Salazar-Pousada Danny, Arroyo Dalton, Hidalgo Luis, Pérez-López Faustino R, Chedraui Peter
High Risk Pregnancy Labor and Delivery Unit, Enrique C. Sotomayor Obstetrics and Gynecology, Hospital Guayaquil, 196 Guayaquil, Ecuador.
Obstet Gynecol Int. 2010;2010:952493. doi: 10.1155/2010/952493. Epub 2011 Feb 21.
Background. Data regarding depression and resilience among adolescents is still lacking. Objective. To assess depressive symptoms and resilience among pregnant adolescents. Method. Depressive symptoms and resilience were assessed using two validated inventories, the 10-item Center for Epidemiologic Studies Short Depression Scale (CESD-10) and the 14-item Wagnild and Young Resilience Scale (RS), respectively. A case-control approach was used to compare differences between adolescents and adults. Results. A total of 302 pregnant women were enrolled in the study, 151 assigned to each group. Overall, 56.6% of gravids presented total CESD-10 scores 10 or more indicating depressed mood. Despite this, total CESD-10 scores and depressed mood rate did not differ among studied groups. Adolescents did however display lower resilience reflected by lower total RS scores and a higher rate of scores below the calculated median (P < .05). Logistic regression analysis could not establish any risk factor for depressed mood among studied subjects; however, having an adolescent partner (OR, 2.0 CI 95% 1.06-4.0, P = .03) and a preterm delivery (OR, 3.0 CI 95% 1.43-6.55, P = .004) related to a higher risk for lower resilience. Conclusion. In light of the findings of the present study, programs oriented at giving adolescents support before, during, and after pregnancy should be encouraged.
背景。关于青少年抑郁和心理韧性的数据仍然匮乏。目的。评估怀孕青少年的抑郁症状和心理韧性。方法。分别使用两个经过验证的量表评估抑郁症状和心理韧性，即10项流行病学研究中心抑郁短量表（CESD - 10）和14项瓦格尼尔和杨心理韧性量表（RS）。采用病例对照方法比较青少年和成年人之间的差异。结果。共有302名孕妇参与研究，每组151人。总体而言，56.6%的孕妇CESD - 10总分达到或超过10分，表明情绪抑郁。尽管如此，研究组之间CESD - 10总分和抑郁情绪发生率并无差异。然而，青少年的心理韧性较低，表现为RS总分较低以及低于计算中位数的分数比例较高（P < .05）。逻辑回归分析未能确定研究对象中抑郁情绪的任何风险因素；然而，伴侣为青少年（比值比，2.0；95%置信区间1.06 - 4.0，P = .03）和早产（比值比，3.0；95%置信区间1.43 - 6.55，P = .004）与心理韧性较低的较高风险相关。结论。根据本研究结果，应鼓励开展旨在在怀孕前、期间和之后为青少年提供支持的项目。
