BACKGROUND: The contributions of potentially traumatic events (PTEs) of mass conflict and @entity1005 ( @entity1005 ) symptoms to perinatal @entity308 in @entity1 living in low-income, post-conflict countries are unclear. We tested a model including these factors, intimate partner violence (IPV), and continuing adversity in @entity1 in Timor-Leste. METHODS: Our modelling study used cross-sectional data from a sample of @entity1 living in two districts in Timor-Leste, identified through service registers, clinic records, village chiefs, and a door-to-door survey between June, 2012, and June, 2013. Eligible @entity1 were 3-6 months pregnant or 3-6 months postpartum. We assessed conflict-related PTEs, IPV, continuing adversity (poverty and insecurity), @entity1005 symptoms (the @entity130 Questionnaire), and @entity308 (the Edinburgh Postnatal Depression Scale [EPDS]) to develop a theoretical model to examine pathways leading directly and indirectly to @entity308 . FINDINGS: We assessed 427 eligible @entity1 , of whom 258 (60%) were pregnant and 169 (40%) were postnatal. 87 (22%) of 387 @entity1 who were given the EPDS to complete were above the threshold used to define @entity308 , and 40 (9%) of 427 were regarded as having @entity1005 . Our most comprehensive model showed that IPV and conflict-related deprivations led directly to @entity308 as well as to continuing adversity. @entity1 rights-related @entity130 , witnessing murder, and a further path from IPV led to @entity1005 symptoms. @entity1 rights-related @entity130 also led to continuing adversity. Paths from continuing adversity led to @entity308 , and @entity1005 symptoms, which was the predominant path. We noted a strong and unidirectional path from @entity1005 symptoms to @entity308 . INTERPRETATION: Protection of @entity1 from @entity1 rights abuses, prevention of IPV, reduction in insecurity and poverty in the post-conflict period, and identification of and treatment for @entity1005 symptoms might reduce the risk of perinatal @entity308 in post-conflict, low-income countries. Longitudinal studies are needed to confirm these findings. FUNDING: Australian National Health and Medical Research Council.

Pathways to perinatal XXXX after mass conflict in Timor-Leste: a modelling analysis using cross-sectional data.

@entity1 :: ('9606', 'Species') :: ['women', 'human', 'Human'] @entity308 :: ('MESH:D003866', 'Disease') :: ['maternal depressive symptoms', 'depressive symptoms', 'depression'] @entity1005 :: ('MESH:D013313', 'Disease') :: ['post-traumatic stress disorder', 'PTSD'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma', 'Harvard Trauma']
@entity308 :: (MESH:D003866,Disease) :: ['depressive symptoms']
