Nerissa S. Bauer|Amy Gilbert|Aaron E. Carroll|Stephen M. Downs
Associations of Early Exposure to Intimate Partner Violence and Parental Depression With Subsequent Mental Health Outcomes
children known exposure intimate partner violence ipv maternal depression risk negative mental health outcomes early preschool age active ongoing surveillance risk factors lead earlier mental health intervention childrento examine association parent reports ipv depressive symptoms within first 3 years childs life subsequent mental health conditions psychotropic drug treatmentprospective cohort study linking parental ipv depression subsequent billing pharmacy data november 1 2004 june 7 2012four pediatric clinicsa total 2422 children receiving care clinics implemented child health improvement computer automation chica systemany report ipv andor parental depressive symptoms birth age 3 years mental health diagnoses made international classification diseases ninth revision criteria psychotropic drug treatment ages 3 6 yearsfiftyeight caregivers 24 reported ipv depressive symptoms children aged 3 years 69 28 reported ipv 704 291 reported depressive symptoms 1591 657 reported neither exposure children parents reporting ipv depressive symptoms likely diagnosis attentiondeficithyperactivity disorder adjusted odds ratio 40 95 ci 15109 even adjusting childs sex raceethnicity insurance type children whose parents reported depressive symptoms likely prescribed psychotropic medication adjusted odds ratio 19 95 ci 1034exposure ipv depression age 3 years associated preschoolaged onset attentiondeficithyperactivity disorder early exposure parental depression associated prescribed psychotropic medication pediatricians play critical role performing active ongoing surveillance families known social risk factors providing early intervention negate longterm sequelae