Major depressive disorder during teenage pregnancy: socio-demographic, obstetric and psychosocial correlates

Revista Brasileira de Psiquiatria

Fábio Monteiro Da Cunha Coelho¹  Ricardo Tavares Pinheiro¹  Ricardo Azevedo Silva¹  Luciana De Ávila Quevedo¹  Luciano Dias De Mattos Souza¹  Rochele Dias Castelli¹  Mariana Bonati De Matos¹  Karen Amaral Tavares Pinheiro¹ 

[1] ,Universidade Católica de Pelotas Graduate Program in Health and Behavior ,Brazil

关键词: Antenatal depression;    Epidemiology;    Major Depressive Disorder;    Social support;    Teenage pregnancy;   

DOI  :  10.1016/j.rbp.2012.03.006

来源: SciELO

【 摘 要 】

OBJECTIVES: To describe the prevalence of Major Depressive Disorder (MDD) during pregnancy in teenage mothers and to assess its association with socio-demographic characteristics, obstetric history and psychosocial variables. METHODS: A cross-sectional study was conducted with a sample of pregnant teenagers enrolled in the national public health system in the urban area of Pelotas, southern Brazil. MDD was assessed with the Mini International Neuropsychiatric Interview, the Abuse Assessment Screen was used to identify physical abuse within the last 12 months and during pregnancy, and social support was assessed with the Medical Outcomes Survey Social Support Scale. RESULTS: Forty-three (4.94%) potential subjects refused to participate, resulting in 828 total participants. The prevalence of MDD was 17.8%, 9.2% reported they had been subjected to violence within the last 12 months, while 5.8% had suffered violence during pregnancy, and the mean (SD) overall social support score was 87.40 (11.75). After adjustment, we found the highest incidence of MDD in adolescents with less than 8 years of education, followed by those with previous episodes of MDD and those with lower overall social support. CONCLUSIONS: MDD is a relatively common condition in pregnant teenagers and appears to be more prevalent in young mothers who are both socioeconomically and psychosocially underprivileged.

【 授权许可】

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