Depression and Intimate Partner Violence (IPV) in mothers 6 weeks to 12 months post-delivery in a rural setting in Kenya

Datos Bibliográficos

ID2395552
AutoresVictoria N Mutiso (Africa Mental Health Research and Training Foundation, Nairobi, Kenya), Victoria Mutiso (0000-0002-8395-6707, Africa Mental Health Foundation), Christine Musyimi (0000-0002-8828-2959, Africa Mental Health Foundation), Christine W Musyimi (Africa Mental Health Research and Training Foundation, Nairobi, Kenya), Isaiah Gitonga (0000-0001-6938-7467, Africa Mental Health Foundation), Albert Tele (0000-0002-7586-7819, Africa Mental Health Foundation), David M Ndetei (0000-0001-6891-4990, University of Nairobi, autor de correspondencia)
Año2024
Volumen61
Número4
Páginas596-609
Fecha de publicación2024-08-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaTranscultural Psychiatric Research Review (JOURNAL)
Identificadores de la revistaISSN: 0041-1108 • E-ISSN: 0315-4386
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/13634615231187259
PMID38500372
OpenAlexW4392964147
IdiomaEN
Citas recibidas2
Referencias citadas39

Using a cohort of 544 postpartum mothers, 6 weeks to 12 months post-delivery in the largely rural Makueni County in Kenya, we aimed to determine: (1) the prevalence of postpartum depression (PPD) and the prevalence of each of the four domains of intimate partner violence (IPV), that is physical violence, sexual violence, emotional violence, and controlling behavior; (2) the co-occurrence of PPD and IPV; (3) risk factors and associations between sociodemographic variables and IPV, PPD and IPV and PPD co-occurring. We concurrently administered a researcher-designed sociodemographic ad hoc questionnaire, the WHO Intimate Partner Violence questionnaire and the Mini-International Neuropsychiatric Interview for adults (MINI Plus) for DSM-IV/ICD10 depression. The prevalence of PPD was 14.5%; Emotional violence 80.3%; Controlling behavior 74.4% (a form of emotional violence); Physical violence 40.3%; Sexual violence 28.9%. We found the following overlaps: 39% of participants reported both physical and emotional violence; 39% had both sexual and emotional violence; 15% experienced physical and sexual violence; and 15% of participants reported physical, sexual, and emotional violence. Postpartum depression was associated with physical violence during pregnancy, self-employed status, history of mood disorders and medical problems in the child. Further, we report associations between various types of IPV and history of depression, physical violence during pregnancy, low education level, marital status, and current depression diagnosis. IPV and PPD were highly prevalent in our population of postpartum mothers. Various types of IPV were significantly associated with various sociodemographic indicators while only sexual violence was significantly associated with PPD. Based on our results, we provide suggestions for potential interventions in the Kenyan setting

Depression (economics · Domestic violence · Environmental health · Poison control · Population · Psychiatry · Sexual violence · Suicide prevention · Child Abuse and Trauma · Clinical Psychology · Intimate Partner and Family Violence · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology