Maternal history of child maltreatment and maternal depression risk in the perinatal period: A longitudinal study.
Existing research is limited, with only a few studies considering each single type and multiple types of child maltreatment (CM) as well as multiple assessments of maternal depression throughout the perinatal period. The purpose of the study was to assess each type and accumulative types of CM in relation to the risk of maternal depression throughout the perinatal period. In total, 276 pregnant women were recruited from the prenatal clinic at a general hospital in China. Maternal CM history and depression risk were assessed at late pregnancy, postpartum week 1, and postpartum week 4 using the Childhood Trauma Questionnaire (CTQ) and Edinburgh Postnatal Depression Scale (EPDS). The GEE showed that physical and emotional neglect and multiple types of CM were associated with higher overall depression risk across the perinatal period. The multinomial regression models showed physical neglect and multiple types of CM predicted higher risk of both antepartum and postpartum depression. Emotional and sexual abuse and emotional neglect predicted antepartum depression risk, while none of the three types of CM predicted postpartum depression risk. Physical abuse did not predict antepartum and postpartum depression risk. The findings suggest that maternal history of child physical and emotional neglect play significant roles in perinatal depression risk with physical neglect as the most important predictor. Routine screening for maternal CM history and depression risk in prenatal clinics is needed to aid in the early detection and treatment of depression.
['Li|Yang|Y|', 'Long|Zhouting|Z|', 'Cao|Danfeng|D|', 'Cao|Fenglin|F|']
D000328:Adult D054523:Adult Survivors of Child Abuse D002648:Child D002649:Child Abuse D002681:China D003866:Depressive Disorder D005260:Female D006801:Humans D008137:Longitudinal Studies D009035:Mothers D018743:Perinatal Care D011247:Pregnancy D018570:Risk Assessment D012307:Risk Factors D011795:Surveys and Questionnaires
Child maltreatment Depression Perinatal period Longitudinal study Woman