MOthers' AdvocateS In the Community for Mothers with Experience of intimate partner violence

在美国，多达500万妇女报告经历过亲密伴侣暴力（IPV;指 性暴力或身体暴力）。抑郁症和创伤后应激障碍 创伤后应激障碍（PTSD）是IPV最常见的两种心理健康后果。发展抑郁症， 经历IPV后的PTSD症状也会增加IPV的未来风险。母亲和怀孕人数增加 长期暴露于生理、心理和性IPV的风险。怀孕的女性中有4%到8% 在怀孕期间报告IPV的妇女，IPV可以在围产期开始或恶化。孕妇 有5岁以下孩子的母亲经历过IPV，身体健康、心理健康和产科健康状况都很差。 结果;导致卫生服务的利用增加;即使在IPV结束后。只有一 干预措施（社区中的母亲倡导者; MOSAIC），有效降低孕妇的IPV 有5岁以下子女的妇女和母亲，有过IPV经验;它构成了本建议的基础。的 MOSAIC干预利用社区母亲提供的非专业导师支持， IPV。它结合了社会支持、宣传和指导等要素。MOSAIC已被证明是有效的 在之前的一项大型随机试验中降低IPV。然而，现有的干预措施没有同时解决IPV和 IPV后的抑郁和PTSD症状与痛苦和发病率有关， 增加孕妇和有5岁以下子女的母亲或任何妇女群体未来的IPV风险。 因此，需要一种综合干预措施，解决抑郁和创伤后应激障碍症状， 降低后续IPV。拟议的项目旨在通过扩大 原始的MOSAIC干预，包括人际心理治疗（IPT）的元素，以提高心理健康 成果。该项目将开发一种指导干预措施，并探索其可行性、可接受性和潜力 参与减少抑郁和PTSD症状并降低后续风险的目标机制 报告IPV和IPV症状升高的孕妇和5岁以下儿童的母亲中的IPV 母亲抑郁症和创伤后应激障碍初步随机试验的对照条件为强化治疗 作为ETAU（英语：ETAU）。潜在的目标机制包括增加社会支持和取得成效 资源采取干预措施，以改善患有精神疾病的孕妇和母亲所面临的心理健康挑战 报告IPV的5岁以下儿童具有重大的公共卫生意义。减轻产妇症状 有IPV经历的妇女的抑郁和创伤后应激障碍对母亲的公共健康有显著的好处 还有他们的孩子

In the United States, as many as 5 million women report experience of intimate partner violence (IPV; referring to sexual or physical violence by current or former partners) annually. Depression and posttraumatic stress disorder (PTSD) are the two most common mental health consequences of IPV. Developing depressive and PTSD symptoms after experiencing IPV also increases future risks of IPV. Motherhood and pregnancy increase the risk for prolonged exposure to physical, psychological and sexual IPV. With as many as 4% to 8% of pregnant women reporting IPV during pregnancy, IPV can start or worsen during the perinatal period. Pregnant women and mothers with children under 5 who experienced IPV exhibit poor physical health, mental health and obstetric outcomes; leading to increased utilization of health services; even after the IPV ends. There is only one intervention (Mother ADvocateS In the Community; MOSAIC) that effectively reduces IPV among Pregnant women and mothers with children under 5 with experience of IPV; it forms the basis of this proposal. The MOSAIC intervention uses non-professional mentor support provided by mothers in the community to reduce IPV. It combines elements of social support, advocacy and mentoring. MOSAIC has been found to be effective for reducing IPV in a previous large randomized trial. However, no existing intervention addresses both IPV and the depressive and PTSD symptoms that often follow IPV, are associated with suffering and morbidity, and potentiate future IPV risk among pregnant women and mothers with children under 5 or any group of women. Thus, there is a need for an integrated intervention that addresses depressive and PTSD symptoms while reducing subsequent IPV. The proposed project aims to create a MOSAIC Plus intervention by expanding the original MOSAIC intervention to include elements of interpersonal psychotherapy (IPT) to enhance mental health outcomes. The project will develop a mentoring intervention and explore its feasibility, acceptability, and potential engagement of target mechanisms for reducing depressive and PTSD symptoms and reducing subsequent risk of IPV among pregnant women and mothers with children under 5 who report IPV and elevated symptoms of maternal depression and PTSD. The control condition for the pilot randomized trial will be Enhanced Treatment As Usual (ETAU). Potential target mechanisms include increased social support and effectiveness obtaining resources. Interventions to improve mental health challenges experienced by pregnant women and mothers with children under 5 who report IPV are of great public health significance. Reducing symptoms of maternal depression and PTSD in women with the experience of IPV has significant public health benefits for mothers and their children.