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Patterns of depressive symptoms and antidepressant use among women survivors of intimate partner violence

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Abstract

Purpose

One of the primary mental health responses of women experiencing intimate partner violence (IPV) is depression, yet little is known about the mental health and antidepressant use of women in the period after leaving an abusive partner. We investigate patterns of antidepressant use and depressive symptoms by various social indicators (parenting status, socioeconomic status, severity of abuse and disclosure of abuse). Second, we examine whether variation in antidepressant use is explained by higher rates of depression diagnoses and/or depressive symptoms, taking these social indicators into consideration.

Methods

We examine data from the Women’s Health Effects Study, a community sample of 309 Canadian women who have recently left an abusive partner.

Results

Bivariate results reveal that over 80% of women with elevated depressive symptoms are without diagnosis and antidepressant medication. Multivariate analyses show that antidepressant use is predicted by an indicator of economic disadvantage, with women who receive social assistance or disability benefits being more likely to report elevated antidepressant use, controlling for both depressive symptoms and depression diagnoses.

Conclusions

Documenting and explaining depressive symptoms and antidepressant use among IPV survivors provides insight into one of many possible treatment options available to women with depression, and sheds light on potential health disparities among this subgroup of the population.

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Notes

  1. In an effort to clarify the context in which we are using the term depression, we adopt an approach that is similar to Stoppard [43]. The term “depressive disorder” is used to refer to a clinical diagnosis. When referring to responses on a questionnaire designed to measure symptoms that are indicative of depressive disorder, such as the Centre for Epidemiologic Studies-Depression (CES-D) scale [32], the term “depressive symptoms” is used. The term “depression” is used to refer to the general subject of depression.

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Acknowledgments

This research was funded by the Canadian Institutes of Health Research, New Emerging Team Grant #106054 and Institute of Gender and Health Operating Grant #15156. The authors would like to thank the women who have participated in the Women’s Health Effects Study. The authors are also grateful for the contributions provided by Marilyn Merritt-Gray, Judith Wuest, Marilyn Ford-Gilboe, William R. Avison, and Kim Shuey.

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Correspondence to Lorraine Davies.

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Comeau, J., Davies, L. Patterns of depressive symptoms and antidepressant use among women survivors of intimate partner violence. Soc Psychiatry Psychiatr Epidemiol 47, 1527–1537 (2012). https://doi.org/10.1007/s00127-011-0459-4

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  • DOI: https://doi.org/10.1007/s00127-011-0459-4

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