BIROn - Birkbeck Institutional Research Online

    Young pregnant women and risk for mental disorders: findings from an early pregnancy cohort

    Lockwood Estrin, Georgia and Ryan, E.G. and Trevillion, K. and Demilew, J. and Bick, D. and Pickles, A. and Howard, L.M. (2019) Young pregnant women and risk for mental disorders: findings from an early pregnancy cohort. BJPsych Open 5 (2), e21. ISSN 2056-4724.

    [img]
    Preview
    Text
    article.pdf - Published Version of Record
    Available under License Creative Commons Attribution.

    Download (273kB) | Preview

    Abstract

    BACKGROUND:Young women aged 16-24 are at high risk of common mental disorders (CMDs), but the risk during pregnancy is unclear.AimsTo compare the population prevalence of CMDs in pregnant women aged 16-24 with pregnant women ≥25 years in a representative cohort, hypothesising that younger women are at higher risk of CMDs (depression, anxiety disorders, post-traumatic stress disorder, obsessive-compulsive disorder), and that this is associated with low social support, higher rates of lifetime abuse and unemployment. METHOD:Analysis of cross-sectional baseline data from a cohort of 545 women (of whom 57 were aged 16-24 years), attending a South London maternity service, with recruitment stratified by endorsement of questions on low mood, interviewed with the Structured Clinical Interview DSM-IV-TR. RESULTS:Population prevalence estimates of CMDs were 45.1% (95% CI 23.5-68.7) in young women and 15.5% (95% CI 12.0-19.8) in women ≥25, and for 'any mental disorder' 67.2% (95% CI 41.7-85.4) and 21.2% (95% CI 17.0-26.1), respectively. Young women had greater odds of having a CMD (adjusted odds ratio (aOR) = 5.8, 95% CI 1.8-18.6) and CMDs were associated with living alone (aOR = 3.0, 95% CI 1.1-8.0) and abuse (aOR = 1.5, 95% CI 0.8-2.8). CONCLUSIONS:Pregnant women between 16 and 24 years are at very high risk of mental disorders; services need to target resources for pregnant women under 25, including those in their early 20s. Interventions enhancing social networks, addressing abuse and providing adequate mental health treatment may minimise adverse outcomes for young women and their children.Declaration of interestNone.

    Metadata

    Item Type: Article
    Keyword(s) / Subject(s): Trauma, Anxiety Disorders, Depressive Disorders, Perinatal Psychiatry
    School: Birkbeck Schools and Departments > School of Science > Psychological Sciences
    Research Centre: Brain and Cognitive Development, Centre for (CBCD)
    SWORD Depositor: Mr Joe Tenant
    Depositing User: Mr Joe Tenant
    Date Deposited: 10 Jul 2019 18:42
    Last Modified: 28 Jul 2019 20:19
    URI: http://eprints.bbk.ac.uk/id/eprint/27761

    Statistics

    Downloads
    Activity Overview
    61Downloads
    75Hits

    Additional statistics are available via IRStats2.

    Archive Staff Only (login required)

    Edit/View Item Edit/View Item