Does resilience moderate the effect of intimate partner violence on signs of depression among Tanzanian pregnant women: A cross‐sectional study
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Does resilience moderate the effect of intimate partner violence on signs of depression among Tanzanian pregnant women : A cross‐sectional study. / Magnusson, Frederik L.; Rogathi, Jane J.; Sigalla, Geofrey N.; Manongi, Rachel; Rasch, Vibeke; Gammeltoft, Tine; Meyrowitsch, Dan W.
I: Acta Obstetrica et Gynecologica, Bind 100, Nr. 4, 2021, s. 768-774.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Does resilience moderate the effect of intimate partner violence on signs of depression among Tanzanian pregnant women
T2 - A cross‐sectional study
AU - Magnusson, Frederik L.
AU - Rogathi, Jane J.
AU - Sigalla, Geofrey N.
AU - Manongi, Rachel
AU - Rasch, Vibeke
AU - Gammeltoft, Tine
AU - Meyrowitsch, Dan W.
PY - 2021
Y1 - 2021
N2 - IntroductionExposure to intimate partner violence (IPV) has been found to be associated with a multitude of poor health and quality of life outcomes. Among the risks exacerbated by IPV is prenatal depression. Resilience is hypothesized to protect against psychopathology after exposure to a traumatic influence. The present study aims to investigate resilience as a moderator of the effect of exposure to IPV on prenatal depression among pregnant women in Moshi, Tanzania.Material and methodsIn this cross‐sectional study, nested within a larger longitudinal study, pregnant women receiving antenatal care were interviewed about exposure to IPV, signs of depression using the Edinburgh Postpartum Depression Scale, and resilience using the abbreviated Connor‐Davidson Resilience Scale. Logistic regression was used to test the effect of the interaction term of resilience and exposure to IPV during pregnancy on the risk of high level of signs of depression.ResultsIn total, 1013 women completed all interviews, 300 women reported exposure to IPV, and 113 had high levels of signs of depression. Mean resilience score was 14.26 (SD 9.45). Exposure to IPV was correlated with signs of depression (adjusted odds ratio 6.49, 95% CI 3.75‐11.24). Resilience was not correlated with signs of depression, nor was the interaction term of resilience and exposure to IPV.ConclusionsThe study did not find that resilience acted as a moderator of the effect of exposure to IPV during pregnancy on the risk of prenatal depression. The cross‐sectional design of the study may not be well suited to investigate resilience, which could take time to manifest. The abbreviated Connor‐Davidson Resilience Scale has not been validated in a Tanzanian setting, or in the Swahili version. Practitioners should take note that all women and families affected by IPV should be afforded relevant assistance from social services, law enforcement, healthcare practitioners, and other relevant services, regardless of their apparent level of resilience.
AB - IntroductionExposure to intimate partner violence (IPV) has been found to be associated with a multitude of poor health and quality of life outcomes. Among the risks exacerbated by IPV is prenatal depression. Resilience is hypothesized to protect against psychopathology after exposure to a traumatic influence. The present study aims to investigate resilience as a moderator of the effect of exposure to IPV on prenatal depression among pregnant women in Moshi, Tanzania.Material and methodsIn this cross‐sectional study, nested within a larger longitudinal study, pregnant women receiving antenatal care were interviewed about exposure to IPV, signs of depression using the Edinburgh Postpartum Depression Scale, and resilience using the abbreviated Connor‐Davidson Resilience Scale. Logistic regression was used to test the effect of the interaction term of resilience and exposure to IPV during pregnancy on the risk of high level of signs of depression.ResultsIn total, 1013 women completed all interviews, 300 women reported exposure to IPV, and 113 had high levels of signs of depression. Mean resilience score was 14.26 (SD 9.45). Exposure to IPV was correlated with signs of depression (adjusted odds ratio 6.49, 95% CI 3.75‐11.24). Resilience was not correlated with signs of depression, nor was the interaction term of resilience and exposure to IPV.ConclusionsThe study did not find that resilience acted as a moderator of the effect of exposure to IPV during pregnancy on the risk of prenatal depression. The cross‐sectional design of the study may not be well suited to investigate resilience, which could take time to manifest. The abbreviated Connor‐Davidson Resilience Scale has not been validated in a Tanzanian setting, or in the Swahili version. Practitioners should take note that all women and families affected by IPV should be afforded relevant assistance from social services, law enforcement, healthcare practitioners, and other relevant services, regardless of their apparent level of resilience.
KW - Faculty of Social Sciences
KW - Intimate partner violence
KW - pregnancy complications
KW - psychology
KW - prenatal depression
KW - resilience
KW - sub-Saharan Africa
U2 - 10.1111/aogs.14062
DO - 10.1111/aogs.14062
M3 - Journal article
C2 - 33316080
VL - 100
SP - 768
EP - 774
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
SN - 0001-6349
IS - 4
ER -
ID: 256070239