Longitudinal study of depressive symptoms and social support in adolescent mothers

JD Brown, SK Harris, ER Woods, MP Buman… - Maternal and child …, 2012 - Springer
JD Brown, SK Harris, ER Woods, MP Buman, JE Cox
Maternal and child health journal, 2012Springer
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 …
Abstract
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 ≥ 16 on the CES-DC was suggestive of major depression. The mean CES-DC scores of the adolescent mothers were ≥16 points at all three time points (baseline: mean = 18.7 ± 10.3; 53% ≥ 16; 12 weeks: mean = 18.4 ± 11.4, 57% ≥ 16; one year: mean = 20.0 ± 11.4; 57% ≥ 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 ≥ 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.
Springer
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