Longitudinal study of depressive symptoms and social support in adolescent mothers

Joanna D. Brown, Sion Kim Harris, Elizabeth R. Woods, Matthew Buman, Joanne E. Cox

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Previous studies have suggested that adolescent mothers with higher social support have lower depressive symptoms. This is a longitudinal study of adolescent mothers to examine the association of social support and depressive symptoms over one year postpartum. This was a prospective study of adolescent mothers (N at baseline = 120, N at 1 year = 89; age < 19 years) enrolled in a teen tot program. Participants completed the Center for Epidemiological Studies Depression Scale for children (CES-DC) and the Duke-UNC Functional Social Support Questionnaire at baseline, 12 weeks, and 1 year. A score of ≥ 16 on theCES-DCwas suggestive ofmajor depression. The mean CES-DC scores of the adolescent mothers were ≥ 16 points at all three time points (baseline:mean = 18.7 ± 10.3; 53% ≥ 16; 12 weeks:mean = 18.4 ± 11.4, 57% ≥ 16; one year: mean = 20.0 ± 11.4; 57% ≥ 16). Social support had a significant, inverse association with depressive symptoms for all participants from baseline to 12 weeks with a stronger association for those with more depressive symptoms (score ≥ 16) at baseline (beta = -0.030 ± 0.007; P < 0.001) than for those with fewer depressive symptoms (score < 16) at baseline (beta = -0.013 ± 0.006; P = 0.021). From 12 weeks to one year, increased social support was only significantly associated with decreased depressive symptoms for those with a higher baseline level of depressive symptoms (beta = - 0.039 ± 0.009; P<0.001). Depressive symptoms were prevalent among adolescent mothers. For more depressed adolescent mothers, higher levels of social support were associated with less depressive symptoms over the 1 year follow-up. Effective long-term interventions are needed to lessen depression and enhance social support.

Original languageEnglish (US)
Pages (from-to)894-901
Number of pages8
JournalMaternal and Child Health Journal
Volume16
Issue number4
DOIs
StatePublished - May 2012
Externally publishedYes

Fingerprint

Social Support
Longitudinal Studies
Mothers
Depression
Epidemiologic Studies
Postpartum Period
Prospective Studies

Keywords

  • Adolescent mothers
  • Depression
  • Social support
  • Teen mothers
  • Teen tot program

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Longitudinal study of depressive symptoms and social support in adolescent mothers. / Brown, Joanna D.; Harris, Sion Kim; Woods, Elizabeth R.; Buman, Matthew; Cox, Joanne E.

In: Maternal and Child Health Journal, Vol. 16, No. 4, 05.2012, p. 894-901.

Research output: Contribution to journalArticle

Brown, Joanna D. ; Harris, Sion Kim ; Woods, Elizabeth R. ; Buman, Matthew ; Cox, Joanne E. / Longitudinal study of depressive symptoms and social support in adolescent mothers. In: Maternal and Child Health Journal. 2012 ; Vol. 16, No. 4. pp. 894-901.
@article{92c230d05b9843208ea27a79dca8997b,
title = "Longitudinal study of depressive symptoms and social support in adolescent mothers",
abstract = "Previous studies have suggested that adolescent mothers with higher social support have lower depressive symptoms. This is a longitudinal study of adolescent mothers to examine the association of social support and depressive symptoms over one year postpartum. This was a prospective study of adolescent mothers (N at baseline = 120, N at 1 year = 89; age < 19 years) enrolled in a teen tot program. Participants completed the Center for Epidemiological Studies Depression Scale for children (CES-DC) and the Duke-UNC Functional Social Support Questionnaire at baseline, 12 weeks, and 1 year. A score of ≥ 16 on theCES-DCwas suggestive ofmajor depression. The mean CES-DC scores of the adolescent mothers were ≥ 16 points at all three time points (baseline:mean = 18.7 ± 10.3; 53{\%} ≥ 16; 12 weeks:mean = 18.4 ± 11.4, 57{\%} ≥ 16; one year: mean = 20.0 ± 11.4; 57{\%} ≥ 16). Social support had a significant, inverse association with depressive symptoms for all participants from baseline to 12 weeks with a stronger association for those with more depressive symptoms (score ≥ 16) at baseline (beta = -0.030 ± 0.007; P < 0.001) than for those with fewer depressive symptoms (score < 16) at baseline (beta = -0.013 ± 0.006; P = 0.021). From 12 weeks to one year, increased social support was only significantly associated with decreased depressive symptoms for those with a higher baseline level of depressive symptoms (beta = - 0.039 ± 0.009; P<0.001). Depressive symptoms were prevalent among adolescent mothers. For more depressed adolescent mothers, higher levels of social support were associated with less depressive symptoms over the 1 year follow-up. Effective long-term interventions are needed to lessen depression and enhance social support.",
keywords = "Adolescent mothers, Depression, Social support, Teen mothers, Teen tot program",
author = "Brown, {Joanna D.} and Harris, {Sion Kim} and Woods, {Elizabeth R.} and Matthew Buman and Cox, {Joanne E.}",
year = "2012",
month = "5",
doi = "10.1007/s10995-011-0814-9",
language = "English (US)",
volume = "16",
pages = "894--901",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "4",

}

TY - JOUR

T1 - Longitudinal study of depressive symptoms and social support in adolescent mothers

AU - Brown, Joanna D.

AU - Harris, Sion Kim

AU - Woods, Elizabeth R.

AU - Buman, Matthew

AU - Cox, Joanne E.

PY - 2012/5

Y1 - 2012/5

N2 - Previous studies have suggested that adolescent mothers with higher social support have lower depressive symptoms. This is a longitudinal study of adolescent mothers to examine the association of social support and depressive symptoms over one year postpartum. This was a prospective study of adolescent mothers (N at baseline = 120, N at 1 year = 89; age < 19 years) enrolled in a teen tot program. Participants completed the Center for Epidemiological Studies Depression Scale for children (CES-DC) and the Duke-UNC Functional Social Support Questionnaire at baseline, 12 weeks, and 1 year. A score of ≥ 16 on theCES-DCwas suggestive ofmajor depression. The mean CES-DC scores of the adolescent mothers were ≥ 16 points at all three time points (baseline:mean = 18.7 ± 10.3; 53% ≥ 16; 12 weeks:mean = 18.4 ± 11.4, 57% ≥ 16; one year: mean = 20.0 ± 11.4; 57% ≥ 16). Social support had a significant, inverse association with depressive symptoms for all participants from baseline to 12 weeks with a stronger association for those with more depressive symptoms (score ≥ 16) at baseline (beta = -0.030 ± 0.007; P < 0.001) than for those with fewer depressive symptoms (score < 16) at baseline (beta = -0.013 ± 0.006; P = 0.021). From 12 weeks to one year, increased social support was only significantly associated with decreased depressive symptoms for those with a higher baseline level of depressive symptoms (beta = - 0.039 ± 0.009; P<0.001). Depressive symptoms were prevalent among adolescent mothers. For more depressed adolescent mothers, higher levels of social support were associated with less depressive symptoms over the 1 year follow-up. Effective long-term interventions are needed to lessen depression and enhance social support.

AB - Previous studies have suggested that adolescent mothers with higher social support have lower depressive symptoms. This is a longitudinal study of adolescent mothers to examine the association of social support and depressive symptoms over one year postpartum. This was a prospective study of adolescent mothers (N at baseline = 120, N at 1 year = 89; age < 19 years) enrolled in a teen tot program. Participants completed the Center for Epidemiological Studies Depression Scale for children (CES-DC) and the Duke-UNC Functional Social Support Questionnaire at baseline, 12 weeks, and 1 year. A score of ≥ 16 on theCES-DCwas suggestive ofmajor depression. The mean CES-DC scores of the adolescent mothers were ≥ 16 points at all three time points (baseline:mean = 18.7 ± 10.3; 53% ≥ 16; 12 weeks:mean = 18.4 ± 11.4, 57% ≥ 16; one year: mean = 20.0 ± 11.4; 57% ≥ 16). Social support had a significant, inverse association with depressive symptoms for all participants from baseline to 12 weeks with a stronger association for those with more depressive symptoms (score ≥ 16) at baseline (beta = -0.030 ± 0.007; P < 0.001) than for those with fewer depressive symptoms (score < 16) at baseline (beta = -0.013 ± 0.006; P = 0.021). From 12 weeks to one year, increased social support was only significantly associated with decreased depressive symptoms for those with a higher baseline level of depressive symptoms (beta = - 0.039 ± 0.009; P<0.001). Depressive symptoms were prevalent among adolescent mothers. For more depressed adolescent mothers, higher levels of social support were associated with less depressive symptoms over the 1 year follow-up. Effective long-term interventions are needed to lessen depression and enhance social support.

KW - Adolescent mothers

KW - Depression

KW - Social support

KW - Teen mothers

KW - Teen tot program

UR - http://www.scopus.com/inward/record.url?scp=84860883577&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84860883577&partnerID=8YFLogxK

U2 - 10.1007/s10995-011-0814-9

DO - 10.1007/s10995-011-0814-9

M3 - Article

VL - 16

SP - 894

EP - 901

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - 4

ER -