Association between violence and depression during pregnancy with perinatal outcomes: a moderated mediation analysis
Abstract Objective To assess the direct, indirect, and total effects of violence during pregnancy on perinatal outcomes, and to evaluate the effect of violence as a moderator of the mediated relationship of depression with perinatal outcomes. Methods Data was collected from the prenatal study and fo...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-11-01
|
| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-05106-y |
| _version_ | 1797984773397807104 |
|---|---|
| author | Liliana Yanet Gómez Aristizábal Susana Cararo Confortin Rosângela Fernandes Lucena Batista Maria Teresa Seabra Soares de Britto e Alves Vanda Maria Ferreira Simões Antônio Augusto Moura da Silva |
| author_facet | Liliana Yanet Gómez Aristizábal Susana Cararo Confortin Rosângela Fernandes Lucena Batista Maria Teresa Seabra Soares de Britto e Alves Vanda Maria Ferreira Simões Antônio Augusto Moura da Silva |
| author_sort | Liliana Yanet Gómez Aristizábal |
| collection | DOAJ |
| description | Abstract Objective To assess the direct, indirect, and total effects of violence during pregnancy on perinatal outcomes, and to evaluate the effect of violence as a moderator of the mediated relationship of depression with perinatal outcomes. Methods Data was collected from the prenatal study and follow-ups of the BRISA cohort, São Luís, Maranhão, Brazil. The perinatal outcomes investigated were: birth weight (BW), intrauterine growth restriction (IUGR) and gestational age (GA). Violence against women was evaluated using the World Health Organization Violence against Women instrument (Violence during pregnancy – regardless of the type of violence; Physical violence during pregnancy; Psychological violence during pregnancy). Depressive symptoms during pregnancy were evaluated as a mediating variable. Moderated mediation analysis was performed to estimate the effects of violence and depression on perinatal outcomes. Results Three types of violence analyzed by depression had an indirect effect in BW and GA. None of the types of violence showed an association with IUGR. All types of violence analyzed showed a moderated mediation effect with BW and GA. Only among women who experienced violence were birth weight and gestational age lower the higher the values of depressive symptoms. Conclusion Violence and depression are only associated with lower BW and GA when they occur simultaneously. |
| first_indexed | 2024-04-11T07:06:55Z |
| format | Article |
| id | doaj.art-70599ee3c75f4007af88fb258638d0dd |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T07:06:55Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-70599ee3c75f4007af88fb258638d0dd2022-12-22T04:38:22ZengBMCBMC Pregnancy and Childbirth1471-23932022-11-012211910.1186/s12884-022-05106-yAssociation between violence and depression during pregnancy with perinatal outcomes: a moderated mediation analysisLiliana Yanet Gómez Aristizábal0Susana Cararo Confortin1Rosângela Fernandes Lucena Batista2Maria Teresa Seabra Soares de Britto e Alves3Vanda Maria Ferreira Simões4Antônio Augusto Moura da Silva5Graduate Program in Collective Health, Federal University of MaranhãoGraduate Program in Collective Health, Federal University of MaranhãoGraduate Program in Collective Health, Federal University of MaranhãoGraduate Program in Collective Health, Federal University of MaranhãoGraduate Program in Collective Health, Federal University of MaranhãoGraduate Program in Collective Health, Federal University of MaranhãoAbstract Objective To assess the direct, indirect, and total effects of violence during pregnancy on perinatal outcomes, and to evaluate the effect of violence as a moderator of the mediated relationship of depression with perinatal outcomes. Methods Data was collected from the prenatal study and follow-ups of the BRISA cohort, São Luís, Maranhão, Brazil. The perinatal outcomes investigated were: birth weight (BW), intrauterine growth restriction (IUGR) and gestational age (GA). Violence against women was evaluated using the World Health Organization Violence against Women instrument (Violence during pregnancy – regardless of the type of violence; Physical violence during pregnancy; Psychological violence during pregnancy). Depressive symptoms during pregnancy were evaluated as a mediating variable. Moderated mediation analysis was performed to estimate the effects of violence and depression on perinatal outcomes. Results Three types of violence analyzed by depression had an indirect effect in BW and GA. None of the types of violence showed an association with IUGR. All types of violence analyzed showed a moderated mediation effect with BW and GA. Only among women who experienced violence were birth weight and gestational age lower the higher the values of depressive symptoms. Conclusion Violence and depression are only associated with lower BW and GA when they occur simultaneously.https://doi.org/10.1186/s12884-022-05106-yViolenceDepressionPregnancyPerinatal outcomesMediation analysesModeration analyses |
| spellingShingle | Liliana Yanet Gómez Aristizábal Susana Cararo Confortin Rosângela Fernandes Lucena Batista Maria Teresa Seabra Soares de Britto e Alves Vanda Maria Ferreira Simões Antônio Augusto Moura da Silva Association between violence and depression during pregnancy with perinatal outcomes: a moderated mediation analysis BMC Pregnancy and Childbirth Violence Depression Pregnancy Perinatal outcomes Mediation analyses Moderation analyses |
| title | Association between violence and depression during pregnancy with perinatal outcomes: a moderated mediation analysis |
| title_full | Association between violence and depression during pregnancy with perinatal outcomes: a moderated mediation analysis |
| title_fullStr | Association between violence and depression during pregnancy with perinatal outcomes: a moderated mediation analysis |
| title_full_unstemmed | Association between violence and depression during pregnancy with perinatal outcomes: a moderated mediation analysis |
| title_short | Association between violence and depression during pregnancy with perinatal outcomes: a moderated mediation analysis |
| title_sort | association between violence and depression during pregnancy with perinatal outcomes a moderated mediation analysis |
| topic | Violence Depression Pregnancy Perinatal outcomes Mediation analyses Moderation analyses |
| url | https://doi.org/10.1186/s12884-022-05106-y |
| work_keys_str_mv | AT lilianayanetgomezaristizabal associationbetweenviolenceanddepressionduringpregnancywithperinataloutcomesamoderatedmediationanalysis AT susanacararoconfortin associationbetweenviolenceanddepressionduringpregnancywithperinataloutcomesamoderatedmediationanalysis AT rosangelafernandeslucenabatista associationbetweenviolenceanddepressionduringpregnancywithperinataloutcomesamoderatedmediationanalysis AT mariateresaseabrasoaresdebrittoealves associationbetweenviolenceanddepressionduringpregnancywithperinataloutcomesamoderatedmediationanalysis AT vandamariaferreirasimoes associationbetweenviolenceanddepressionduringpregnancywithperinataloutcomesamoderatedmediationanalysis AT antonioaugustomouradasilva associationbetweenviolenceanddepressionduringpregnancywithperinataloutcomesamoderatedmediationanalysis |