Universidad Peruana Cayetano Heredia

Trauma exposure and post-traumatic stress disorder in a cohort of pregnant Peruvian women

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dc.contributor.author Levey, Elizabeth J.
dc.contributor.author Gelaye, Bizu
dc.contributor.author Koenen, Karestan
dc.contributor.author Zhong, Qiu-Yue
dc.contributor.author Basu, Archana
dc.contributor.author Rondon, Marta B.
dc.contributor.author Sanchez, Sixto
dc.contributor.author Henderson, David C.
dc.contributor.author Williams, Michelle A.
dc.date.accessioned 2018-11-30T23:41:30Z
dc.date.available 2018-11-30T23:41:30Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/4203
dc.description.abstract Women have a higher prevalence of post-traumatic stress disorder (PTSD) than men, with a peak during the reproductive years. PTSD during pregnancy adversely impacts maternal and infant health outcomes. The objectives of this study were to estimate the prevalence of antepartum PTSD symptoms in a population of pregnant Peruvian women and to examine the impact of number of traumatic events and type of trauma experienced. The Traumatic Events Questionnaire was used to collect data about traumatic exposures. The Post-traumatic Stress Disorder Checklist-Civilian Version (PCL-C) was used to assess PTSD. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (aOR) and 95% confidence intervals (95% CI). Three thousand three hundred seventy-two pregnant women were interviewed. Of the 2920 who reported experiencing one or more traumatic events, 41.8% met criteria for PTSD (PCL-C score ≥ 26). A quarter of participants had experienced four or more traumas, and 60.5% of those women had PTSD. Interpersonal trauma was most strongly associated with PTSD (aOR, 3.20; 95% CI, 2.74-3.74), followed by unspeakable trauma (aOR, 2.87; 95% CI, 2.35-3.50), and structural trauma (aOR, 1.39; 95% CI, 1.15-1.67). These findings indicate the high prevalence of PTSD during pregnancy in the Peruvian population, which is relevant to other countries suffering from terrorism, war, or high rates of violence. This underscores the importance of screening for PTSD in pregnancy. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries Archives of Women's Mental Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Young Adult en_US
dc.subject Pregnancy en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Prevalence en_US
dc.subject Logistic Models en_US
dc.subject Pregnancy Complications en_US
dc.subject PTSD en_US
dc.subject Stress Disorders, Post-Traumatic en_US
dc.subject TEQ en_US
dc.subject Trauma en_US
dc.subject Violence en_US
dc.title Trauma exposure and post-traumatic stress disorder in a cohort of pregnant Peruvian women en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1007/s00737-017-0776-z
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.02
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24
dc.relation.issn 1435-1102


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