Psychosocial factors associated with depression severity in pregnant adolescents.
Psychosocial factors associated with depression severity in pregnant adolescents.
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与怀孕青少年的抑郁严重程度相关的社会心理因素。
DOI：
10.1007/s00737-012-0296-9
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发表时间：
2012-10
影响因子：
4.5
通讯作者：
Phipps, Maureen G.
中科院分区：
文献类型：
--
作者：
Tzilos, Golfo K.;Zlotnick, Caron;Raker, Christina;Kuo, Caroline;Phipps, Maureen G.
怀孕期间的青少年抑郁症与青少年及其婴儿的发病率增加有关。本横断面研究探讨了在城市产前诊所就诊的116名怀孕少女（平均年龄=16岁）的独立酒精使用史、药物使用史、抑郁症和虐待（身体或性）与抑郁症严重程度之间的关系。曾经饮酒是儿童抑郁评定量表（修订版）抑郁得分较高的显著预测因子，β=3.3 (0.8, 5.7)；p < 0.05。滥用史与平均抑郁评分显著升高4.3分相关，β=4.3 (1.8, 6.7), p<0.001，并且在调整了酒精使用史、药物使用史和抑郁史后，滥用史仍然是更严重抑郁症状的统计学显著预测因子。本研究发现，身体虐待或性虐待史是与怀孕少女抑郁症状严重程度相关的重要因素，与酗酒、吸毒或抑郁史无关。这些发现表明，对酒精使用史和滥用史的评估可能会增加识别有产前抑郁风险的青少年的可能性。
Adolescent depression during pregnancy is associated with increased morbidity for the teen and her infant. This cross-sectional study explored the relationships among the independent histories of alcohol use, drug use, depression, and abuse (physical or sexual) on depression severity in a diverse group of 116 pregnant adolescents (mean age=16) who attended an urban prenatal clinic. Ever having had an alcoholic drink was a significant predictor of higher depressive scores on Children's Depression Rating Scale-Revised, β=3.3 (0.8, 5.7); p<0.05. History of abuse was associated with a significant 4.3-point higher mean depressive score, β=4.3 (1.8, 6.7), p<0.001, and remained a statistically significant predictor of more severe depressive symptoms after adjustment for history of alcohol use, history of drug use, and history of depression. This study identified that a history of physical or sexual abuse is a significant factor related to the severity of depressive symptoms in pregnant adolescents, independent of a history of alcohol, drug use, or depression. These findings suggest that an assessment of history of alcohol use, as well as abuse history, may increase the likelihood of identifying adolescents at risk for antenatal depression.
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DOI：
10.1097/chi.0b013e3181a56606
发表时间：
2009-07
影响因子：
13.3
作者：
Klein DN;Shankman SA;Lewinsohn PM;Seeley JR
通讯作者：
Seeley JR
DOI：
10.1097/00004583-198403000-00011
发表时间：
1984-01-01
影响因子：
13.3
作者：
POZNANSKI, EO;GROSSMAN, JA;GIBBONS, R
通讯作者：
GIBBONS, R
DOI：
10.1097/00004583-199610000-00023
发表时间：
1996-10-01
影响因子：
13.3
作者：
Fergusson, DM;Lynskey, MT;Horwood, LJ
通讯作者：
Horwood, LJ
DOI：
10.1016/0002-9378(89)90302-5
发表时间：
1989-04-01
影响因子：
9.8
作者：
SOKOL, RJ;MARTIER, SS;AGER, JW
通讯作者：
AGER, JW
DOI：
10.1001/archpedi.1996.02170260068011
发表时间：
1996-01-01
影响因子：
--
作者：
Barnet, B;Joffe, A;Repke, JT
通讯作者：
Repke, JT