Depression as a mediator between intimate partner violence and postpartum sexual issues: a structural analysis

Leanndru Guilherme Pires Reis Sussmann, Alexandre Faisal-Cury, Rebecca Pearson

Research output: Contribution to journalArticle (Academic Journal)

Abstract

INTRODUCTION: No studies were found that evaluate the association between intimate partner violence (IPV) before childbirth and sexual issues in the postpartum period.

METHOD: A cross-sectional study with 700 women who received prenatal care in a basic health unit in São Paulo, between 2006 and 2007. Sexual issues were assessed through a questionnaire created by the authors, and intimate partner violence was evaluated using a structured questionnaire developed by the WHO. Postpartum depression was evaluated using the SRQ-20 instrument, with a cut-off point of 7/8 considered to be the mediating variable. A path analysis was performed to determine the different pathways: the direct association between outcome and exposure, and the indirect pathways through the mediator.

RESULTS: The prevalence of sexual issues, intimate partner violence and postpartum depression were 30; 42.8; 27.8%, respectively. Violence occurring exclusively before childbirth did not show a direct association (ED = 0.072 (-0.06 - 0.20, p = 0.060)) or indirect (EI: 0.045 (-0.06 - 0.20, p = 0.123)), with sexual issues.

CONCLUSION: Longitudinal studies that include other mediators may provide a better understanding of the causal chain and elucidate variables that influence postpartum sexuality issues.

Original languageEnglish
Pages (from-to)e200048
JournalRevista Brasileira de Epidemiologia
Volume23
Early online date1 Jun 2020
DOIs
Publication statusE-pub ahead of print - 1 Jun 2020

Keywords

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Depression, Postpartum/psychology
  • Female
  • Humans
  • Intimate Partner Violence/psychology
  • Postpartum Period/psychology
  • Self Report
  • Sexual Behavior/psychology
  • Sexual Dysfunctions, Psychological
  • Socioeconomic Factors
  • Time Factors
  • Young Adult

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