Evidence map›Paper›PMID 32337078›Full record

ArticleBMJ global health2020

Longitudinal path analysis of depressive symptoms and functioning among women of child-rearing age in postconflict Timor-Leste.

Derrick Silove, Mohammed Mohsin, Louis Klein, Natalino De Jesus Tam, Mark Dadds, Valsamma Eapen, Wietse A Tol, Zelia da Costa, Elisa Savio, Rina Soares and 2 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Derrick SilovePsychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Mohammed MohsinPsychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Louis KleinPsychiatry, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0002-0634-0538
Natalino De Jesus TamPsychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Mark DaddsPsychology, The University of Sydney, Sydney, New South Wales, Australia.
Valsamma EapenPsychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Wietse A TolDepartment of Mental Health, Johns Hopkins Sch Publ Hlth, Baltimore, Maryland, USA.
Zelia da CostaPsychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Elisa SavioPsychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Rina SoaresPsychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Zachary SteelPsychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Susan J ReesPsychiatry, University of New South Wales, Sydney, New South Wales, Australia.
Fistula Foundation · USLiverpool Hospital · AUUNSW Sydney · AUJohns Hopkins University · USThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This longitudinal study indicates that exposure to the traumas of mass conflict and subsequent depressive symptoms play an important role in pathways leading to functional impairment in the postconflict period among women of child-rearing age. Our study, conducted in Timor-Leste, involved an analytic sample of 1292 women recruited at antenatal clinics in the capital and its surrounding districts. Women were re-interviewed at home 2 years later (77.3% retention). We applied the Edinburgh Postnatal Depression Scale, the Harvard Trauma Questionnaire for conflict-related traumatic events, the WHO Violence Against Women Instrument covering the past year for intimate partner violence and the WHO Disability Assessment Schedule (WHODAS V.2.0) to assess functional impairment. A longitudinal path analysis tested direct and indirect relationships involving past conflict-related trauma exposure, depressive symptoms measured over the two time points and functional impairment at follow-up. The prevalence of predefined clinically significant depressive symptoms diminished from 19.3% to 12.8%. Nevertheless, there was a tendency for depressive symptoms to persist over time (β=0.20; p<0.001). Follow-up depressive symptoms were associated with functional impairment (β=0.35; p<0.001). Reported conflict-related trauma occurring a minimum of 6 years earlier (β=0.23; p<0.001) and past-year physical intimate partner violence (β=0.26; p<0.001) were each associated with depressive symptoms at baseline and at follow-up. A measure of poverty specific to the context and reported health problems in the mother and infant also contributed to depressive symptoms. The findings highlight the association between ongoing trauma-related depressive symptoms and the capacity of women in the childbearing age to function in multiple areas of their lives in a postconflict country. Recognition of these relationships is important in the formulation and implementation of contemporary international recovery and development policies applied to postconflict countries.

Indexed as

DepressionStress Disorders, Post-TraumaticFemaleHumansLongitudinal StudiesPregnancyPrevalenceTimor-LesteCohort studyEpidemiologyMaternal healthMental Health & PsychiatryPublic Health

Identifiers

PMID32337078
PMCPMC7170425
OpenAlexW3013455625

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.