title: Co-occurring intimate partner violence and mental health diagnoses in perinatal women.
abstract: OBJECTIVE
  To describe the co-occurrence of intimate partner violence (IPV) and mental health burden among perinatal mothers attending well-baby visits with their infants in the first year of life. We compare rates of depression, anxiety disorder, and substance abuse diagnoses between mothers who reported IPV within the past year to those who did not.
  
  
  METHODS
  This cross-sectional study of 188 mothers of infants (under 14 months) was conducted in an urban hospital pediatric clinic. Participants reported demographics and IPV and completed a semistructured psychiatric diagnostic interview.
  
  
  RESULTS
  Mothers reporting IPV were more likely to be diagnosed with mood and/or anxiety diagnoses (p<0.05, Fisher's exact test), specifically current depressive diagnoses (p<0.01, Fisher's exact test) and panic disorder (p<0.05, Fisher's exact test). There was a trend for more posttraumatic stress disorder (PTSD) (p<0.06) among abused mothers. Substance abuse and dependence, age, race, insurance status, employment, education, and family arrangements did not differ between groups. Prior major or minor depression increases the odds for perinatal depression threefold (OD 3.18).
  
  
  CONCLUSIONS
  These findings have implications for practitioners who encounter perinatal women. Findings suggest providers should explore signs and symptoms of depression and anxiety disorders among women reporting IPV. Similarly, when perinatal mothers report symptoms of depression, PTSD, or panic disorder, practitioners should be alert to the possible contributory role of IPV.
authors.affiliation: Department of Psychiatry, School of Medicine and Dentistry, University of Rochester, Rochester, New York 14642, USA. catherine_cerulli@urmc.rochester.edu
authors.forename: Catherine
authors.initials: C
authors.lastname: Cerulli
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Talbot
authors.forename: Wan
authors.initials: W
authors.lastname: Tang
authors.forename: Linda H
authors.initials: LH
authors.lastname: Chaudron
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000175:diagnosis / Q000453:epidemiology*; D018585:Battered Women / Q000706:statistics & numerical data; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D019052:Depression, Postpartum / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008603:Mental Health / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D013179:Spouse Abuse / Q000523:psychology / Q000706:statistics & numerical data*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology*; D016387:Women's Health; D055815:Young Adult