Easterbrooks M Ann, Kotake Chie, Raskin Maryna, Bumgarner Erin
Eliot-Pearson Department of Child Study and Human Development, Tufts University.
Am J Orthopsychiatry. 2016 Jan;86(1):61-8. doi: 10.1037/ort0000093. Epub 2015 Oct 12.
The negative consequences of maternal depression are a major public health concern, both for mothers and for their children. Despite the high prevalence of depression among adolescent mothers, little is known about the patterns of adolescent mothers' depression in the early parenting years. The present study examined mothers' depression during the first 2 years following childbirth in a sample of 428 young mothers (20 or younger at first childbirth) who were participants in a randomized controlled trial of a home visiting parenting support program. Depressive symptoms were assessed using the self-reported Center for Epidemiological Studies Depression Scale (CES-D). Mothers were classified into groups based on whether their depressive symptoms were below or above the cutoff for clinically significant symptomatology. Depression groups (stable nondepressed, stable depressed, remitted depression) were associated with variations in mothers' satisfaction with support from the baby's father and enrollment in the home visiting program. Maternal depression was more likely to remit when mothers were satisfied with father support; assignment to the home visiting program was associated with mothers remaining mentally healthy. Results have clinical and policy implications for prevention and intervention programs.
母亲抑郁的负面后果是一个重大的公共卫生问题，对母亲及其子女均是如此。尽管青少年母亲中抑郁症的患病率很高，但对于青少年母亲在育儿早期的抑郁模式却知之甚少。本研究在428名年轻母亲（首次分娩时年龄为20岁或更小）的样本中，考察了产后头两年母亲的抑郁情况，这些母亲参与了一项关于家访育儿支持项目的随机对照试验。使用自我报告的流行病学研究中心抑郁量表（CES-D）评估抑郁症状。根据母亲的抑郁症状是否低于或高于具有临床意义的症状学临界值，将母亲分为不同组。抑郁组（持续无抑郁、持续抑郁、缓解性抑郁）与母亲对来自婴儿父亲的支持的满意度以及参与家访项目的情况存在差异有关。当母亲对父亲的支持感到满意时，母亲抑郁更有可能缓解；被分配到家访项目与母亲保持心理健康有关。研究结果对预防和干预项目具有临床和政策意义。
