.49) vs. 1.26 (0.38) vs. 1.19 (0.35), p < 0.001), and at 6 months postpartum (mean ± SD 1.36 (1.43) vs. 1.20 (0.33) vs. 1.14 (0.27), p < 0.001). Another study observed that the prevalence of PTSD during pregnancy was 4.1 % in women with no history of physical or sexual abuse, 11.4 % in women with adult physical or sexual abuse history, 16.0 % in women with childhood physical or sexual abuse history, and 39.0 % in women exposed to both childhood and adult physical or sexual abuse (p < 0.001); in a subsequent analysis, the investigators reported that pregnant women with PTSD had over 5-fold odds of having a history of childhood completed rape compared to counterparts without PTSD (OR = 5.3, 95 % CI 3.2, 8.7). Overall, available evidence suggests positive associations of CSA with clinical PTSD or PTSD symptomatology among pregnant and postpartum women.
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Metadaten
Titel
Childhood sexual abuse and posttraumatic stress disorder among pregnant and postpartum women: review of the literature
verfasst von
Adaeze C. Wosu
Bizu Gelaye
Michelle A. Williams
Publikationsdatum
01.02.2015
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 1/2015
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-014-0482-z

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