Prevalence, stability, and socio-demographic correlates of depressive symptoms in black mothers during the first 18 months postpartum.

OBJECTIVES: The goals of this longitudinal study were to evaluate 1) the prevalence and stability of high depressive symptom levels during the first 18 months postpartum in a sample of otherwise healthy Black mothers varying in socio-economic status and 2) the relation of sociodemographic variables...

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Publicado en:Maternal & Child Health Journal Vol. 7; no. 3; pp. 157 - 169
Autores principales: Beeghly M, Olson KL, Weinberg MK, Pierre SC, Downey N, Tronick EZ
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2003
      vid: 7
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      pub: Springer Nature
      place: New York, New York
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        atl: Prevalence, stability, and socio-demographic correlates of depressive symptoms in black mothers during the first 18 months postpartum.
      aug:
        au:
          Beeghly M
          Olson KL
          Weinberg MK
          Pierre SC
          Downey N
          Tronick EZ
        affil: Child Development Unit, Children's Hospital, 1295 Boylston Street, Suite 320, Boston, MA 02215; marjorie.beeghly@tch.harvard.edu
      sug:
        subj:
          Black Persons Psychosocial Factors
          Depression, Postpartum Epidemiology
          Depression, Postpartum Ethnology
          Depression, Postpartum Risk Factors
          Academic Medical Centers
          Adult
          Brief Symptom Inventory
          Center for Epidemiological Studies Depression Scale
          Chi Square Test
          Coefficient alpha
          Concurrent Validity
          Depression, Postpartum Symptoms
          Descriptive Statistics
          Female
          Funding Source
          Marital Status
          Massachusetts
          One-Way Analysis of Variance
          P-Value
          Pearson's Correlation Coefficient
          Post Hoc Analysis
          Pregnancy
          Prevalence
          Prospective Studies
          Psychological Tests
          Questionnaires
          Race Factors
          Risk Factors
          Scales
          Social Class
          Socioeconomic Factors
          Stability
          Human
          Adult: 19-44 years
          Female
      ab: OBJECTIVES: The goals of this longitudinal study were to evaluate 1) the prevalence and stability of high depressive symptom levels during the first 18 months postpartum in a sample of otherwise healthy Black mothers varying in socio-economic status and 2) the relation of sociodemographic variables and level of socio-demographic risk to maternal depressive symptom levels during this time period. METHODS: Participants were 163 Black adult mothers of healthy, full-term infants. The level of mothers' depressive symptomatology was assessed at 2, 3, 6, 12, and 18 months postpartum using the Center for Epidemiological Studies-Depression Scale (CES-D). Mothers provided socio-demographic information at each assessment. Univariate and bivariate analyses were used to analyze the data. RESULTS: The percentage of mothers with an elevated CES-D score (16 or higher) at single visits ranged from 13.5 to 14.7%, and 35.0% had at least one elevated CES-D score by 18 months postpartum. CES-D total scores were significantly correlated across each pair of visits (mean r = 0.57, all p's < 0.0001), and average CES-D scores did not change significantly over time. Single marital status, low-income status, and more negative maternal perceptions of the adequacy of income for meeting familial needs were significantly related to higher maternal CES-D scores at each assessment (all p's < 0.05). Level of socio-demographic risk, as assessed with a composite risk score derived from these variables, was significantly related to higher average CES-D scores (averaged across visits) (p < 0.0001) and to a greater frequency of elevated CES-D scores (16 or higher) during the first 18 months postpartum (p = 0.0002). CONCLUSIONS: The prevalence and stability of high levels of maternal depressive symptomatology during the first 18 months postpartum in this sample of Black women are consistent with those reported in prior studies of community samples of mothers unselected for race. Mothers with higher socio-demographic risk profiles had higher levels of maternal depressive symptoms at each assessment point.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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