Association between postpartum substance use and depressive symptoms, stress and social support in adolescent mothers

Barnet, Beth; Duggan, Anne K.; Joffe, Alain; Wilson, Michèle

doi:10.1016/1054-139x(94)90461-8

Cited by 39 publications

(70 citation statements)

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“…Compared to non-depressed adolescent mothers, depressed adolescent mothers have been reported to have lower perceived maternal competence, hold more punitive views toward childrearing, have less positive feeding interactions, and use more emotion-focused coping styles with their children [9,11,14]. Factors that appear to be associated with the risk of depression among pregnant and parenting adolescents include lack of social support, isolation, low self-esteem, life stress, low socioeconomic status, substance use, and less religious involvement [5,6,8,[15][16][17][18][19][20][21][22]. A higher level of depressive symptoms soon after delivery generally has been associated with lower social support [9, 11, 16-18, 20, 22], although in one study, more social support predicted postpartum depressive symptoms [8].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Brown¹,

Harris

Woods

et al. 2011

Matern Child Health J

111

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Previous studies have suggested that adolescent mothers with higher social support have lower depressive symptoms. This is a longitudinal study of adolescent mothers to examine the association of social support and depressive symptoms over one year postpartum. This was a prospective study of adolescent mothers (N at baseline = 120, N at 1 year = 89; age \ 19 years) enrolled in a teen tot program. Participants completed the Center for Epidemiological Studies Depression Scale for children (CES-DC) and the Duke-UNC Functional Social Support Questionnaire at baseline, 12 weeks, and 1 year. A score of C 16 on the CES-DC was suggestive of major depression. The mean CES-DC scores of the adolescent mothers were C16 points at all three time points (baseline: mean = 18.7 ± 10.3; 53% C 16; 12 weeks: mean = 18.4 ± 11.4, 57% C 16; one year: mean = 20.0 ± 11.4; 57% C 16). Social support had a significant, inverse association with depressive symptoms for all participants from baseline to 12 weeks with a stronger association for those with more depressive symptoms (score C 16) at baseline (beta = -0.030 ± 0.007; P \ 0.001) than for those with fewer depressive symptoms (score \ 16) at baseline (beta = -0.013 ± 0.006; P = 0.021). From 12 weeks to one year, increased social support was only significantly associated with decreased depressive symptoms for those with a higher baseline level of depressive symptoms (beta = -0.039 ± 0.009; P \ 0.001). Depressive symptoms were prevalent among adolescent mothers. For more depressed adolescent mothers, higher levels of social support were associated with less depressive symptoms over the 1 year follow-up. Effective long-term interventions are needed to lessen depression and enhance social support.

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Section: Introductionmentioning

confidence: 99%

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Brown¹,

Harris

Woods

et al. 2011

Matern Child Health J

111

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“…Tal como los estudios que han intentado ligar factores socioeconómicos con DPP, sin distinción por rango etáreo, en adolescentes los resultados no han sido concluyentes. Barnet y cols (38), evaluaron la influencia del nivel socioeconómico, sin encontrar una relación significativa entre éste y síntomas depresivos, mientras que Secco y cols (39), encontraron una relación estadísticamente significativa entre menor nivel socioeconómico y DPP en las madres adolescentes. Caldwell y cols (40) por su parte, estudiaron la asociación entre etnicidad y DPP, sin encontrar una diferencia significativa entre las adolescentes afroamericanas y las caucásicas.…”

Section: Tabla I Criterios Para El Episodio Depresivo Mayor Según El unclassified

“…Barnet y cols (38), diferenciaron entre las madres que habían abandonado el colegio y aquellas que seguían asistiendo a clases, sin encontrar diferencias en la prevalencia de DPP. Mientras que Kalil y cols (41), mostraron que aquellas jóvenes con deserción escolar, presentaban mayores índices de DPP a los 6 meses postparto.…”

Section: Tabla I Criterios Para El Episodio Depresivo Mayor Según El unclassified

“…Respecto a los factores psicosociales, Logson y cols (13), encontraron que el principal factor predictor de DPP era el percibirse como estresada, en tanto que Barnet y cols (38), no sólo encontraron que el estrés aumentaba significativamente entre el tercer trimestre de embarazo y el posparto, sino que además se asociaba a la presencia de DPP. Lesser & Koniak-Griffin (42), en tanto, encontraron que tener antecedentes de abuso físico y/o sexual en la infancia, predecía en forma estadísticamente significativa la aparición de DPP entre las madres adolescentes.…”

Section: Tabla I Criterios Para El Episodio Depresivo Mayor Según El unclassified

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Depresión Posparto en El Embarazo Adolescente: Análisis Del Problema Y Sus Consecuencias

Valenzuela

et al. 2009

Rev. chil. obstet. ginecol.

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RESUMENEl embarazo adolescente es un importante problema de Salud Pública, que se asocia a consecuencias biológicas, psicológicas y sociales negativas tanto para la madre como para el hijo. Uno de los riesgos frente a los que las madres adolescentes están particularmente vulnerables es a la depresión posparto (DPP). Existen extensas investigaciones sobre el fenómeno de la DPP, pero los estudios en madres adolescentes son limitados y suelen provenir de países desarrollados. En Chile no existen estudios publicados que se aboquen específicamente a la DPP en adolescentes. Por lo mismo, es que esta revisión pretende dar cuenta de los principales hallazgos internacionales y nacionales sobre prevalencia, factores de riesgo, consecuencias y abordaje de la DPP en general, y en madres adolescentes en particular, con el propósito de fortalecer el conocimiento de los profesionales que trabajan con estas jóvenes, ya sea en el área de salud mental, obstetricia o pediatría. PALABRAS CLAVE: Embarazo adolescente, depresión posparto SUMMARYAdolescent pregnancy is an important public health issue associated with negative biological, psychological and social consequences for the mother and the child. One of the main risks adolescent mothers are particularly vulnerable to postpartum depression. Literature on postpartum depression is broad, but studies regarding the phenomenon in adolescent mothers are scarce, and come mostly from developed countries. In Chile there are no published studies centred on postpartum depression in adolescents. Therefore, this article aims to describe the main international and national findings on the prevalence, risk factors, consequences and management of postpartum depression in general, and in adolescents in particular, with the goal of strengthening the knowledge of professionals caring for adolescent mothers in mental health, obstetric and pediatric services.KEY WORDS: Adolescent pregnancy, postpartum depression REV CHIL OBSTET GINECOL 2009; 74(3): 151 -158

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“…30 Although pregnant adolescents have been shown to decrease or limit their use of alcohol, cigarettes, marijuana, and other substances during gestation, the use of cigarettes and alcohol, in particular, has been shown to increase steadily during the first 6 months postpartum. [31][32][33] Daily smoking of cigarettes and alcohol and drug problems are known to be associated with adolescent parenthood. The tendency of the adolescent mother to reduce substance use during pregnancy provides a window of opportunity in the immediate postpartum period for the pediatrician to emphasize and encourage healthy choices by the mother.…”

Section: Medical and Psychosocial Risks To The Adolescent Mothermentioning

confidence: 99%

Care of Adolescent Parents and Their Children

Pinzon¹,

Jones

Blythe

et al. 2012

Pediatrics

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Teen pregnancy and parenting remain an important public health issue in the United States and the world, and many children live with their adolescent parents alone or as part of an extended family. A significant proportion of teen parents reside with their family of origin, significantly affecting the multigenerational family structure. Repeated births to teen parents are also common. This clinical report updates a previous policy statement on care of the adolescent parent and their children and addresses medical and psychosocial risks specific to this population. Challenges unique to teen parents and their children are reviewed, along with suggestions for the pediatrician on models for intervention and care.

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Association between postpartum substance use and depressive symptoms, stress and social support in adolescent mothers

Cited by 39 publications

References 0 publications

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Depresión Posparto en El Embarazo Adolescente: Análisis Del Problema Y Sus Consecuencias

Care of Adolescent Parents and Their Children

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