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- Title
The association of women's experience of abuse in childhood with depression during pregnancy and the role of emotional support as a moderator.
- Authors
Kim, Yu-Mi; Oh, Rora; Cho, Sung-Hyun; June, Kyung Ja; Lee, Ji Yun; Cho, Hong-Jun; Khang, Young-Ho
- Abstract
Background: This study aimed to examine the prevalence of antenatal depression and experience of abuse during childhood, to analyze the association between having experienced childhood abuse and depression during pregnancy, and to explore the role of emotional support as a moderator of that association. Methods: In total, 44,770 pregnant women were analyzed from the self-administered registry for risk assessment at community public health centers in Seoul, Republic of Korea, for home visiting service provision between 2015 and 2019. The Edinburgh Postnatal Depression Scale (EPDS) was applied for the assessment of depression. The adjusted effects of childhood abuse experience on antepartum depression according to emotional support as an effect moderator were estimated. Results: Depression was present in 2,451 pregnant women (5.5%), and 1,506 (3.4%) reported having experienced physical, emotional, or sexual abuse in childhood. After adjustment of covariates, pregnant women who had experienced abuse during childhood had EPDS scores 2.79 points higher than pregnant women without such experiences, and those who lacked emotional support during adulthood had 4.96 points higher than their counterparts. The difference in EPDS scores based on childhood abuse experience among women who reported emotional support (2.86) was larger than the difference in EPDS scores among those with no emotional support (1.91) (P for interaction = 0.0106). Conclusions: The experience of abuse in early life and emotional support in later life are both independently important for understanding antenatal depression in Korean women. More comprehensive emotional support is needed for pregnant women who experienced abuse in childhood.
- Subjects
SEOUL (Korea); EDINBURGH Postnatal Depression Scale; DEPRESSION in women; PREGNANT women; MENTAL depression; CHILDREN of people with mental illness; KOREANS
- Publication
PLoS ONE, 2023, Vol 18, Issue 9, p1
- ISSN
1932-6203
- Publication type
Article
- DOI
10.1371/journal.pone.0289044