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Association Among Posttraumatic Stress Disorder, Adverse Birth Outcomes, and Domestic Violence

Hind Khalifeh, MRCPsych1; Gene Feder, PhD2; Louise M. Howard, PhD3
[+] Author Affiliations
1Mental Health Sciences Unit, University College London, London, England
2Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, England
3King’s College London, London, England
JAMA Psychiatry. 2015;72(1):94. doi:10.1001/jamapsychiatry.2014.1619.
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To the Editor Research on perinatal mental disorders other than postnatal depression is long overdue; therefore, we were pleased to see the study by Yonkers et al,1 which reported a 4-fold elevated risk for preterm birth in women who had a likely diagnosis of posttraumatic stress disorder or a major depressive episode. However, we were concerned by the omission of any measure of domestic violence in the study, as domestic violence is a correlate of posttraumatic stress disorder and major depression in pregnancy2 and of adverse pregnancy outcomes including preterm birth.3

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