Graduate Program in Health and Behavior, Universidade Católica de Pelotas, Brazil.
Braz J Psychiatry. 2013 Mar;35(1):51-6. doi: 10.1016/j.rbp.2012.03.006.
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.
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.
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.
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.
描述青少年母亲在怀孕期间重度抑郁障碍（MDD）的患病率，并评估其与社会人口学特征、产科史和心理社会变量的相关性。
这是一项横断面研究，纳入了巴西南部皮拉塔斯市城市地区参加国家公共卫生系统的孕妇青少年样本。使用 Mini 国际神经精神访谈评估 MDD，使用虐待评估筛查来识别过去 12 个月和怀孕期间的身体虐待，使用医疗结局调查社会支持量表评估社会支持。
共有 43 名（4.94%）潜在参与者拒绝参与，最终共有 828 名参与者。MDD 的患病率为 17.8%，9.2%的人报告在过去 12 个月内遭受过暴力，5.8%的人在怀孕期间遭受过暴力，总体社会支持评分的平均值（标准差）为 87.40（11.75）。调整后，我们发现受教育程度低于 8 年的青少年中 MDD 的发病率最高，其次是有过 MDD 发作史和整体社会支持较低的青少年。
MDD 在孕妇青少年中较为常见，似乎在社会经济和心理社会地位较低的年轻母亲中更为普遍。
