Intimate Partner Violence and Incident Depressive Symptoms and Suicide Attempts: A Systematic Review of Longitudinal Studies

London School of Hygiene & Tropical Medicine, London, United Kingdom.
PLoS Medicine (Impact Factor: 14). 05/2013; 10(5):e1001439. DOI: 10.1371/journal.pmed.1001439
Source: PubMed

ABSTRACT Depression and suicide are responsible for a substantial burden of disease globally. Evidence suggests that intimate partner violence (IPV) experience is associated with increased risk of depression, but also that people with mental disorders are at increased risk of violence. We aimed to investigate the extent to which IPV experience is associated with incident depression and suicide attempts, and vice versa, in both women and men.
We conducted a systematic review and meta-analysis of longitudinal studies published before February 1, 2013. More than 22,000 records from 20 databases were searched for studies examining physical and/or sexual intimate partner or dating violence and symptoms of depression, diagnosed major depressive disorder, dysthymia, mild depression, or suicide attempts. Random effects meta-analyses were used to generate pooled odds ratios (ORs). Sixteen studies with 36,163 participants met our inclusion criteria. All studies included female participants; four studies also included male participants. Few controlled for key potential confounders other than demographics. All but one depression study measured only depressive symptoms. For women, there was clear evidence of an association between IPV and incident depressive symptoms, with 12 of 13 studies showing a positive direction of association and 11 reaching statistical significance; pooled OR from six studies = 1.97 (95% CI 1.56-2.48, I (2) = 50.4%, p heterogeneity = 0.073). There was also evidence of an association in the reverse direction between depressive symptoms and incident IPV (pooled OR from four studies = 1.93, 95% CI 1.51-2.48, I (2) = 0%, p = 0.481). IPV was also associated with incident suicide attempts. For men, evidence suggested that IPV was associated with incident depressive symptoms, but there was no clear evidence of an association between IPV and suicide attempts or depression and incident IPV.
In women, IPV was associated with incident depressive symptoms, and depressive symptoms with incident IPV. IPV was associated with incident suicide attempts. In men, few studies were conducted, but evidence suggested IPV was associated with incident depressive symptoms. There was no clear evidence of association with suicide attempts. Please see later in the article for the Editors' Summary.

Download full-text


Available from: Loraine J Bacchus, Jul 08, 2015
1 Follower
  • Source
    • "Persistent socioeconomic inequalities are linked with stress vulnerability, particularly with regards to educational and financial opportunities; these inequalities are also linked with health disparities and unhealthy lifestyle choices and poor health outcomes (Shonkoff et al. 2009; Danese and McEwen 2012). Negative interpersonal situations , such as intimate partner violence (IPV) and low perceived social support, add additional vulnerability for stress and depression in women (Devries et al. 2013); fortunately , long-term sequelae of traumatic experiences such as IPV and early childhood abuse may be attenuated by higher perceived social support (Kaufman et al. 2004; Chuang et al. 2012). Nonviolent gender-specific interpersonal situations may also place additional wear and tear on women's mental and physical health, particularly if there are feelings of guilt or selfishness associated with participating in healthy self-care activities rather than focusing on the financial or other needs of the family (Hauenstein and Boyd 1994; Lafrance and Stoppard 2006; Hauenstein and Peddada 2007; Hauenstein et al. 2007; Petterson et al. 2009). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background Depression is a chronic mental health condition that affects millions of individuals worldwide. It is well-established that psychological stress plays an integral role in depression and that depression has numerous negative health outcomes. However, a closer look at components of stress vulnerabilities and depression is required to allow for the development and testing of appropriate interventions.Aims and DiscussionThis article describes a conceptual framework about the complex and bidirectional relationship between stress vulnerability, depression, and health outcomes in women. The authors elucidate how the framework can be applied in clinical research about cellular aging and on the mechanisms of complementary and alternative medicine (CAM) for depression, using yoga as an example of a CAM modality.Conclusion The proposed conceptual framework may be helpful for adding depth to the body of knowledge about the use of mind-body therapies for individuals at high risk of stress vulnerability and/or depression.
    09/2014; 4(5). DOI:10.1002/brb3.249
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Alexander Tsai discusses a new research study by Karen Devries and colleagues, and comments on the possible impact on public health of the study's insights regarding the relationship between intimate partner violence and mental health. Please see later in the article for the Editors' Summary
    PLoS Medicine 05/2013; 10(5):e1001440. DOI:10.1371/journal.pmed.1001440 · 14.00 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Andreas Stuck and colleagues discuss research by Collin Payne and colleagues on disability in older Malawi adults and next steps for research and policy. Please see later in the article for the Editors' Summary.
    PLoS Medicine 05/2013; 10(5):e1001441. DOI:10.1371/journal.pmed.1001441 · 14.00 Impact Factor