Effects of Adolescent Childbearing on Maternal Depression and Problem Behaviors: A Prospective, Population-Based Study Using Risk-Set Propensity Scores.

作者: Alison E. Hipwell , Joseph Murray , Shuangyan Xiong , Stephanie D. Stepp , Kate E. Keenan

DOI: 10.1371/JOURNAL.PONE.0155641

关键词: PsychiatryPregnancyContext (language use)Depression (differential diagnoses)Clinical psychologyMedicinePostpartum periodPropensity score matchingCannabisPostpartum depressionPsychopathology

摘要: Adolescent mothers are reportedly at risk for depression and problem behaviors in the postpartum period, but studies have rarely considered developmental context yet to disentangle effects of childbearing on adolescent functioning from selection that associated with early pregnancy. The current study examined changes depression, conduct problems substance use (alcohol, tobacco marijuana) across peripartum period using risk-set propensity scores derived a population-based, prospective began childhood (the Pittsburgh Girls Study, PGS). Each 147 adolescents (ages 12–19) was matched two same-age, non-childbearing (n = 294) pregnancy 15 time-varying variables sociodemographic, psychopathology, use, family, peer neighborhood domains assessed PGS wave prior each (T1). Postpartum were within first 6 months following delivery (T2); data gathered controls spanned same interval. Within group, marijuana reduced T1 T2, severity frequency alcohol or showed no change. When change compared groups, greater reduction among adolescents. Relative who reported more frequent time, less period. There group differences patterns use. results do not support notion represents heightened behaviors.

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