Distinct Trajectories of Perinatal Depressive Symptomatology: Evidence From Growth Mixture Modeling

摘要: Although heterogeneity in the timing and persistence of maternal depressive symptomatology has implications for screening treatment as well associated child health outcomes, little is known about this variability. A prospective observational study 1,735 low-income, multiethnic, inner-city women recruited pregnancy from 2000 to 2002 followed prospectively until 2004 (1 prenatal 3 postpartum interviews) was used determine whether distinct trajectories can be defined through 2 years postpartum. Analysis carried out general growth mixture modeling. model with 5 trajectory classes characterized seen magnitude symptoms among participants Philadelphia, Pennsylvania. These included following: 1) always or chronic (7%); 2) antepartum only (6%); 3) postpartum, which resolves after first year (9%); 4) late, present at 25 months 5) never having (71%). Women these differed demographic (nativity, education, race, parity) health, behavior, psychosocial characteristics (ambivalence high objective stress). This should considered depression programs. Additional research needed association outcomes.