Longitudinal path analysis of depressive symptoms and functioning among women of child-rearing age in postconflict Timor-Leste
| Autor: | Zelia Maria Da Costa, Mark R. Dadds, Elisa Savio, Louis Klein, Derrick Silove, Valsamma Eapen, Susan Rees, Zachary Steel, Mohammed Mohsin, Natalino De Jesus Tam, Wietse A. Tol, Rina Soares |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Longitudinal study Epidemiology Timor-Leste Mental Health & Psychiatry lcsh:Infectious and parasitic diseases Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Prevalence Humans lcsh:RC109-216 030212 general & internal medicine Longitudinal Studies Path analysis (statistics) Psychiatry Original Research lcsh:R5-920 Child rearing business.industry Depression Health Policy Public health Public Health Environmental and Occupational Health 030227 psychiatry Edinburgh Postnatal Depression Scale Domestic violence Female Maternal health Public Health lcsh:Medicine (General) business Cohort study |
| Zdroj: | BMJ Global Health BMJ Global Health, Vol 5, Iss 3 (2020) |
| ISSN: | 2059-7908 |
| Popis: | This longitudinal study indicates that exposure to the traumas of mass conflict and subsequent depressive symptoms play an important role in pathways leading to functional impairment in the postconflict period among women of child-rearing age. Our study, conducted in Timor-Leste, involved an analytic sample of 1292 women recruited at antenatal clinics in the capital and its surrounding districts. Women were re-interviewed at home 2 years later (77.3% retention). We applied the Edinburgh Postnatal Depression Scale, the Harvard Trauma Questionnaire for conflict-related traumatic events, the WHO Violence Against Women Instrument covering the past year for intimate partner violence and the WHO Disability Assessment Schedule (WHODAS V.2.0) to assess functional impairment. A longitudinal path analysis tested direct and indirect relationships involving past conflict-related trauma exposure, depressive symptoms measured over the two time points and functional impairment at follow-up. The prevalence of predefined clinically significant depressive symptoms diminished from 19.3% to 12.8%. Nevertheless, there was a tendency for depressive symptoms to persist over time (β=0.20; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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