Cognitive and Mental Health of Young Mothers' Offspring: A Meta-analysis.

BACKGROUND AND OBJECTIVES: The nature and magnitude of the cognitive and mental health risks among the offspring of young mothers is not fully understood. Our objective is to examine the risk of mental disorders in these offspring. METHODS: Five databases (Medline, Embase,Web of Science, PsycINFO, a...

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Publicado en:Pediatrics Vol. 150; no. 5; pp. 1 - 43
Autores principales: Cresswell, Liam, Faltyn, Mateusz, Lawrence, Claire, Tsai, Zoe, Owais, Sawayra, Savoy, Calan, Lipman, Ellen, Van Lieshout, Ryan J.
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: American Academy of Pediatrics Nov2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2022
      vid: 150
      iid: 5
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      pub: American Academy of Pediatrics
      place: Elk Grove Village, Illinois
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        10.1542/peds.2022-057561
        164235172
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        atl: Cognitive and Mental Health of Young Mothers' Offspring: A Meta-analysis.
      aug:
        au:
          Cresswell, Liam
          Faltyn, Mateusz
          Lawrence, Claire
          Tsai, Zoe
          Owais, Sawayra
          Savoy, Calan
          Lipman, Ellen
          Van Lieshout, Ryan J.
        affil: Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
      sug:
        subj:
          Mothers Psychosocial Factors
          Mental Disorders Risk Factors
          Risk Assessment
          Cognition
          Mental Health
          Human
          Systematic Review
          Meta Analysis
          Medline
          Embase
          Psycinfo
          CINAHL Database
          Scales
          Confidence Intervals
          Quality Assessment
          Descriptive Statistics
      ab: BACKGROUND AND OBJECTIVES: The nature and magnitude of the cognitive and mental health risks among the offspring of young mothers is not fully understood. Our objective is to examine the risk of mental disorders in these offspring. METHODS: Five databases (Medline, Embase,Web of Science, PsycINFO, and CINAHL) were searched from their inceptions until February 2022. Studies were eligible if they assessed offspring of young mothers (<21 years), contained a control group, and assessed any cognitive and/or mental health outcomes. Random-effects meta-analysis was used to generate standardized mean differences (SMDs) in infants (0-3 years), children (4-9), adolescents (10-19), and adults (20+). Methodological bias was assessed using the Newcastle-Ottawa Scale. RESULTS: 51 outcomes were meta-analyzed. Levels of cognitive and learning problems were higher among the infants (SMD = 0.30 [95% confidence interval 0.0-0.55]) and adolescents (SMD = 0.43 [0.24 to 0.62]) of young mothers. Adolescents had more symptoms of delinquency (SMD = 0.24 [0.12 to 0.36]). As adults, they are more often convicted of violent crimes (SMD = 0.36 [0.22 to 0.50]). Internalizing symptoms were higher in these offspring in childhood (SMD = 0.29 [0.14 to 0.45]) and adulthood (SMD = 0.35 [0.34 to 0.36]). This review uses unadjusted data and is thus unequipped to infer causality. Studies have high attrition and rely heavily on self-report. CONCLUSIONS: Young mothers' offspring have more cognitive, externalizing, and internalizing problems across the lifespan than individuals born to mothers ≥21 years of age. They may benefit from early detection and support.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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