Document Detail


Maternal depressive symptomatology: 16-month follow-up of infant and maternal health-related quality of life.
MedLine Citation:
PMID:  21551396     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to document risk factors for depressive symptoms during the postpartum period among working mothers and to determine longitudinal effects of depressive symptoms on maternal health-related quality of life and infant health and development.
METHODS: Mother-infant dyads from a community-based cohort study of working mothers were recruited when infants were 4 months old and were interviewed every 4 months until infants were 16 months old. Depressive symptoms and health-related quality of life were assessed using the Center for Epidemiologic Studies Depression Scale and the Short Form-12 Health Survey, respectively. Infant development and health-related quality of life were measured with the Ages and Stages Questionnaire and the Infant-Toddler Quality of Life Questionnaire, respectively.
RESULTS: Depressive symptoms were elevated among mothers who were younger, less educated, African American, unmarried, and impoverished. Mothers with significant depressive symptoms had significantly poorer physical and mental health-related quality of life, reported greater pain for their infant, and had more health-related concerns about their child. Maternal depressive symptoms at 4 months predicted infant poorer health-related quality of life at 8, 12, and 16 months.
CONCLUSIONS: Several characteristics, including age, education level, race, marital status, and poverty, can help primary care physicians identify working mothers at risk for depressive symptoms. Identification of these symptoms is important; they are correlated with poorer maternal health-related quality of life and they predict poorer children's health-related quality of life.
Authors:
Janel M Darcy; Joseph G Grzywacz; Rebecca L Stephens; Iris Leng; C Randall Clinch; Thomas A Arcury
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of the American Board of Family Medicine : JABFM     Volume:  24     ISSN:  1557-2625     ISO Abbreviation:  J Am Board Fam Med     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-05-09     Completed Date:  2011-09-08     Revised Date:  2014-09-21    
Medline Journal Info:
Nlm Unique ID:  101256526     Medline TA:  J Am Board Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  249-57     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Chi-Square Distribution
Cross-Sectional Studies
Depression, Postpartum / diagnosis*,  psychology*
Female
Health Status
Health Surveys
Humans
Infant
Infant Welfare / psychology*
Infant, Newborn
Maternal Welfare / psychology*
Mother-Child Relations*
Multivariate Analysis
Pregnancy
Prospective Studies
Psychometrics
Quality of Life / psychology*
Questionnaires
Risk Factors
Time Factors
Young Adult
Grant Support
ID/Acronym/Agency:
HD48601/HD/NICHD NIH HHS; R21 HD048601/HD/NICHD NIH HHS; R21 HD048601-02/HD/NICHD NIH HHS
Comments/Corrections
Comment In:
J Am Board Fam Med. 2012 May-Jun;25(3):398   [PMID:  22570405 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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