@article{ref1,
title="Perinatal depressive symptom trajectories among adolescent women in New York City",
journal="Journal of Adolescent Health",
year="2020",
author="Simons, Hannah R. and Thorpe, Lorna E. and Jones, Heidi E. and Lewis, Jessica B. and Tobin, Jonathan N. and Ickovics, Jeannette R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: The aim of the study was to estimate distinct trajectories of depressive symptoms among adolescent women across the perinatal period. <br><br>METHODS: Using 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. <br><br>RESULTS: We 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. <br><br>CONCLUSIONS: This 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. <br><br>FINDINGS have important implications for screening and early treatment.<br><br>Copyright © 2020. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2019.12.017",
url="http://dx.doi.org/10.1016/j.jadohealth.2019.12.017"
}