Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: a systematic review and meta-analysis.
Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: a systematic review and meta-analysis.
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DOI：
10.1016/j.socscimed.2012.04.025
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发表时间：
2012-09
影响因子：
5.4
通讯作者：
Zonderman, Alan B.
中科院分区：
文献类型：
--
作者：
Beydoun, Hind A.;Beydoun, May A.;Kaufman, Jay S.;Lo, Bruce;Zonderman, Alan B.
关键词：
迄今为止，很少有观察性研究的系统综述，以全面评估女性IPV的合并症和特定抑郁结局。在这项系统回顾和荟萃分析中，作者总结了现有文献，并估计了IPV与主要抑郁结局（抑郁症状升高、诊断为重度抑郁障碍和产后抑郁）之间的关联程度。PubMed（1980年1月1日- 2010年12月31日）对英语观察性研究进行了检索。选定的37项研究中，大多数采用基于人群的横断面设计，重点关注抑郁症状升高，并在美国进行。大多数研究表明，IPV与抑郁症之间存在中度或强烈的正相关。我们的荟萃分析表明，与未遭受亲密伴侣暴力的妇女相比，遭受亲密伴侣暴力的妇女患重度抑郁症的风险增加2至3倍，抑郁症状加重和产后抑郁症的风险增加1.5至2倍。相当大比例（9%-28%）的重度抑郁症、抑郁症状加重和产后抑郁症可归因于终生暴露于IPV。为了减轻抑郁症的负担，建议继续研究评估IPV预防策略。
To date, few systematic reviews of observational studies have been conducted to comprehensively evaluate the co-morbidity of IPV and specific depression outcomes in women. In this systematic review and meta-analysis, the authors summarized the extant literature and estimated the magnitude of the association between IPV and key depressive outcomes (elevated depressive symptoms, diagnosed major depressive disorder and postpartum depression). PubMed (January 1, 1980–Decemer 31, 2010) searches of English-language observational studies were conducted. Most of the selected 37 studies had cross-sectional population-based designs, focused on elevated depressive symptoms and were conducted in the United States. Most studies suggested moderate or strong positive associations between IPV and depression. Our meta-analysis suggested two to three-fold increased risk of major depressive disorder and 1.5 to 2-fold increased risk of elevated depressive symptoms and postpartum depression among women exposed to intimate partner violence relative to non-exposed women. A sizable proportion (9%–28%) of major depressive disorder, elevated depressive symptoms, and postpartum depression can be attributed to lifetime exposure to IPV. In an effort to reduce the burden of depression, continued research is recommended for evaluating IPV preventive strategies.
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