Depression in childhood: The role of children's exposure to intimate partner violence and maternal mental disorders

Elisabete Pereira Silva; Alan M Emond; Ana Bernada Ludermir

doi:10.1016/j.chiabu.2021.105305

Depression in childhood: The role of children's exposure to intimate partner violence and maternal mental disorders

Elisabete Pereira Silva^*
, Alan M Emond
, Ana Bernada Ludermir

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

17 Citations (Scopus)

244 Downloads (Pure)

Abstract

Background: Intimate partner violence (IPV) is a global problem with high prevalence rates, and is linked to maternal mental disorders (MMD). Children's exposure to IPV (CEIPV) can have impacts on their physical and mental health, including depression.
Objective: To analyze the associations between exposure to both CEIPV and MMD and depression in schoolchildren.
Participants and setting: 630 mother-child pairs were evaluated in a poor urban district in Recife, Northeast Brazil.
Methods: A cohort study investigated the effects of IPV during pregnancy, postpartum and six to nine years after delivery. Women were asked about their experience of IPV, their own mental health, and the exposure of their child to violence. The child's mood was reported by the mother, using the Short Mood and Feelings Questionnaire (SMFQ). Ten types of CEIPV, and the age of onset of exposure, were compared with the child's subsequent risk of depression.
Results: IPV was associated with MMD in 31.9% of the women at some period of time. Depressive symptoms were reported in 15.7% of school-age children. All types of CEIPV were associated with depression at school age. Multivariable analyses of exposure to IPV and MMD at different ages showed that exposure to both IPV and MMD in the first year of life had the strongest association with childhood depression (OR = 9.1; 95% CI: 2.4–33.9).
Conclusions: The frequency of CEIPV and MMD, and the high prevalence of depression at school age, shows the importance of assessing MMD and identifying exposure to IPV in pregnancy and the early years.

Original language	English
Article number	105305
Pages (from-to)	105305
Journal	Child Abuse and Neglect
Volume	122
Issue number	105305
Early online date	10 Sept 2021
DOIs	https://doi.org/10.1016/j.chiabu.2021.105305
Publication status	Published - Dec 2021

Bibliographical note

Funding Information:
This study was supported by the Brazilian Federal Government , through the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) do Ministério da Educação e Cultura, Brazil – Grant numbers: 403060/2004-4 and 475240/2011-1 , and the Departamento de Ciência e Tecnologia da Secretaria de Ciência, Tecnologia e Insumos Estratégicos do Ministério da Saúde (DECIT), Brazil–Grant number: 473545/2004-7 .

Funding Information:
This study was supported by the Brazilian Federal Government, through the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) do Ministério da Educação e Cultura, Brazil – Grant numbers: 403060/2004-4 and 475240/2011-1, and the Departamento de Ciência e Tecnologia da Secretaria de Ciência, Tecnologia e Insumos Estratégicos do Ministério da Saúde (DECIT), Brazil–Grant number:473545/2004-7.

Funding Information:
This study was supported by the Brazilian Federal Government, through the Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq) do Minist?rio da Educa??o e Cultura, Brazil ? Grant numbers: 403060/2004-4 and 475240/2011-1, and the Departamento de Ci?ncia e Tecnologia da Secretaria de Ci?ncia, Tecnologia e Insumos Estrat?gicos do Minist?rio da Sa?de (DECIT), Brazil?Grant number: 473545/2004-7.

Publisher Copyright:
© 2021 Elsevier Ltd

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 16 Peace, Justice and Strong Institutions

Keywords

Children
Depression
Domestic violence
Intimate partner violence
Maternal mental disorders

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@article{9a951d29c8ed4b9190fc21e0c8bfc369,

title = "Depression in childhood: The role of children's exposure to intimate partner violence and maternal mental disorders",

abstract = "Background: Intimate partner violence (IPV) is a global problem with high prevalence rates, and is linked to maternal mental disorders (MMD). Children's exposure to IPV (CEIPV) can have impacts on their physical and mental health, including depression. Objective: To analyze the associations between exposure to both CEIPV and MMD and depression in schoolchildren. Participants and setting: 630 mother-child pairs were evaluated in a poor urban district in Recife, Northeast Brazil. Methods: A cohort study investigated the effects of IPV during pregnancy, postpartum and six to nine years after delivery. Women were asked about their experience of IPV, their own mental health, and the exposure of their child to violence. The child's mood was reported by the mother, using the Short Mood and Feelings Questionnaire (SMFQ). Ten types of CEIPV, and the age of onset of exposure, were compared with the child's subsequent risk of depression. Results: IPV was associated with MMD in 31.9\% of the women at some period of time. Depressive symptoms were reported in 15.7\% of school-age children. All types of CEIPV were associated with depression at school age. Multivariable analyses of exposure to IPV and MMD at different ages showed that exposure to both IPV and MMD in the first year of life had the strongest association with childhood depression (OR = 9.1; 95\% CI: 2.4{\textendash}33.9). Conclusions: The frequency of CEIPV and MMD, and the high prevalence of depression at school age, shows the importance of assessing MMD and identifying exposure to IPV in pregnancy and the early years.",

keywords = "Children, Depression, Domestic violence, Intimate partner violence, Maternal mental disorders",

author = "\{Pereira Silva\}, Elisabete and Emond, \{Alan M\} and Ludermir, \{Ana Bernada\}",

note = "Funding Information: This study was supported by the Brazilian Federal Government , through the Conselho Nacional de Desenvolvimento Cient{\'i}fico e Tecnol{\'o}gico (CNPq) do Minist{\'e}rio da Educa{\c c}{\~a}o e Cultura, Brazil {\textendash} Grant numbers: 403060/2004-4 and 475240/2011-1 , and the Departamento de Ci{\^e}ncia e Tecnologia da Secretaria de Ci{\^e}ncia, Tecnologia e Insumos Estrat{\'e}gicos do Minist{\'e}rio da Sa{\'u}de (DECIT), Brazil{\textendash}Grant number: 473545/2004-7 . Funding Information: This study was supported by the Brazilian Federal Government, through the Conselho Nacional de Desenvolvimento Cient{\'i}fico e Tecnol{\'o}gico (CNPq) do Minist{\'e}rio da Educa{\c c}{\~a}o e Cultura, Brazil {\textendash} Grant numbers: 403060/2004-4 and 475240/2011-1, and the Departamento de Ci{\^e}ncia e Tecnologia da Secretaria de Ci{\^e}ncia, Tecnologia e Insumos Estrat{\'e}gicos do Minist{\'e}rio da Sa{\'u}de (DECIT), Brazil{\textendash}Grant number:473545/2004-7. Funding Information: This study was supported by the Brazilian Federal Government, through the Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq) do Minist?rio da Educa??o e Cultura, Brazil ? Grant numbers: 403060/2004-4 and 475240/2011-1, and the Departamento de Ci?ncia e Tecnologia da Secretaria de Ci?ncia, Tecnologia e Insumos Estrat?gicos do Minist?rio da Sa?de (DECIT), Brazil?Grant number: 473545/2004-7. Publisher Copyright: {\textcopyright} 2021 Elsevier Ltd",

year = "2021",

month = dec,

doi = "10.1016/j.chiabu.2021.105305",

language = "English",

volume = "122",

pages = "105305",

journal = "Child Abuse and Neglect",

issn = "0145-2134",

publisher = "Elsevier Limited",

number = "105305",

}

TY - JOUR

T1 - Depression in childhood

T2 - The role of children's exposure to intimate partner violence and maternal mental disorders

AU - Pereira Silva, Elisabete

AU - Emond, Alan M

AU - Ludermir, Ana Bernada

N1 - Funding Information: This study was supported by the Brazilian Federal Government , through the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) do Ministério da Educação e Cultura, Brazil – Grant numbers: 403060/2004-4 and 475240/2011-1 , and the Departamento de Ciência e Tecnologia da Secretaria de Ciência, Tecnologia e Insumos Estratégicos do Ministério da Saúde (DECIT), Brazil–Grant number: 473545/2004-7 . Funding Information: This study was supported by the Brazilian Federal Government, through the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) do Ministério da Educação e Cultura, Brazil – Grant numbers: 403060/2004-4 and 475240/2011-1, and the Departamento de Ciência e Tecnologia da Secretaria de Ciência, Tecnologia e Insumos Estratégicos do Ministério da Saúde (DECIT), Brazil–Grant number:473545/2004-7. Funding Information: This study was supported by the Brazilian Federal Government, through the Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq) do Minist?rio da Educa??o e Cultura, Brazil ? Grant numbers: 403060/2004-4 and 475240/2011-1, and the Departamento de Ci?ncia e Tecnologia da Secretaria de Ci?ncia, Tecnologia e Insumos Estrat?gicos do Minist?rio da Sa?de (DECIT), Brazil?Grant number: 473545/2004-7. Publisher Copyright: © 2021 Elsevier Ltd

PY - 2021/12

Y1 - 2021/12

N2 - Background: Intimate partner violence (IPV) is a global problem with high prevalence rates, and is linked to maternal mental disorders (MMD). Children's exposure to IPV (CEIPV) can have impacts on their physical and mental health, including depression. Objective: To analyze the associations between exposure to both CEIPV and MMD and depression in schoolchildren. Participants and setting: 630 mother-child pairs were evaluated in a poor urban district in Recife, Northeast Brazil. Methods: A cohort study investigated the effects of IPV during pregnancy, postpartum and six to nine years after delivery. Women were asked about their experience of IPV, their own mental health, and the exposure of their child to violence. The child's mood was reported by the mother, using the Short Mood and Feelings Questionnaire (SMFQ). Ten types of CEIPV, and the age of onset of exposure, were compared with the child's subsequent risk of depression. Results: IPV was associated with MMD in 31.9% of the women at some period of time. Depressive symptoms were reported in 15.7% of school-age children. All types of CEIPV were associated with depression at school age. Multivariable analyses of exposure to IPV and MMD at different ages showed that exposure to both IPV and MMD in the first year of life had the strongest association with childhood depression (OR = 9.1; 95% CI: 2.4–33.9). Conclusions: The frequency of CEIPV and MMD, and the high prevalence of depression at school age, shows the importance of assessing MMD and identifying exposure to IPV in pregnancy and the early years.

AB - Background: Intimate partner violence (IPV) is a global problem with high prevalence rates, and is linked to maternal mental disorders (MMD). Children's exposure to IPV (CEIPV) can have impacts on their physical and mental health, including depression. Objective: To analyze the associations between exposure to both CEIPV and MMD and depression in schoolchildren. Participants and setting: 630 mother-child pairs were evaluated in a poor urban district in Recife, Northeast Brazil. Methods: A cohort study investigated the effects of IPV during pregnancy, postpartum and six to nine years after delivery. Women were asked about their experience of IPV, their own mental health, and the exposure of their child to violence. The child's mood was reported by the mother, using the Short Mood and Feelings Questionnaire (SMFQ). Ten types of CEIPV, and the age of onset of exposure, were compared with the child's subsequent risk of depression. Results: IPV was associated with MMD in 31.9% of the women at some period of time. Depressive symptoms were reported in 15.7% of school-age children. All types of CEIPV were associated with depression at school age. Multivariable analyses of exposure to IPV and MMD at different ages showed that exposure to both IPV and MMD in the first year of life had the strongest association with childhood depression (OR = 9.1; 95% CI: 2.4–33.9). Conclusions: The frequency of CEIPV and MMD, and the high prevalence of depression at school age, shows the importance of assessing MMD and identifying exposure to IPV in pregnancy and the early years.

KW - Children

KW - Depression

KW - Domestic violence

KW - Intimate partner violence

KW - Maternal mental disorders

U2 - 10.1016/j.chiabu.2021.105305

DO - 10.1016/j.chiabu.2021.105305

M3 - Article (Academic Journal)

C2 - 34517271

SN - 0145-2134

VL - 122

SP - 105305

JO - Child Abuse and Neglect

JF - Child Abuse and Neglect

IS - 105305

M1 - 105305

ER -

Depression in childhood: The role of children's exposure to intimate partner violence and maternal mental disorders

Abstract

Bibliographical note

UN SDGs

Keywords

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