TY  - JOUR
PY  - 2020//
TI  - Perinatal depressive symptom trajectories among adolescent women in New York City
JO  - Journal of Adolescent Health
A1  - Simons, Hannah R.
A1  - Thorpe, Lorna E.
A1  - Jones, Heidi E.
A1  - Lewis, Jessica B.
A1  - Tobin, Jonathan N.
A1  - Ickovics, Jeannette R.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1054-139X
UR  - http://dx.doi.org/10.1016/j.jadohealth.2019.12.017
ID  - ref1
ER  -