Perinatal Depressive Symptom Trajectories Among Adolescent Women in New York City.
Perinatal Depressive Symptom Trajectories Among Adolescent Women in New York City.
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纽约市青少年女性围产期抑郁症状轨迹。
DOI：
10.1016/j.jadohealth.2019.12.017
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Ickovics,JeannetteR
中科院分区：
文献类型：
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作者：
Simons,HannahR;Thorpe,LornaE;Jones,HeidiE;Lewis,JessicaB;Tobin,JonathanN;Ickovics,JeannetteR
目的本研究的目的是估计不同的轨迹抑郁症状的青少年妇女在整个围产期。（流行病学研究中心抑郁量表）从控制参与者在中心怀孕加项目（2008-2012年），我们进行了基于组的轨迹建模，以确定从怀孕早期到1岁的抑郁症的轨迹。纽约市623名青春期妇女产后一年的情况。我们研究了社会人口统计学，社会心理学和妊娠特征和结果，抑郁症状trajectors.ResultsWe确定了三个不同的轨迹模式之间的关联：稳定的低或无抑郁症状（58%），中度抑郁症状下降，随着时间的推移（32%），和慢性高抑郁症状（11%）。长期高症状的妇女报告更高水平的妊娠期痛苦和社会冲突和较低的感知质量的社会支持比其他women.ConclusionsThis研究发现异质性围产期抑郁症状的轨迹，并确定了一组长期高的症状，可能会在产前检查。重要的是，我们没有发现产后新发高度抑郁症状的轨迹组。这些发现对筛查和早期治疗具有重要意义。
PurposeThe aim of the study was to estimate distinct trajectories of depressive symptoms among adolescent women across the perinatal period.MethodsUsing 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.ResultsWe 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.ConclusionsThis 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.