Background and Aims:
Background: Possible long term outcomes of child abuse involve issues female victims experience during their pregnancy and post-partum, both physically and psychologically. Likewise, child abuse is known as key factor for the development of personality disorders. Little is known about the outcomes of an interplay between child abuse and  personality issues in perinatal.

 Aims: To analyze the interaction between child abuse (CA), victims personality disorders (PDs) and the expression of psychiatric sufferance during the perinatal period.

Methods:
Methods: 150 women, consecutively admitted to the Perinatal Psychiatric Outpatient Department were clinically evaluated and administered SCID II, CTQ, WHOQOL-BREF, EPDS, BDI and BAI. We randomized patients in affected or not by PDs and CA.

Results:
Results: CA increases the risk of post-partum depression in borderline PD (p=.027). Each type of child abuse induces different perinatal psychiatric outcomes in the interaction with distinct victims personality disorders (e.g. sexual abuse influences the risk of post-partum depression in paranoid and schizoid PD [p=.035;.048] and of anxiety in borderline [p=.027]).

Conclusions:
Conclusions: Childhood abuse increases the risk of developing psychiatric illness during the perinatal period with the mediation of victims’ personality disorders, suggesting an eventual specificity of those abuses on precise outcomes.

13 - THE BURDEN OF CHILD ABUSE ON PERINATAL MENTAL HEALTH, THE ROLE AND MEDIATION OF VICTIMS’ PERSONALITY DISORDERS