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Adolescent antecedents of maternal and paternal perinatal depression: a 36-year prospective cohort
journal contribution
posted on 2021-09-01, 00:00 authored by Kimberly Thomson, Helena RomaniukHelena Romaniuk, Christopher GreenwoodChristopher Greenwood, Primrose LetcherPrimrose Letcher, Liz SpryLiz Spry, Jacqui MacdonaldJacqui Macdonald, H M Mcanally, George YoussefGeorge Youssef, Jennifer Mcintosh, Delyse HutchinsonDelyse Hutchinson, R J Hancox, G C Patton, Craig OlssonCraig OlssonAbstractBackgroundRates of common mental health problems (depression/anxiety) rise sharply in adolescence and peak in young adulthood, often coinciding with the transition to parenthood. Little is known regarding the persistence of common mental health problems from adolescence to the perinatal period in both mothers and fathers.MethodsA total of 393 mothers (686 pregnancies) and 257 fathers (357 pregnancies) from the intergenerational Australian Temperament Project Generation 3 Study completed self-report assessments of depression and anxiety in adolescence (ages 13–14, 15–16, 17–18 years) and young adulthood (ages 19–20, 23–24, 27–28 years). The Edinburgh Postnatal Depression Scale was used to assess depressive symptoms at 32 weeks pregnancy and 12 months postpartum in mothers, and at 12 months postpartum in fathers.ResultsMost pregnancies (81%) in which mothers reported perinatal depression were preceded by a history of mental health problems in adolescence or young adulthood. Similarly, most pregnancies (83%) in which fathers reported postnatal depression were preceded by a preconception history of mental health problems. After adjustment for potential confounders, the odds of self-reporting perinatal depression in both women and men were consistently higher in those with a history of persistent mental health problems across adolescence and young adulthood than those without (ORwomen 5.7, 95% CI 2.9–10.9; ORmen 5.5, 95% CI 1.03–29.70).ConclusionsPerinatal depression, for the majority of parents, is a continuation of mental health problems with onsets well before pregnancy. Strategies to promote good perinatal mental health should start before parenthood and include both men and women.
History
Journal
Psychological MedicineVolume
51Issue
12Article number
PII S0033291720000902Pagination
2126 - 2133Publisher
CAMBRIDGE UNIV PRESSLocation
EnglandPublisher DOI
ISSN
0033-2917eISSN
1469-8978Language
EnglishPublication classification
C1 Refereed article in a scholarly journalUsage metrics
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No categories selectedKeywords
Social SciencesScience & TechnologyLife Sciences & BiomedicinePsychology, ClinicalPsychiatryPsychologyAdolescencecohort studiesintergenerationallongitudinal data analysisPOSTNATAL DEPRESSIONPSYCHOLOGICAL DISTRESSFEELINGS QUESTIONNAIRECOMMUNITY SAMPLEMENTAL-HEALTHTRAJECTORIESPREGNANCYSYMPTOMSPREVALENCEPOSTPARTUM
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