File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)

Article: The impact of psychological abuse by an intimate partner on the mental health of pregnant women

TitleThe impact of psychological abuse by an intimate partner on the mental health of pregnant women
Authors
KeywordsIntimate partner violence
Pregnancy
Psychological abuse
Issue Date2008
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BJOG
Citation
Bjog: An International Journal Of Obstetrics And Gynaecology, 2008, v. 115 n. 3, p. 377-384 How to Cite?
AbstractObjective: The objective of this first population-based study in Hong Kong was to assess the impact of psychological abuse by an intimate partner on the mental health of pregnant women. Design: Survey. Setting: Antenatal clinics in seven public hospitals in Hong Kong. Population: Three thousand two hundred and forty-five pregnant women. Methods: The Abuse Assessment Screen (AAS) and demographic questionnaires were administered face-to-face at 32-36 weeks of gestation. At 1 week postpartum, the AAS, Edinburgh Postnatal Depression Scale and SF-12 Health Survey were administered by telephone. Main outcome measures: Intimate partner violence, postnatal depression and health-related quality of life. Results: Two hundred and ninety six (9.1%) of the participants reported abuse by an intimate partner in the past year. Of those abused, 216 (73%) reported psychological abuse only and 80 (27%) reported physical and/or sexual abuse. Forty six (57.5%) in the physical and/or sexual abuse group also reported psychological abuse. Women in the psychological abuse only group had a higher risk of postnatal depression compared with nonabused women (adjusted OR: 1.84, 95% CI: 1.12-3.02). They were also at a higher risk of thinking about harming themselves (adjusted OR: 3.50, 95% CI: 1.49-8.20) and had significantly poorer mental health-related quality of life (P < 0.001). The higher risks of postnatal depression and thinking of harming themselves were not observed in the physical and/or sexual abuse group although significantly poorer mental health-related quality of life (P < 0.001) was observed. Conclusions: Psychological abuse by an intimate partner against pregnant women has a negative impact on their mental health postdelivery. Furthermore, psychological abuse in the absence of physical and/or sexual abuse can have a detrimental effect on the mental health of abused women. The findings underscore the importance of screening pregnant women for abuse by an intimate partner and the need for developing, implementing and evaluating interventions to address psychological abuse. © 2008 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/87489
ISSN
2015 Impact Factor: 4.039
2015 SCImago Journal Rankings: 2.083
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTiwari, Aen_HK
dc.contributor.authorChan, KLen_HK
dc.contributor.authorFong, Den_HK
dc.contributor.authorLeung, WCen_HK
dc.contributor.authorBrownridge, DAen_HK
dc.contributor.authorLam, Hen_HK
dc.contributor.authorWong, Ben_HK
dc.contributor.authorLam, CMen_HK
dc.contributor.authorChau, Fen_HK
dc.contributor.authorChan, Aen_HK
dc.contributor.authorCheung, KBen_HK
dc.contributor.authorHo, PCen_HK
dc.date.accessioned2010-09-06T09:30:19Z-
dc.date.available2010-09-06T09:30:19Z-
dc.date.issued2008en_HK
dc.identifier.citationBjog: An International Journal Of Obstetrics And Gynaecology, 2008, v. 115 n. 3, p. 377-384en_HK
dc.identifier.issn1470-0328en_HK
dc.identifier.urihttp://hdl.handle.net/10722/87489-
dc.description.abstractObjective: The objective of this first population-based study in Hong Kong was to assess the impact of psychological abuse by an intimate partner on the mental health of pregnant women. Design: Survey. Setting: Antenatal clinics in seven public hospitals in Hong Kong. Population: Three thousand two hundred and forty-five pregnant women. Methods: The Abuse Assessment Screen (AAS) and demographic questionnaires were administered face-to-face at 32-36 weeks of gestation. At 1 week postpartum, the AAS, Edinburgh Postnatal Depression Scale and SF-12 Health Survey were administered by telephone. Main outcome measures: Intimate partner violence, postnatal depression and health-related quality of life. Results: Two hundred and ninety six (9.1%) of the participants reported abuse by an intimate partner in the past year. Of those abused, 216 (73%) reported psychological abuse only and 80 (27%) reported physical and/or sexual abuse. Forty six (57.5%) in the physical and/or sexual abuse group also reported psychological abuse. Women in the psychological abuse only group had a higher risk of postnatal depression compared with nonabused women (adjusted OR: 1.84, 95% CI: 1.12-3.02). They were also at a higher risk of thinking about harming themselves (adjusted OR: 3.50, 95% CI: 1.49-8.20) and had significantly poorer mental health-related quality of life (P < 0.001). The higher risks of postnatal depression and thinking of harming themselves were not observed in the physical and/or sexual abuse group although significantly poorer mental health-related quality of life (P < 0.001) was observed. Conclusions: Psychological abuse by an intimate partner against pregnant women has a negative impact on their mental health postdelivery. Furthermore, psychological abuse in the absence of physical and/or sexual abuse can have a detrimental effect on the mental health of abused women. The findings underscore the importance of screening pregnant women for abuse by an intimate partner and the need for developing, implementing and evaluating interventions to address psychological abuse. © 2008 The Authors.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BJOGen_HK
dc.relation.ispartofBJOG: An International Journal of Obstetrics and Gynaecologyen_HK
dc.rightsBritish Journal of Obstetrics & Gynaecology. Copyright © Blackwell Publishing Ltd.en_HK
dc.subjectIntimate partner violenceen_HK
dc.subjectPregnancyen_HK
dc.subjectPsychological abuseen_HK
dc.subject.meshAdulten_HK
dc.subject.meshDepression, Postpartum - epidemiology - psychologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMental Healthen_HK
dc.subject.meshPregnancy - psychologyen_HK
dc.subject.meshPregnancy Complications - epidemiology - psychologyen_HK
dc.subject.meshPregnancy Outcomeen_HK
dc.subject.meshQuality of Lifeen_HK
dc.subject.meshRisk Factorsen_HK
dc.subject.meshSocioeconomic Factorsen_HK
dc.subject.meshSpouse Abuseen_HK
dc.titleThe impact of psychological abuse by an intimate partner on the mental health of pregnant womenen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0306-5456&volume=115&spage=377&epage=384&date=2008&atitle=The+impact+of+psychological+abuse+by+an+intimate+partner+on+the+mental+health+of+pregnant+womenen_HK
dc.identifier.emailTiwari, A: tiwari@hku.hken_HK
dc.identifier.emailChan, KL: eklchan@hku.hken_HK
dc.identifier.emailFong, D: dytfong@hku.hken_HK
dc.identifier.emailHo, PC: pcho@hku.hken_HK
dc.identifier.authorityTiwari, A=rp00441en_HK
dc.identifier.authorityChan, KL=rp00572en_HK
dc.identifier.authorityFong, D=rp00253en_HK
dc.identifier.authorityHo, PC=rp00325en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1471-0528.2007.01593.xen_HK
dc.identifier.pmid18190375-
dc.identifier.scopuseid_2-s2.0-38049081579en_HK
dc.identifier.hkuros140754en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-38049081579&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume115en_HK
dc.identifier.issue3en_HK
dc.identifier.spage377en_HK
dc.identifier.epage384en_HK
dc.identifier.eissn1471-0528-
dc.identifier.isiWOS:000252299700012-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridTiwari, A=7101772273en_HK
dc.identifier.scopusauthoridChan, KL=8504873300en_HK
dc.identifier.scopusauthoridFong, D=35261710300en_HK
dc.identifier.scopusauthoridLeung, WC=7201504435en_HK
dc.identifier.scopusauthoridBrownridge, DA=6601984986en_HK
dc.identifier.scopusauthoridLam, H=16022602300en_HK
dc.identifier.scopusauthoridWong, B=7402023380en_HK
dc.identifier.scopusauthoridLam, CM=36150846300en_HK
dc.identifier.scopusauthoridChau, F=35195386800en_HK
dc.identifier.scopusauthoridChan, A=7403168094en_HK
dc.identifier.scopusauthoridCheung, KB=7402406620en_HK
dc.identifier.scopusauthoridHo, PC=7402211440en_HK
dc.identifier.citeulike2226850-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats