Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms.

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  • Author(s): Mersky, Joshua P.; Janczewski, Colleen E.
  • Source:
    Maternal & Child Health Journal (MATERN CHILD HEALTH J), Jul2018; 22(7): 1051-1058. (8p)
  • Publication Type:
    Article - research, tables/charts
  • Language:
    English
  • Additional Information
    • Affiliation:
      Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, 2400 E. Hartford Ave., 53201, Milwaukee, WI, USA
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Objectives In this study, we examined the prevalence of postpartum depression (PPD) and its association with select demographic factors and antenatal conditions. We also investigated whether greater exposure to adverse childhood experiences (ACEs) is associated with PPD, and if antenatal conditions mediate the ACE-PPD relationship. Methods Data were collected from 735 low-income women receiving home visiting services. Descriptive and bivariate analyses provided estimates of PPD and its correlates, and nested path analyses were used to test for mediation. Results We found that rates of PPD were high compared to prevalence estimates in the general population. Sample rates of antenatal depression were even higher than the rates of PPD. Omnibus tests revealed that PPD did not vary significantly by maternal age or race/ethnicity, although Hispanic women consistently reported the lowest rates. American Indian women and non-Hispanic white women reported the highest rates. PPD was significantly associated with increased exposure to ACEs. Nested path models revealed that the effects of ACEs were partially mediated by three antenatal conditions: intimate partner violence (IPV), perceived stress, and antenatal depression. Conclusions for Practice Supporting prior research, rates of PPD appear to be high among low-income women. ACEs may increase the risk of antenatal IPV and psychological distress, both of which may contribute to PPD. The findings have implications for screening and assessment as well as the timing and tailoring of interventions through home visiting and other community-based services.
    • Journal Subset:
      Continental Europe; Core Nursing; Europe; Nursing; Peer Reviewed; USA
    • Special Interest:
      Home Health Care; Psychiatry/Psychology
    • Instrumentation:
      Perceived Stress Scale (PSS) (Cohen et al)
      Abuse Assessment Screen (Soeken et al)
      Edinburgh Postnatal Depression Scale (EPDS)
    • ISSN:
      1092-7875
    • MEDLINE Info:
      NLM UID: 9715672
    • Grant Information:
      U.S. Department of Health and Human Services, Health Resources and Services Administration (Awards 1 D89MC28259-01-00 and 1 D89MC26367-01-00).
    • Publication Date:
      20180605
    • Publication Date:
      20190701
    • Accession Number:
      http://dx.doi.org/10.1007/s10995-018-2488-z
    • Accession Number:
      129889935
  • Citations
    • ABNT:
      MERSKY, J. P.; JANCZEWSKI, C. E. Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms. Maternal & Child Health Journal, [s. l.], v. 22, n. 7, p. 1051–1058, 2018. Disponível em: . Acesso em: 20 nov. 2019.
    • AMA:
      Mersky JP, Janczewski CE. Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms. Maternal & Child Health Journal. 2018;22(7):1051-1058. doi:10.1007/s10995-018-2488-z.
    • APA:
      Mersky, J. P., & Janczewski, C. E. (2018). Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms. Maternal & Child Health Journal, 22(7), 1051–1058. https://doi.org/10.1007/s10995-018-2488-z
    • Chicago/Turabian: Author-Date:
      Mersky, Joshua P., and Colleen E. Janczewski. 2018. “Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms.” Maternal & Child Health Journal 22 (7): 1051–58. doi:10.1007/s10995-018-2488-z.
    • Harvard:
      Mersky, J. P. and Janczewski, C. E. (2018) ‘Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms’, Maternal & Child Health Journal, 22(7), pp. 1051–1058. doi: 10.1007/s10995-018-2488-z.
    • Harvard: Australian:
      Mersky, JP & Janczewski, CE 2018, ‘Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms’, Maternal & Child Health Journal, vol. 22, no. 7, pp. 1051–1058, viewed 20 November 2019, .
    • MLA:
      Mersky, Joshua P., and Colleen E. Janczewski. “Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms.” Maternal & Child Health Journal, vol. 22, no. 7, July 2018, pp. 1051–1058. EBSCOhost, doi:10.1007/s10995-018-2488-z.
    • Chicago/Turabian: Humanities:
      Mersky, Joshua P., and Colleen E. Janczewski. “Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms.” Maternal & Child Health Journal 22, no. 7 (July 2018): 1051–58. doi:10.1007/s10995-018-2488-z.
    • Vancouver/ICMJE:
      Mersky JP, Janczewski CE. Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms. Maternal & Child Health Journal [Internet]. 2018 Jul [cited 2019 Nov 20];22(7):1051–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=129889935&custid=s6224580