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

在美国，多达500万名女性报告了亲密伴侣遭受暴力的经历(IPV；参考 对现任或前任伴侣实施的性暴力或身体暴力)。抑郁症与创伤后应激 精神障碍(PTSD)是IPV最常见的两种精神健康后果。患上抑郁症和 经历IPV后的创伤后应激障碍症状也会增加未来患IPV的风险。母性和怀孕率增加 长期接触生理、心理和性传播病毒的风险。高达4%到8%的孕妇 在怀孕期间报告IPV的妇女，IPV可能在围产期开始或恶化。怀孕妇女 有5岁以下孩子的母亲经历过IPV后，身体健康、心理健康和产科健康状况都很差 结果；导致更多地利用卫生服务；甚至在疫苗接种结束之后。只有一个 有效降低孕妇传染性支气管炎的干预(母亲在社区中的倡导者；马赛克) 有IPV经验的妇女和5岁以下子女的母亲；这构成了这一建议的基础。这个 马赛克干预使用社区母亲提供的非专业导师支持来减少 灭活脊髓灰质炎病毒疫苗。它结合了社会支持、宣传和指导的要素。马赛克被发现是有效的 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后经常出现的抑郁和创伤后应激障碍症状与痛苦和发病率有关，以及 在孕妇和5岁以下子女的母亲或任何妇女群体中增加未来的IPV风险。 因此，需要一种综合干预措施来解决抑郁和创伤后应激障碍症状，同时 降低后续的IPV。拟议的项目旨在通过扩大 原创马赛克干预，纳入人际心理治疗(IPT)元素，以增强心理健康 结果。该项目将开发一个辅导干预，并探索其可行性、可接受性和潜力 参与旨在减少抑郁和创伤后应激障碍症状和降低后续风险的目标机制 报告IPV和症状升高的孕妇和5岁以下儿童的母亲的IPV 母性抑郁和创伤后应激障碍。先导随机试验的对照条件将是强化治疗 像往常一样(埃陶)。潜在的目标机制包括增加社会支持和取得成效 资源。改善孕妇和患有精神疾病的母亲的心理健康挑战的干预 报告IPV的5岁以下儿童具有重要的公共卫生意义。减轻产妇的症状 有IPV经历的女性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 和他们的孩子。

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.