Abdul Rahim Komal, Egglestone Natasha J, Tsagareli Irakli G, Usmani Wania, Meherali Salima, Lassi Zohra S
Internal Medicine, Aga Khan University Hospital, Karachi, Pakistan.
Dean's Office, Medical College, Aga Khan University, Karachi, Pakistan.
Health Psychol Behav Med. 2024 Jan 31;12(1):2305741. doi: 10.1080/21642850.2024.2305741. eCollection 2024.
Adolescence is the most crucial part of life. The vulnerability of adolescent mothers is even more pronounced and can affect various health aspects. While they suffer from social and emotional stresses shortly after giving birth, the long-term effect after the post-partum period of adolescent pregnancy on the mental outcomes holds prime importance. Thus, this systematic review aims to ascertain the association between adolescent pregnancy on mental health outcomes.
The search strategy was run in June 2023 on databases including PubMed, CINAHL, Scopus, Psych Info, and Embase . Quality assessment of the studies was done using the National Institute of Health (NIH)'s National Heart, Lung and Blood Institute (NHLBI) tool for observational studies. For studies that measured similar outcomes, a meta-analysis was conducted.
The search strategy yielded 21 results from all databases and cross-referencing. Of these, all except for one (case-control) were cross-sectional and cohort studies. The pooled analysis found a significant association between adolescent pregnancy and depression (RR 1.34; 95% CI 1.05, 1.72, 6 studies, heterogeneity: Chi P 0.01; I = 60%); however, no association was found in anxiety (RR 1.05; 95% CI 0.26, 4.14, 2 studies; heterogeneity: Chi² = 0.0003; I = 93%) and suicidal ideation (RR 3.21; 95% CI 0.17, 59.33; 3 studies; heterogeneity: Chi < 0.00001; I = 98%).
These findings suggest that the mental health needs of adolescent mothers must be addressed and innovative and effective interventions that support and address the mental health needs of adolescent mothers are needed to improve their mental health.
青春期是人生中最关键的阶段。青少年母亲的脆弱性更为明显，会影响到各个健康方面。她们在产后不久就会遭受社会和情感压力，而青少年怀孕产后对心理结果的长期影响至关重要。因此，本系统综述旨在确定青少年怀孕与心理健康结果之间的关联。
检索策略于2023年6月在包括PubMed、CINAHL、Scopus、Psych Info和Embase在内的数据库中运行。使用美国国立卫生研究院（NIH）的国立心肺血液研究所（NHLBI）观察性研究工具对研究进行质量评估。对于测量相似结果的研究，进行了荟萃分析。
检索策略从所有数据库及交叉引用中获得了21项结果。其中，除一项（病例对照）外，其余均为横断面研究和队列研究。汇总分析发现青少年怀孕与抑郁症之间存在显著关联（风险比1.34；95%置信区间1.05，1.72，6项研究，异质性：卡方检验P = 0.01；I² = 60%）；然而，未发现与焦虑（风险比1.05；95%置信区间0.26，4.14，2项研究；异质性：卡方检验= 0.0003；I² = 93%）和自杀意念（风险比3.21；95%置信区间0.17，59.33；3项研究；异质性：卡方检验< 0.00001；I² = 98%）存在关联。
这些发现表明，必须关注青少年母亲的心理健康需求，需要创新且有效的干预措施来支持并满足青少年母亲的心理健康需求，以改善她们的心理健康状况。
