246836 Postpartum Depression and Perinatal Intimate Partner Abuse in Physically Abused Women

Monday, October 31, 2011: 12:50 PM

Nia Green, BS , School of Nursing, Johns Hopkins University, Baltimore, MD
Brandon J. Johnson, BS , School of Nursing, Johns Hopkins University, Baltimore, MD
Phyllis Sharps, PhD, RN, FAAN , School of Nursing, Johns Hopkins University, Baltimore, MD
Postpartum Depression (PPD) has been shown to increase irritability, fatigue, and have negative effects on the attachment between the mother and newborn. The purpose of this study was to 1) examine differences in PPD prevalence across sociodemographic characteristics; 2) examine social support, education, and recent traumatic events as predictors of PPD and 3) examine perinatal IPV and employment as predictors of PPD. This study examines the Domestic Violence Enhanced Home Visitation (DOVE) quantitative data collected at baseline (31 weeks pregnant or less) & three months post natal for 162 participants. Outcome measures included the Edinburgh Depression Scale, Severity of Violence Against Women (SVAWS), the Davidson Trauma Scale (DTS), and the Prenatal Psychosocial Profile (PPP). The mean age was 23 years, 38% lived in an urban environment, and 49% were African American. The sample prevalence for PPD was 27%, with those from an urban setting having significantly higher depression scores than those from a rural setting (p=.003). A linear regression model was calculated to examine significant predictors of PPD in the sample. Social support from other people (Beta=-.080, 95% CI: [-.150,-.010], p=.026) and the participant's risk of repeat partner violence (Beta=-.326, 95% CI: [-.638,-.014], p=.041) were found to be significant predictors of PPD. The prevalence rate of the current sample was noticeably higher than the national prevalence rate of PPD (27%, 15%). This higher prevalence rate may be attributed to our finding that the risk of repeat partner violence is a significant predictor of PPD due to previous experience of violence.

Learning Areas:
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related nursing
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
Identify predictors of postpartum depression in physically abused women

Keywords: Maternal and Child Health, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because I have worked on the study during the duration of data collection and data analysis
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.