Title
Trauma and traumatic stress in a sample of pregnant women
Date Issued
01 November 2017
Access level
open access
Resource Type
journal article
Author(s)
Gelaye B.
Zhong Q.Y.
Basu A.
Levey E.J.
Rondon M.B.
Koenen K.C.
Henderson D.C.
Williams M.A.
Publisher(s)
Elsevier Ireland Ltd
Abstract
Objective To examine the construct validity of the 9 item Traumatic Events Questionnaire (TEQ) and to evaluate the extent to which experiences of trauma assessed using the TEQ are associated with symptoms of psychiatric disorders among 3342 pregnant women in Lima, Peru. Methods Symptoms of depression were assessed using the Patient Health Questionnaire-9 (PHQ-9) and Edinburgh Postnatal Depression Scale (EPDS) while the PTSD Checklist-civilian (PCL-C) and Generalized Anxiety Disorder-7 (GAD-7) were used to assess symptoms of PTSD and generalized anxiety. Hierarchical logistic regression procedures were used to evaluate relations between TEQ and symptoms of psychiatric disorders. Results The majority of participants (87.8%) experienced at least one traumatic event (mean = 2.5 events). The trauma occurrence score was moderately correlated with symptoms of PTSD (PCL-C: rho = 0.38, P-value < 0.0001), depression (EPDS: rho = 0.31, P-value < 0.0001; PHQ-9: rho = 0.20, P-value < 0.0001), and GAD (GAD-7: rho = 0.29, P-value < 0.0001). Stronger correlations were observed between the trauma intensity score with symptoms of psychiatric disorders (PCL-C: rho = 0.49, P-value < 0.0001; EPDS: rho = 0.36, P-value < 0.0001; PHQ-9: rho = 0.31, P-value < 0.0001; GAD-7: rho = 0.39, P-value < 0.0001). Conclusion Given the high burden of trauma experiences and the enduring adverse consequences on maternal and child health, there is an urgent need for integrating evidence-based trauma informed care programs in obstetrical practices serving Peruvian patients.
Start page
506
End page
513
Volume
257
Language
English
OCDE Knowledge area
Neurología clínica
Psiquiatría
Scopus EID
2-s2.0-85027968893
PubMed ID
Source
Psychiatry Research
ISSN of the container
0165-1781
Sponsor(s)
This research was supported by awards from the National Institutes of Health (NIH) ( R01-HD-059835 ; T32 MH093310 and T37 MD001449 ). The NIH had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication.
Sources of information:
Directorio de Producción Científica
Scopus