Journal article
Distinct Trajectories of Perinatal Depressive Symptomatology: Evidence From Growth Mixture Modeling
American journal of epidemiology, v 169(1), pp 24-32
01 Jan 2009
PMID: 19001135
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Although heterogeneity in the timing and persistence of maternal depressive symptomatology has implications for screening and treatment as well as associated maternal and child health outcomes, little is known about this variability. A prospective observational study of 1,735 low-income, multiethnic, inner-city women recruited in pregnancy from 2000 to 2002 and followed prospectively until 2004 (1 prenatal and 3 postpartum interviews) was used to determine whether distinct trajectories of depressive symptomatology can be defined from pregnancy through 2 years postpartum. Analysis was carried out through general growth mixture modeling. A model with 5 trajectory classes characterized the heterogeneity seen in the timing and magnitude of depressive symptoms among the study participants from Philadelphia, Pennsylvania. These classes included the following: 1) always or chronic depressive symptomatology (7%); 2) antepartum only (6%); 3) postpartum, which resolves after the first year postpartum (9%); 4) late, present at 25 months postpartum (7%); and 5) never having depressive symptomatology (71%). Women in these trajectory classes differed in demographic (nativity, education, race, parity) health, health behavior, and psychosocial characteristics (ambivalence about pregnancy and high objective stress). This heterogeneity should be considered in maternal depression programs. Additional research is needed to determine the association of these trajectory classes with maternal and child health outcomes.
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Details
- Title
- Distinct Trajectories of Perinatal Depressive Symptomatology: Evidence From Growth Mixture Modeling
- Creators
- Pablo A. Mora - Rutgers, The State University of New JerseyIan M. Bennett - Supreme Council Of HealthIrma T. Elo - University of PennsylvaniaLeny MathewJames C. Coyne - University of PennsylvaniaJennifer F. Culhane
- Publication Details
- American journal of epidemiology, v 169(1), pp 24-32
- Publisher
- Oxford Univ Press
- Number of pages
- 9
- Grant note
- TS 312-15/15 / Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA 1RO1D36462-01AI; 1K23HD048915-01A2 / Eunice Kennedy Shriver National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) R03MH074750 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) K23HD048915 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) 1R03MH074750-01 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000262152200005
- Scopus ID
- 2-s2.0-58149265243
- Other Identifier
- 991019339694604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health