Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study

Background. Data regarding depression and resilience among adolescents is still lacking. Objective. To assess depressive symptoms and resilience among pregnant adolescents. Method. Depressive symptoms and resilience were assessed using two validated inventories, the 10-item Center for Epidemiologic...

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Main Authors: Danny Salazar-Pousada, Dalton Arroyo, Luis Hidalgo, Faustino R. Pérez-López, Peter Chedraui
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2010/952493
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author Danny Salazar-Pousada
Dalton Arroyo
Luis Hidalgo
Faustino R. Pérez-López
Peter Chedraui
author_facet Danny Salazar-Pousada
Dalton Arroyo
Luis Hidalgo
Faustino R. Pérez-López
Peter Chedraui
author_sort Danny Salazar-Pousada
collection DOAJ
description Background. Data regarding depression and resilience among adolescents is still lacking. Objective. To assess depressive symptoms and resilience among pregnant adolescents. Method. Depressive symptoms and resilience were assessed using two validated inventories, the 10-item Center for Epidemiologic Studies Short Depression Scale (CESD-10) and the 14-item Wagnild and Young Resilience Scale (RS), respectively. A case-control approach was used to compare differences between adolescents and adults. Results. A total of 302 pregnant women were enrolled in the study, 151 assigned to each group. Overall, 56.6% of gravids presented total CESD-10 scores 10 or more indicating depressed mood. Despite this, total CESD-10 scores and depressed mood rate did not differ among studied groups. Adolescents did however display lower resilience reflected by lower total RS scores and a higher rate of scores below the calculated median (P<.05). Logistic regression analysis could not establish any risk factor for depressed mood among studied subjects; however, having an adolescent partner (OR, 2.0 CI 95% 1.06–4.0, P=.03) and a preterm delivery (OR, 3.0 CI 95% 1.43–6.55, P=.004) related to a higher risk for lower resilience. Conclusion. In light of the findings of the present study, programs oriented at giving adolescents support before, during, and after pregnancy should be encouraged.
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spelling doaj-art-4c82eb0703f8408e93f0001e7c0e9beb2025-02-03T06:01:14ZengWileyObstetrics and Gynecology International1687-95891687-95972010-01-01201010.1155/2010/952493952493Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control StudyDanny Salazar-Pousada0Dalton Arroyo1Luis Hidalgo2Faustino R. Pérez-López3Peter Chedraui4High Risk Pregnancy Labor and Delivery Unit, Enrique C. Sotomayor Obstetrics and Gynecology, Hospital Guayaquil, 196 Guayaquil, EcuadorHigh Risk Pregnancy Labor and Delivery Unit, Enrique C. Sotomayor Obstetrics and Gynecology, Hospital Guayaquil, 196 Guayaquil, EcuadorHigh Risk Pregnancy Labor and Delivery Unit, Enrique C. Sotomayor Obstetrics and Gynecology, Hospital Guayaquil, 196 Guayaquil, EcuadorDepartment of Obstetrics and Gynaecology, Hospital Clínico de Zaragoza, Facultad de Medicina, Universidad de Zaragoza, 50009 Zaragoza, SpainHigh Risk Pregnancy Labor and Delivery Unit, Enrique C. Sotomayor Obstetrics and Gynecology, Hospital Guayaquil, 196 Guayaquil, EcuadorBackground. Data regarding depression and resilience among adolescents is still lacking. Objective. To assess depressive symptoms and resilience among pregnant adolescents. Method. Depressive symptoms and resilience were assessed using two validated inventories, the 10-item Center for Epidemiologic Studies Short Depression Scale (CESD-10) and the 14-item Wagnild and Young Resilience Scale (RS), respectively. A case-control approach was used to compare differences between adolescents and adults. Results. A total of 302 pregnant women were enrolled in the study, 151 assigned to each group. Overall, 56.6% of gravids presented total CESD-10 scores 10 or more indicating depressed mood. Despite this, total CESD-10 scores and depressed mood rate did not differ among studied groups. Adolescents did however display lower resilience reflected by lower total RS scores and a higher rate of scores below the calculated median (P<.05). Logistic regression analysis could not establish any risk factor for depressed mood among studied subjects; however, having an adolescent partner (OR, 2.0 CI 95% 1.06–4.0, P=.03) and a preterm delivery (OR, 3.0 CI 95% 1.43–6.55, P=.004) related to a higher risk for lower resilience. Conclusion. In light of the findings of the present study, programs oriented at giving adolescents support before, during, and after pregnancy should be encouraged.http://dx.doi.org/10.1155/2010/952493
spellingShingle Danny Salazar-Pousada
Dalton Arroyo
Luis Hidalgo
Faustino R. Pérez-López
Peter Chedraui
Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study
Obstetrics and Gynecology International
title Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study
title_full Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study
title_fullStr Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study
title_full_unstemmed Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study
title_short Depressive Symptoms and Resilience among Pregnant Adolescents: A Case-Control Study
title_sort depressive symptoms and resilience among pregnant adolescents a case control study
url http://dx.doi.org/10.1155/2010/952493
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