Recto Pamela, Champion Jane Dimmitt
a School of Nursing , University of Texas at Austin , Austin , Texas , USA.
Issues Ment Health Nurs. 2017 Aug;38(8):633-642. doi: 10.1080/01612840.2017.1330908. Epub 2017 Jun 26.
Perinatal depression is a health concern among pregnant and postpartum adolescents as it may negatively impact fetal development and result in complications such as preterm delivery, low infant birth weight, and poor maternal-infant attachment. The purpose of this systematic review is to examine psychosocial risk factors for depression among adolescents during pregnancy and postpartum. A literature search was conducted from five databases from 1995 to 2016. A total of 17 studies matched the inclusion criteria. Lack of social support, perceived stress, prior history of depression, and a history of sexual or physical violence were most frequently identified as potential risk factors for perinatal depression. Additional risk factors include the adolescent's perception of her pregnancy, family criticism, self-efficacy, self-esteem, substance use, parental stress, community violence, anxiety, and African-American ethnicity. Research and clinical implications are indicated for adolescents at risk for perinatal depression.
围产期抑郁症是怀孕和产后青少年群体所面临的一个健康问题，因为它可能会对胎儿发育产生负面影响，并导致早产、低出生体重和母婴依恋关系不佳等并发症。本系统综述的目的是研究孕期和产后青少年抑郁症的心理社会风险因素。我们从五个数据库中进行了1995年至2016年的文献检索。共有17项研究符合纳入标准。缺乏社会支持、感知压力、既往抑郁症病史以及性暴力或身体暴力史最常被确定为围产期抑郁症的潜在风险因素。其他风险因素包括青少年对自己怀孕的认知、家庭批评、自我效能感、自尊、物质使用、父母压力、社区暴力、焦虑以及非裔美国人种族。针对有围产期抑郁症风险的青少年，文中指出了研究和临床意义。
