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Independent and combined associations of intimate partner violence and food insecurity on maternal depression and generalized anxiety disorder
Journal of Anxiety Disorders ( IF 10.3 ) Pub Date : 2021-04-27 , DOI: 10.1016/j.janxdis.2021.102409
Sajeevika Saumali Daundasekara 1 , Brittany R Schuler 2 , Daphne C Hernandez 3
Affiliation  

While research has investigated intimate partner violence (IPV) and food insecurity (FI) as independent experiences on mental health, research is lacking on the possible longitudinal associations of combined experiences of IPV and FI on maternal depression and generalized anxiety disorder (GAD). The study examined the independent and combined associations of IPV and FI that mothers experienced 3–5 years after child’s birth on major depression and GAD at Year-15. The study utilizes the Fragile Families and Child Wellbeing study data (n = 2,311). Five mutually exclusive dichotomous variables were created based on IPV and FI experiences during Year-3 and Year-5. Major depression and GAD measured at Year-15 using the Composite International Diagnostic Interview-Short Form. According to the covariate-adjusted logistic regression models, none of the IPV and FI categories predicted depression at Year-15. Mothers who experienced only FI (OR = 3.79, p = 0.017) and those experiencing both IPV and FI concurrently (OR = 3.40, p = 0.021) had greater odds of having GAD at Year-15. Compared to the independent effect of IPV, the combined effect of concurrent IPV and FI experiences was highly associated with maternal mental health. Using a trauma-informed approach to counseling in combination with food assistance programs might be an effective strategy in preventing maternal GAD symptoms.



中文翻译:

关于产妇抑郁症和广泛性焦虑症的亲密伴侣暴力和粮食不安全的独立和联合协会

虽然研究已将亲密伴侣暴力(IPV)和粮食不安全(FI)作为心理健康方面的独立经验进行了调查,但仍缺乏关于IPV和FI的综合经验与孕产妇抑郁和广泛性焦虑症(GAD)的可能纵向关联的研究。该研究调查了IPV和FI的独立和联合的联想,即母亲在孩子出生后的15至15岁时因严重抑郁和GAD经历了3-5年。该研究利用了脆弱家庭和儿童福利研究数据(n = 2,311)。根据三年级和五年级的IPV和FI经验,创建了五个互斥的二分变量。使用国际综合诊断访谈-简短表格在15年级测量的严重抑郁和GAD。根据协变量调整的Logistic回归模型,IPV和FI类别均未预测15年级的抑郁症。仅经历FI的母亲(OR = 3.79,p = 0.017)而同时经历IPV和FI的母亲(OR = 3.40,p = 0.021)在15岁时发生GAD的几率更高。与IPV的独立作用相比,IPV和FI同时经历的综合作用与孕妇心理健康高度相关。结合食品援助计划,采用创伤知情的咨询方法可能是预防孕产妇GAD症状的有效策略。并发IPV和FI经历的综合效果与孕产妇心理健康高度相关。结合食品援助计划,采用创伤知情的咨询方法可能是预防孕产妇GAD症状的有效策略。并发IPV和FI经历的综合效果与孕产妇心理健康高度相关。结合食品援助计划,采用创伤知情的咨询方法可能是预防孕产妇GAD症状的有效策略。

更新日期:2021-04-29
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