Predicting posttraumatic stress and depression symptoms among adolescents in the extended postpartum period
Predicting posttraumatic stress and depression symptoms among adolescents in the extended postpartum period
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DOI：
10.1016/j.heliyon.2018.e00965
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发表时间：
2018-11-01
期刊：
影响因子：
4
通讯作者：
Connolly, John P.
中科院分区：
文献类型：
--
作者：
Anderson, Cheryl A.;Connolly, John P.
背景资料：青少年分娩仍然是一个公共卫生问题，产后创伤后应激症状（PTSS）和抑郁症的调查是重要的，为今后的研究和实践提供信息。探索PTSS单独或与抑郁症相结合的纵向研究是不存在的产后青少年人群。本研究的目的是确定压力/PTSS和抑郁症状在72小时和产后三个月，六个月和九个月，并确定是否在每个时间点的症状预测以后的symptoms.Methods：一个方便的样本303青少年13-19岁，从两个产后单位的一个，大型，公立医院招募。事件影响量表和爱丁堡产后抑郁量表提供了一个屏幕上的压力/PTSS和抑郁症的症状在所有时间点。一个滞后的自回归模型，以评估在每个时间点的症状的预测能力，在整个延长产后period.Results：约30%的青少年表现出早期症状，20%的症状在最后的时间点。早期症状不能预测3个月的症状;然而，3个月的症状预测6-9个月的症状。青少年主要是老年人，西班牙裔，并从一家公立医院招募减少人口代表性。筛查工具的使用阻止了诊断结果。未知的压力发生在怀孕或出生前后可能会影响最终outcomes.Conclusions：早期症状是常见的，3个月的症状预测后期症状。对于高危青少年，建议制定出院后的随访计划。
Background: Adolescent childbirth continues as a public health concern, and investigation of postpartum posttraumatic stress symptoms (PTSS) and depression is important to inform future research and practice. Longitudinal studies exploring PTSS alone or in combination with depression are non-existent for postpartum adolescent populations. This study aimed to identify stress/PTSS and depression symptoms at 72 hours and three, six, and nine months postpartum, and determine if symptoms at each time point predicted later symptoms.Methods: A convenience sample of 303 adolescents 13-19 years of age were recruited from two postpartum units of one, large, public hospital. The Impact of Event Scale and the Edinburgh Postpartum Depression Inventory provided a screen of symptoms for stress/PTSS and depression at all time points. A lagged autoregressive model was developed to assess the predictive power of symptoms at each time point to the next across the extended postpartum period.Results: About 30% of adolescents displayed early symptoms; 20% showed symptoms at the final time point. Early symptoms did not predict symptoms at 3 months; yet, symptoms at 3 months predicted symptoms at 6-9 months.Limitations: Attrition at final time points necessitated pooled data. Adolescents were primarily older, Hispanics, and recruited from one public hospital decreasing demographic representation. Use of screening tools prevented diagnostic outcomes. Unknown stressors occurring before and after pregnancy or birth may have influenced final outcomes.Conclusions: Early symptoms were common and 3 month symptoms predicted later symptoms. For at risk adolescents, a plan for follow-up beyond hospital discharge is recommended.