Depressive symptoms, stress, and social support in pregnant and postpartum adolescents
Depressive symptoms, stress, and social support in pregnant and postpartum adolescents
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DOI：
10.1001/archpedi.1996.02170260068011
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发表时间：
1996-01-01
影响因子：
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通讯作者：
Repke, JT
中科院分区：
文献类型：
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作者：
Barnet, B;Joffe, A;Repke, JT
目的：前瞻性评估妊娠和产后青少年抑郁症状的发生率和病程，探讨压力和社会支持作为影响因素的作用。方法：对参加青少年怀孕和育儿综合计划的怀孕青少年在妊娠晚期和产后4个月进行随访。抑郁症状和社会支持在妊娠晚期、产后2个月和4个月用经过验证的自我管理工具进行测量。结果：研究参与者(N=125)主要是黑人(93%)，年龄在12到18岁。114名受试者在产后2个月和108名受试者在产后4个月获得完整的评估。42%的人在妊娠晚期有明显的抑郁症状，36%和32%的人在产后2个月和4个月时有抑郁症状。从妊娠晚期到产后，应激水平显著升高(P
Objective: To assess prospectively the incidence and course of depressive symptoms among pregnant and postpartum adolescents and explore the roles of stress and social support as influencing factors.Methods: Pregnant teenagers attending a comprehensive adolescent pregnancy and parenting program were enrolled during their third trimester of pregnancy and followed up through 4 months post partum. Depressive symptoms and social support were measured with validated, self-administered instruments during the third trimester and at 2 and 4 months post partum. Stress was measured during the prenatal and postpartum periods.Results: Study participants (N=125) were predominantly black (93%) and were aged 12 to 18 years. Completed assessments were obtained from 114 subjects at 2 months post partum and 108 at 4 months. Forty-two percent had significant depressive symptoms in the third trimester, with 36% and 32% having scores that indicated depression at 2 and 4 months post partum. Stress levels increased significantly from the third trimester to the postpartum period (P