Objective:
to evaluate the association between different forms of childhood trauma and postpartum depression in Brazilian puerperal women.
Method:
this cross-sectional survey included 253 puerperal women who were evaluated using the Edinburgh Postnatal Depression Scale and the Childhood Trauma Questionnaire. Multivariate logistic regression analyses were performed to verify the association of different types of trauma and the co-occurrence of forms of abuse and neglect with postpartum depression.
Results:
postpartum depression was identified in 93 women (36.8%; 95% Confidence Interval: 30.8-42.7). All forms of childhood trauma assessed (emotional abuse, emotional neglect, physical abuse, physical neglect and sexual abuse) were independently associated with postpartum depression after adjusting for confounding variables. Emotional abuse remained associated with postpartum depression when the co-occurrence of all forms of childhood trauma was analyzed.
Conclusion:
the results suggest an association between the different forms of childhood trauma and postpartum depression. In this sense, childhood trauma is an indicator for Nursing professionals to screen for risk factors of postpartum depression during obstetric_follow-up.
Descriptors:
Postpartum Depression; Depressive Disorder; Adverse Childhood Experiences; Women’s Health; Child Abuse; Emotional Abuse
Highlights:
(1) High prevalence (36.8%) of postpartum depression (PPD) among puerperal women.
(2) Significant association between all childhood trauma and PPD.
(3) Emotional abuse was the childhood trauma with the greatest influence on PPD.
(4) In the co-occurrence of traumas, emotional abuse remained associated with PPD.
(5) There is a need for Nursing professionals to assess childhood trauma during pregnancy.