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Perinatal Depressive Symptom Trajectories Among Adolescent Women in New York City.
Simons, Hannah R; Thorpe, Lorna E; Jones, Heidi E; Lewis, Jessica B; Tobin, Jonathan N; Ickovics, Jeannette R.
Afiliación
  • Simons HR; City University of New York School of Public Health, New York, New York. Electronic address: hannah.simons@ppfa.org.
  • Thorpe LE; City University of New York School of Public Health, New York, New York.
  • Jones HE; City University of New York School of Public Health, New York, New York.
  • Lewis JB; Yale School of Public Health, New Haven, Connecticut.
  • Tobin JN; Clinical Directors Network, New York, New York.
  • Ickovics JR; Yale School of Public Health, New Haven, Connecticut.
J Adolesc Health ; 67(1): 84-92, 2020 07.
Article en En | MEDLINE | ID: mdl-32268996
PURPOSE: The aim of the study was to estimate distinct trajectories of depressive symptoms among adolescent women across the perinatal period. METHODS: Using longitudinal depressive symptom data (Center for Epidemiologic Studies Depression Scale) from control participants in the Centering Pregnancy Plus Project (2008-2012), we conducted group-based trajectory modeling to identify depressive symptomatology trajectories from early pregnancy to 1-year postpartum among 623 adolescent women in New York City. We examined associations between sociodemographic, psychosocial, and pregnancy characteristics and the outcome, depressive symptom trajectories. RESULTS: We identified three distinct trajectory patterns: stable low or no depressive symptoms (58%), moderate depressive symptoms declining over time (32%), and chronically high depressive symptoms (11%). Women with chronically high symptoms reported higher levels of pregnancy distress and social conflict and lower perceived quality of social support than other women. CONCLUSIONS: This study found heterogeneity in perinatal depressive symptom trajectories and identified a group with chronically high symptoms that might be detected during prenatal care. Importantly, we did not identify a trajectory group with new-onset high depressive symptoms postpartum. Findings have important implications for screening and early treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión Posparto / Depresión Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Depresión Posparto / Depresión Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos