Combinations of adverse childhood events and risk of postpartum depression among mothers enrolled in a home visiting program
| Autor: | Anita N. Shah, Nichole Nidey, Kieran J. Phelan, Margaret J. Clark, Judith B. Van Ginkel, Robert T. Ammerman, Katherine Bowers, Alonzo T. Folger |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Postpartum depression Epidemiology 01 natural sciences Article Cohort Studies Depression Postpartum Life Change Events 03 medical and health sciences Social support 0302 clinical medicine Adverse Childhood Experiences Surveys and Questionnaires Home visiting program medicine Humans Child Abuse 030212 general & internal medicine 0101 mathematics Child Retrospective Studies Psychiatric Status Rating Scales business.industry Postpartum Period 010102 general mathematics Social Support Prenatal Care medicine.disease Increased risk Adult Survivors of Child Adverse Events Socioeconomic Factors Edinburgh Postnatal Depression Scale Cohort Female business Clinical psychology |
| Zdroj: | Ann Epidemiol |
| ISSN: | 1047-2797 |
| Popis: | Purpose The purpose of this study was to examine how combinations of adverse childhood events (ACEs) contribute to the risk of postpartum depression and the mediating role of prenatal social support. Methods The Adverse Childhood Experiences Scale Questionnaire and the Edinburgh Postnatal Depression Scale Questionnaire were used to measure the study's exposure and outcome. Among a cohort of 419 mothers enrolled in a home visiting (HV) program, latent class analyses were used to identify classes of ACEs exposure. General linear models assessed the risk of postpartum depression, and prenatal social support was examined as a mediator. Results Four distinct classes of ACE exposure were identified. On the Edinburgh Postnatal Depression scale, mothers who were classified in Classes 1–3 scored higher by 2.6–4.4 points compared with women in Class 0. ACE class was found to be indirectly associated with postpartum depression scores through prenatal social support. Conclusions Identifying combinations of ACEs in an HV program has the potential to improve the characterization of ACEs among low-income perinatal women in the United States. Elucidating how these combinations contribute to the risk of postpartum depression has the potential to identify women at increased risk, which can help HV programs prioritize prevention efforts. |
| Databáze: | OpenAIRE |
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