TY - JOUR PY - 2020// TI - Psychological and physical intimate partner violence and maternal depressive symptoms during the pre- and post-partum period among women living with HIV in rural South Africa JO - Journal of family violence A1 - Rodriguez, Violeta J. A1 - Shaffer, Anne A1 - Lee, Tae Kyoung A1 - Peltzer, Karl A1 - Weiss, Stephen Marshall A1 - Jones, Deborah Lynne SP - 73 EP - 83 VL - 35 IS - 1 N2 - PURPOSE: Women in South Africa also have high rates of depression and intimate partner violence, and they often co-occur. Women living with HIV who experience IPV are particularly likely to experience elevated levels of depressive symptoms and such symptoms are more likely to persist. Although the association between IPV and depression has been examined extensively, the role of depression on IPV has not. Therefore, this study examined the bidirectional association between intimate partner violence (IPV) and depression in South Africa (SA). Method: Participants were N=699 pregnant women with HIV in rural SA who completed measures of depressive symptoms and IPV at baseline (M=17.52±5.77 weeks of pregnancy), 32 weeks antenatally, and 6- and 12-months postnatally. Results: Depressive symptoms were linked to increased psychological IPV from baseline to 32-weeks, and from 32-weeks to 6-months. However, from 6-months to 12-months, depressive symptoms were associated with decreased psychological IPV. Psychological IPV was linked to depressive symptoms from baseline to 32-weeks. Depressive symptoms were associated with physical IPV from 32-weeks to 6-months, and 6-months to 12-months. Physical IPV was associated with increased depressive symptoms from baseline to 32-weeks, and from 32-weeks to 6-months. Conclusions: Findings merit replication, as there may be measurement differences of psychological IPV in SA. However, targeting depressive symptoms and IPV concurrently in prevention and intervention programs may help optimize maternal and child outcomes in the context of prevention of mother-to-child transmission of HIV.

Language: en

LA - en SN - 0885-7482 UR - http://dx.doi.org/10.1007/s10896-018-0027-8 ID - ref1 ER -