Domestic Violence, Depressive And Anxiety Symptoms Among Pregnant Women - A Cross-Sectional Study

Authors

DOI:

https://doi.org/10.30834/

Keywords:

Domestic violence, Pregnant Woman, Anxiety, Depression, Intimate Partner Violence

Abstract

Background

Domestic violence (DV) is widespread across countries and cultures. DV can lead to various psychiatric problems in pregnant women. This study aims to assess the prevalence of domestic violence among pregnant women and to determine the anxiety and depression among them.

 

Materials and Methods

A cross-sectional study was conducted by recruiting 232 pregnant women attending a tertiary care teaching hospital. Their socio-demographic and clinical parameters were recorded using a proforma. Domestic violence, depression, and anxiety were assessed using the Domestic Violence Questionnaire, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7 questionnaires, respectively. Data were analyzed using Jamovi version 2.3.

 

Results

The prevalence of DV among pregnant women was estimated to be 11.2% (95% CI = 7.8% to 15.9%). Depressive symptoms were found in 63.8% (95% CI =57.4% to 69.7%) and anxiety symptoms in 63.3% (95% CI = 57.0% to 69.3%) of the study population. A significant association was observed between domestic violence and depression and anxiety (p < 0.001).

 

Conclusion

A significant proportion of pregnant women experience DV. Pregnant women who experience DV show significantly higher levels of depression and anxiety.

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Author Biography

  • Biju George, Associate Professor, Department of Community Medicine, Government Medical College, Manjeri, Kerala.

           

References

Devries KM, Kishor S, Johnson H, Stockl H, Bacchus LJ, et al. Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries. Reprod Health Matters. 2010 Jan;18(36):158-70. DOI: 1016/S0968-8080(10)36533-5

United Nations General Assembly. Declaration on the elimination of violence against women. Resolution A/RES/48/104. Adopted 20 December 1993. Available from: https://www.ohchr.org/en/instruments-mechanisms/instruments/declaration-elimination-violence-against-women

World Health Organization. Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. World Health Organization; 2013. Available from: WHO Guidelines (WHO/RHR/13.10)

Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH. Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence. Lancet. 2006 Oct;368(9543):1260-9. DOI: 1016/S0140-6736(06)69523-8

James L, Brody D, Hamilton Z. Risk factors for domestic violence during pregnancy: a meta-analytic review. Violence Vict. 2013 Jun;28(3):359-71. DOI: 1891/0886-6708.vv-d-12-00034

Bailey BA. Partner violence during pregnancy: prevalence, effects, screening, and management. Int J Womens Health. 2010 Aug 9;2:183-97. DOI: 2147/ijwh.s8632

Babu BV, Kar SK. Abuse against women in pregnancy: a population-based study from Eastern India. WHO South-East Asia J Public Health. 2012 Apr;1(2):133-43. DOI: 4103/2224-3151.206926

Glover V. Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best Pract Res Clin Obstet Gynaecol. 2014 Feb;28(1):25-35. DOI: 1016/j.bpobgyn.2013.08.017

Grote NK, Bridge JA, Gavin AR, Melville JL, Iyengar S, et al. A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry. 2010 Oct;67(10):1012-24. DOI: 1001/archgenpsychiatry.2010.111

Campbell JC. Health consequences of intimate partner violence. Lancet. 2002 Apr;359(9314):1331-6. DOI: 1016/S0140-6736(02)08336-8

Golding JM. Intimate partner violence as a risk factor for mental disorders: A meta-analysis. J Fam Violence. 1999 Jun;14(2):99-132. DOI: 1023/A:1022079418229

George C, Lalitha AR, Antony A, Kumar AV, Jacob K. Antenatal depression in coastal South India: prevalence and risk factors in the community. Int J Soc Psychiatry. 2016 Mar;62(2):141-7. DOI: 1177/0020764015607919

Gelaye B, Rondon MB, Araya R, Williams MA. Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. Lancet Psychiatry. 2016 Oct;3(10):973-82. DOI: 1016/S2215-0366(16)30284-X

Patel V, Rodrigues M, DeSouza N. Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatry. 2002 Jan;159(1):43-7. DOI: 1176/appi.ajp.159.1.43

Gomathy NA, Indu D, Bindu N. Prevalence of anxiety, depression, and stress among antenatal women attending a tertiary care centre in Kerala during COVID-19 pandemic. Healthline, J Indian Assoc Prev Soc Med. 2021;12(4):46-52. DOI:51957/Healthline_270_2021

Husain N, Bevc I, Husain M, Chaudhry IB, Atif N, et al. Prevalence and social correlates of postnatal depression in a low income country. Arch Womens Ment Health. 2006 Jul;9:197-202. DOI: 1007/s00737-006-0129-9

Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry. 2017 May;210(5):315-23. DOI:1192/bjp.bp.116.187179

Fadzil A, Balakrishnan K, Razali R, Sidi H, Malapan T, et al. Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia. Asia Pac Psychiatry. 2013 Apr; 5:7-13. DOI: 1111/appy.12036

Singh J, Metgud CS. Prevalence of anxiety among antenatal women in an Urban Area of Belagavi. Natl J Community Med. 2022 Jul;13(07):439-45. DOI: 55489/njcm.13072022212

Thurkkada AP, Joseph NE, Manoj G, Ravindran GC. Prenatal anxiety, perceived stress, and coping behaviour regarding COVID-19 among pregnant women at a selected Hospital, Kochi, South India. Afr J Nurs Midwifery. 2022 Jul;24(2):1-10. DOI:25159/2520-5293/10325

Gokul TR, Eralil GJ. Prevalence of mental health disorders during pregnancy and puerperium in a tertiary health care in Ernakulam. Int J Med Pharm Res. 2023;4(4):429-36. https://ijmpr.in/article/download/pdf/425/

Field T, Diego M, Hernandez-Reif M. Prenatal depression effects on the fetus and newborn: a review. Infant Behav Dev. 2006 Jul;29(3):445-55. DOI: 1016/j.infbeh.2006.03.003

Martini J, Petzoldt J, Einsle F, Beesdo-Baum K, Höfler M, et al. Risk factors and course patterns of anxiety and depressive disorders during pregnancy and after delivery: a prospective-longitudinal study. J Affect Disord. 2015 Apr; 175:385-95. DOI: 1016/j.jad.2015.01.012

Indu PS, Anilkumar TV, Vijayakumar K, Kumar KA, Sarma PS, Remadevi S, Andrade C. Reliability and validity of PHQ-9 when administered by health workers for depression screening among women in primary care. Asian J Psychiatr. 2018 Oct; 37:10-14. DOI: 1016/j.ajp.2018.07.021

Plummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic meta-analysis. Gen Hosp Psychiatry. 2016 Mar;39:24-31. DOI: 1016/j.genhosppsych.2015.11.005

Indu PV, Remadevi S, Vidhukumar K, Anilkumar TV, Subha N. Development and validation of the Domestic Violence Questionnaire in married women aged 18–55 years. Indian J Psychiatry. 2011 Jul;53(3):218-23. DOI: 4103/0019-5545.86811

Varma D, Chandra PS, Thomas T, Carey MP. Intimate partner violence and sexual coercion among pregnant women in India: relationship with depression and post-traumatic stress disorder. J Affect Disord. 2007 Sep;102(1-3):227-35. DOI: 1016/j.jad.2006.09.026

International Institute for Population Sciences. National Family Health Survey (NFHS-3), 2005-06: India (2 v.+ suppl.). International Institute for Population Sciences; 2007. Available from: NFHS-3 Report Link

Devries KM, Mak JY, Bacchus LJ, Child JC, Falder G, Petzold M, et al. Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Med. 2013 May 7;10(5):e1001439. DOI: 1371/journal.pmed.1001439

Coker AL, Smith PH, McKeown RE, King MJ. Frequency and correlates of intimate partner violence by type: physical, sexual, and psychological battering. Am J Public Health. 2000 Apr;90(4):553-9. Available from: PMID: 10754966

Mannell J, Lowe H, Brown L, Mukerji R, Devakumar D, Gram L, et al. Risk factors for violence against women in high-prevalence settings: a mixed-methods systematic review and meta-synthesis. BMJ Glob Health. 2022 Mar;7(3):e007704. DOI: 1136/bmjgh-2021-007704

Curry MA. The interrelationships between abuse, substance use, and psychosocial stress during pregnancy. J Obstet Gynecol Neonatal Nurs. 1998 Nov;27(6):692-9. DOI: 1111/j.1552-6909.1998.tb02640.x

Barker LC, Stewart DE, Vigod SN. Intimate partner sexual violence: An often overlooked problem. J Womens Health. 2019 Mar;28(3):363-74. DOI:1089/jwh.2017.6811

Bonomi AE, Anderson ML, Rivara FP, Thompson RS. Health outcomes in women with physical and sexual intimate partner violence exposure. J Womens Health. 2007 Sep;16(7):987-97. DOI: 1089/jwh.2006.0239

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Published

15-07-2026

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Research Report

How to Cite

“Domestic Violence, Depressive And Anxiety Symptoms Among Pregnant Women - A Cross-Sectional Study”. Kerala Journal of Psychiatry, July 2026, https://doi.org/10.30834/.

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