Stability of maternal depressive symptoms among urban, low-income, African American adolescent mothers
| Autor: | Sarah E. Oberlander, Fatima Ramos-Marcuse, Maureen M. Black, Mia A. Papas, Kristen M. Hurley, Scot McNary |
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| Rok vydání: | 2010 |
| Předmět: |
Postpartum depression
medicine.medical_specialty Adolescent Personality Inventory Psychometrics Urban Population Mothers law.invention Life Change Events Randomized controlled trial Pregnancy law Epidemiology medicine Humans Community Health Services Longitudinal Studies Psychiatry Poverty Socioeconomic status Depression (differential diagnoses) Depressive Disorder Parenting Beck Depression Inventory Infant medicine.disease Self Concept Black or African American Psychiatry and Mental health Clinical Psychology Baltimore Pregnancy in Adolescence Female Brief intervention Psychology |
| Zdroj: | Journal of Affective Disorders. 122:68-75 |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2009.06.018 |
| Popis: | Background Maternal depressive symptomatology is an important public health issue with negative consequences for both mothers and infants. Methods This study examined prevalence and patterns of depressive symptoms among 181 urban, low-income, first-time, African American adolescent mothers recruited from urban hospitals following delivery. Follow-up evaluations were conducted at 6 (N = 148; 82%) and 24 (N = 147; 81%) month home visits. Depressive symptoms were measured with Beck Depression Inventory (BDI). Results Half of mothers (49%) had BDI scores >9 at baseline, with significant correlations between BDI scores across all visits (r = 0.28–0.50). Depressive symptom trajectories analyzed using group-based trajectory modeling revealed three trajectories of depressive symptoms: Low (41%), Medium (45%), and High (14%). The high depressive symptom group reported lower self-esteem, more negative life events, and lower parenting satisfaction than the low and moderate depressive symptoms groups. Limitations Depressive symptoms were self-reported and not verified with a clinical interview. Findings are limited to urban, low-income, African American adolescent mothers and may not be generalizable to other populations. Conclusions The high prevalence and relative stability of depressive symptoms through 2 years of parenting suggest the need for early identification and treatment of maternal depressive symptoms. Brief screening for maternal depressive symptoms conducted during pediatric well-child visits is a feasible and effective method for identifying mothers with depressive symptoms, however, screening measures can not differentiate between high and low levels of depressive symptoms. Brief intervention may be an effective treatment for mothers with mild symptoms of depression; mothers with moderate to severe symptoms may require more intensive intervention. |
| Databáze: | OpenAIRE |
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