Intimate Partner Violence amongst women with eating disorders during the perinatal period

TY - JOUR

T1 - Intimate Partner Violence amongst women with eating disorders during the perinatal period

AU - Kothari, Radha

AU - Easter, Abigail

AU - Lewis, Rebecca

AU - Howard, Louise Michele

AU - Micali, Nadia

N1 - This article is not freely accessible but you may have access through your institution.

PY - 2015/9

Y1 - 2015/9

N2 - Objective: Prevalence of intimate partner violence (IPV) during pregnancy is estimated to be 4%-8%. Women with mental health difficulties are at increased risk for IPV during the perinatal period. Prevalence of IPV is high among women with eating disorders (ED); however, prevalence of IPV during the perinatal period among women with ED is unknown. Method: We studied women from a population-based cohort, the Avon Longitudinal Study of Parents and Children. Prevalence and odds of physical and emotional IPV during and after the perinatal period was investigated among women with lifetime ED, with (n=174) or without pregnancy shape and weight concern and/or purging behaviors (n=189), and women with no ED (n=8723). Results: Women with lifetime ED showed higher prevalence of IPV during and after the perinatal period (physical=9.6%-14.3% and emotional= 24.1%-28.1%). Lifetime ED was associated with higher odds of physical IPV during the perinatal period (odds ratio: 2.34, 95% confidence interval: 1.11-4.93, p=.03). Lifetime ED with and without pregnancy shape and weight concerns and/or purging was associated with higher odds of IPV after the perinatal period, and higher odds of reporting emotional IPV at all time points. Associations were moderated by partner's response to pregnancy and maternal experience of childhood sexual abuse. Discussion: Mothers with ED and their children may be vulnerable to negative effects due to maternal ED and IPV combined, both of which have been associated with severe and long-lasting harmful consequences. Partner's response to pregnancy and maternal experience of childhood sexual abuse might contribute to the association between ED and IPV perinatally.

AB - Objective: Prevalence of intimate partner violence (IPV) during pregnancy is estimated to be 4%-8%. Women with mental health difficulties are at increased risk for IPV during the perinatal period. Prevalence of IPV is high among women with eating disorders (ED); however, prevalence of IPV during the perinatal period among women with ED is unknown. Method: We studied women from a population-based cohort, the Avon Longitudinal Study of Parents and Children. Prevalence and odds of physical and emotional IPV during and after the perinatal period was investigated among women with lifetime ED, with (n=174) or without pregnancy shape and weight concern and/or purging behaviors (n=189), and women with no ED (n=8723). Results: Women with lifetime ED showed higher prevalence of IPV during and after the perinatal period (physical=9.6%-14.3% and emotional= 24.1%-28.1%). Lifetime ED was associated with higher odds of physical IPV during the perinatal period (odds ratio: 2.34, 95% confidence interval: 1.11-4.93, p=.03). Lifetime ED with and without pregnancy shape and weight concerns and/or purging was associated with higher odds of IPV after the perinatal period, and higher odds of reporting emotional IPV at all time points. Associations were moderated by partner's response to pregnancy and maternal experience of childhood sexual abuse. Discussion: Mothers with ED and their children may be vulnerable to negative effects due to maternal ED and IPV combined, both of which have been associated with severe and long-lasting harmful consequences. Partner's response to pregnancy and maternal experience of childhood sexual abuse might contribute to the association between ED and IPV perinatally.

KW - ALSPAC

KW - Anorexia nervosa

KW - Bulimia nervosa

KW - Eating disorder

KW - Emotional IPV

KW - Intimate partner violence

KW - Perinatal

KW - Physical IPV

KW - Pregnancy

KW - Prevalence

UR - http://www.scopus.com/inward/record.url?scp=84930348547&partnerID=8YFLogxK

U2 - 10.1002/eat.22429

DO - 10.1002/eat.22429

M3 - Article

SN - 0276-3478

VL - 48

SP - 727

EP - 735

JO - International Journal of Eating Disorders

JF - International Journal of Eating Disorders

IS - 6

ER -