Lesinskienė Sigita, Andruškevič Justina, Butvilaitė Agnė
Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 01513 Vilnius, Lithuania.
J Clin Med. 2025 Mar 28;14(7):2334. doi: 10.3390/jcm14072334.
Adolescent pregnancy remains a global issue, demanding comprehensive, long-term solutions. Despite declining rates, early pregnancy leads to severe physical and mental health risks along with increased mortality. Therefore, adolescent pregnancy requires urgent global action. This literature review evaluates pregnant adolescents' psychological health issues, explores their needs, and investigates interdisciplinary approaches to enhance mental and physical health support. Studies show that adolescent pregnancy poses significant mental health risks and is associated with high rates of depression, suicidal ideation, low self-esteem, substance use, and anxiety. Co-occurring hardships further worsen psychological well-being. Found data indicated that the main needs of pregnant adolescents were adequate sexual and reproductive health; legal rights; high-quality, accessible healthcare; and socioeconomic support. The included references revealed several interventions and recommendations for supporting pregnant adolescents while highlighting challenges in the current framework. Pregnant adolescents face diverse gaps in current support systems. Further research is needed addressing social services, reproductive health consultations, and mental health support. Greater emphasis on multidisciplinary approaches and examples of effective support strategies is crucial to creating a nurturing environment and securing the well-being of pregnant adolescents.
青少年怀孕仍然是一个全球性问题,需要全面、长期的解决方案。尽管怀孕率在下降,但早孕会导致严重的身心健康风险以及死亡率上升。因此,青少年怀孕需要全球采取紧急行动。这篇文献综述评估了怀孕青少年的心理健康问题,探讨了他们的需求,并研究了增强身心健康支持的跨学科方法。研究表明,青少年怀孕会带来重大的心理健康风险,与高比例的抑郁、自杀意念、低自尊、物质使用和焦虑相关。同时出现的困难会进一步恶化心理健康状况。已发现的数据表明,怀孕青少年的主要需求是充分的性健康和生殖健康、合法权利、高质量且可获得的医疗保健以及社会经济支持。纳入的参考文献揭示了一些支持怀孕青少年的干预措施和建议,同时突出了当前框架中的挑战。怀孕青少年在当前的支持系统中面临各种差距。需要进一步开展关于社会服务、生殖健康咨询和心理健康支持的研究。更加强调多学科方法以及有效支持策略的实例对于营造一个滋养的环境和保障怀孕青少年的福祉至关重要。