Dataset Information

A lifespan perspective on depression in the postpartum period in a racially and socioeconomically diverse sample of young mothers.

ABSTRACT:

Background

Consistent evidence from retrospective reports and case registry studies indicates that a history of depression is a major risk factor for depression in the peripartum period. However, longitudinal studies with racially and socioeconomically diverse samples of young mothers are lacking, and little is known about developmental patterns of depression across the lifespan that can inform preventive interventions.

Methods

Young primiparous mothers (n = 399, 13-25 years, 81% Black) were recruited from a population-based prospective study that began in childhood. Women reported on depression symptoms for at least 3 years prior to their pregnancy, during pregnancy, and at 4 months postpartum. Linear regression models were used to estimate change in pre-pregnancy depression severity and to evaluate associations between patterns of lifetime history and postpartum depression symptoms.

Results

Results revealed high levels of continuity in depression from pregnancy to postpartum, and across multiple years pre-pregnancy to postpartum. Overall, depression severity leading up to pregnancy decreased over time, but patterns of worsening or improving symptoms were not associated with depression severity in the postpartum period. Instead, area under the pre-pregnancy trajectory curve, representing cumulative lifetime depression burden, was uniquely associated with postpartum depression after adjusting for prenatal depression severity.

Conclusions

Depression in the postpartum period should be considered within a lifespan perspective of risk that accumulates before conception. Clinical screening and early interventions are needed in adolescence and young adulthood to prevent the onset and persistence of depressive symptoms that could have long-term implications for peripartum health.

SUBMITTER: Hipwell AE

PROVIDER: S-EPMC9637236 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature

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Publications

A lifespan perspective on depression in the postpartum period in a racially and socioeconomically diverse sample of young mothers.

Hipwell Alison E AE Tung Irene I Krafty Robert T RT Leong Audrey W AW Spada Meredith M Vaccaro Hope H Homitsky Sarah C SC Moses-Kolko Eydie E Keenan Kate K

Psychological medicine 20220506 10

<h4>Background</h4>Consistent evidence from retrospective reports and case registry studies indicates that a history of depression is a major risk factor for depression in the peripartum period. However, longitudinal studies with racially and socioeconomically diverse samples of young mothers are lacking, and little is known about developmental patterns of depression across the lifespan that can inform preventive interventions.<h4>Methods</h4>Young primiparous mothers (<i>n</i> = 399, 13-25 year ...[more]

PMID: 35513948

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Project description:ObjectiveTo determine the associations between screen media use and sleep throughout infancy (3-12 months).DesignProspective Nurture birth cohort.SettingNorth Carolina, USA, 2013-2015.ParticipantsWomen enrolled in their second to third trimester, completed a phone interview after birth, and completed home visits at 3, 6, 9 and 12 months post partum.Primary and secondary outcome measuresWomen reported the usual hours their infants slept during the day and night and their infants' usual use of five screen media activities at 3, 6, 9 and 12 months post partum. Adjusted mixed-effects regression analyses modelled the associations between infant screen time and sleep outcomes while disaggregating the between-infant and within-infant effects.ResultsAmong 558 mother-infant dyads, 374 (67.0%) infants were black and 304 (54.5%) households earned <$20 000 per year. Half (254, 50.2%) of the infants engaged with screens at 3 months of age, while 326 (72.9%) engaged at 12 months. The median value of the average daily screen time over the study period was 50 (IQR: 10-141) min. Infant screen time was inversely associated with night-time sleep duration only when considering between-infant effects (adjusted beta: -2.9; 95% CI -5.9 to 0.0; p=0.054 for log-transformed screen time). Effects were stronger for television+DVD viewing specifically (adjusted beta: -5.2; 95% CI -9.1 to -1.4; p<0.01 for log-transformed television+DVD time). For example, an infant who averaged 1 hour of television+DVD viewing over the study period slept, on average, 9.20 (95% CI 9.02 to 9.37) hours per night by 12 months compared with 9.60 (95% CI 9.41 to 9.80) hours per night for an infant with no screen time over the study period. There were no significant within-infant effects between screen time and night-time sleep, and screen time was not associated with daytime sleep or night-time awakenings.ConclusionsScreen time during infancy was inversely associated with night-time sleep duration; however, causal associations remain uncertain.Trial registration numberNCT01788644.

Dataset Information

A lifespan perspective on depression in the postpartum period in a racially and socioeconomically diverse sample of young mothers.

Background

Methods

Results

Conclusions

Publications

A lifespan perspective on depression in the postpartum period in a racially and socioeconomically diverse sample of young mothers.

Similar Datasets

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