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- W2801014730 abstract "To evaluate the association of intimate partner violence during the gestational period and the development of externalizing and internalizing behavioral problems in children and adolescents. A meta-analysis of cohort and case–control studies was performed, using studies selected from electronic databases. Eligible studies included women who experienced intimate partner violence during pregnancy and their children's behavioral problems. These problems encompass two groups: externalizing problems (expressed by hyperactivity, aggressive and challenging behavior, and delinquency) and internalizing problems (represented by depressive moods, anxiety, and somatic symptoms). The risk of bias was assessed by the Newcastle-Ottawa Quality Assessment Scale (NOS) and the quality of evidence by the Grading of Recommendations, Assessment, Development and Evaluation (GRADE). RevMan 5.3 software was used for the meta-analysis. Of the 687 eligible articles, only seven met all inclusion criteria and consisted of 12,250 mother/child pairs. The age range of the assessed children varied from 10 months to 16 years. The odds of internalizing problems in children exposed to prenatal violence were two-fold higher (OR = 2.10, 95% CI: 1.17–3.76) and that of externalizing problems were 1.9-fold higher (95% CI: 1.28–2.83), when compared to children of unexposed mothers. The results of this study are consistent with the hypothesis that women's exposure to intimate partner violence during pregnancy may be associated with behavioral problems of their children, emphasizing the need for greater understanding about the vulnerability of children to adversity in early ages. Avaliar a associação da violência por parceiro íntimo durante o período gestacional e o desenvolvimento de problemas comportamentais externalizantes e internalizantes de crianças e adolescentes. Foi realizada metanálise de estudos de coorte e caso-controle, selecionados em bases de dados eletrônicas. Os estudos elegíveis incluíram: mulheres que sofreram violência pelo parceiro íntimo durante a gravidez e problemas comportamentais de seus filhos. Esses problemas englobam dois grupos: os problemas externalizantes (que se expressam por hiperatividade, comportamento agressivo e desafiante e delinquência) e os internalizantes (representados por humor depressivo, ansiedade e sintomas somáticos). O risco de viés foi avaliado pela Newcastle - Ottawa Quality Assessment Scale (NOS) e a qualidade da evidência pelo “Grading of Recommendations, Assessment, Development and Evaluation” (GRADE). O software RevMan 5.3 foi usado para a metanálise. Dos 687 artigos elegíveis, apenas sete apresentaram todos os critérios de inclusão e formaram 12.250 pares de mães e filhos. A faixa etária das crianças analisadas variou de 10 meses a 16 anos. A chance de problemas internalizantes das crianças, expostas à violência pré-natal, foi duas vezes maior (OR = 2,10; IC 95%: 1,17-3,76) e de problemas externalizantes, foi 1,90 vezes maior (IC 95%: 1,28-2,83), quando comparada com filhos de mães não expostas. Os resultados deste estudo são consistentes com a hipótese que a exposição da mulher a violência por parceiro íntimo na gestação pode estar associada a problemas comportamentais dos filhos, destacando a necessidade de maior compreensão sobre vulnerabilidade das crianças a adversidades precoces." @default.
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- W2801014730 date "2018-09-01" @default.
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- W2801014730 title "Intimate partner violence during pregnancy and behavioral problems in children and adolescents: a meta-analysis" @default.
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- W2801014730 doi "https://doi.org/10.1016/j.jped.2018.01.007" @default.
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