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Comment & Response
January 2015

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

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

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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