Trauma and traumatic stress in a sample of pregnant women

Gelaye, B.; Koenen, K. C.; Sanchez, S.; Basu, A.; Williams, M. A.; Rondon, M. B.; Zhong, Q. Y.; Levey, E. J.; Henderson, D. C.

dc.contributor.author	Gelaye, B.
dc.contributor.author	Zhong, Q. Y.
dc.contributor.author	Basu, A.
dc.contributor.author	Levey, E. J.
dc.contributor.author	Rondon, M. B.
dc.contributor.author	Sanchez, S.
dc.contributor.author	Koenen, K. C.
dc.contributor.author	Henderson, D. C.
dc.contributor.author	Williams, M. A.
dc.date.accessioned	2019-01-25T16:36:29Z
dc.date.available	2019-01-25T16:36:29Z
dc.date.issued	2017
dc.identifier.uri	https://hdl.handle.net/20.500.12866/4855
dc.description.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.	en_US
dc.language.iso	eng
dc.publisher	Elsevier
dc.relation.ispartofseries	Psychiatry Research
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	health	en_US
dc.subject	Psychiatry	en_US
dc.subject	ptsd	en_US
dc.subject	symptoms	en_US
dc.subject	events	en_US
dc.subject	disorder	en_US
dc.subject	psychometric properties	en_US
dc.subject	birth-weight	en_US
dc.subject	intimate-partner violence	en_US
dc.subject	postnatal depression scale	en_US
dc.subject	sexual-abuse	en_US
dc.title	Trauma and traumatic stress in a sample of pregnant women	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1016/j.psychres.2017.08.016
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.02.24
dc.relation.issn	1872-7123