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Prenatal depressive symptoms and soc...

Sidebottom, Abbey Chapman.

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Prenatal depressive symptoms and social support: An examination of their roles in prenatal care adequacy, birth outcomes, and postpartum depressive symptoms among low-income urban women.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Prenatal depressive symptoms and social support: An examination of their roles in prenatal care adequacy, birth outcomes, and postpartum depressive symptoms among low-income urban women./
Author:	Sidebottom, Abbey Chapman.
Description:	161 p.
Notes:	Source: Dissertation Abstracts International, Volume: 77-11(E), Section: B.
Contained By:	Dissertation Abstracts International77-11B(E).
Subject:	Epidemiology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10141910
ISBN:	9781339972343

Prenatal depressive symptoms and social support: An examination of their roles in prenatal care adequacy, birth outcomes, and postpartum depressive symptoms among low-income urban women.
Sidebottom, Abbey Chapman.

Prenatal depressive symptoms and social support: An examination of their roles in prenatal care adequacy, birth outcomes, and postpartum depressive symptoms among low-income urban women. - 161 p.

Source: Dissertation Abstracts International, Volume: 77-11(E), Section: B.

Thesis (Ph.D.)--University of Minnesota, 2016.

Objectives. This project aimed to examine associations of two key psychosocial factors, social support and depressive symptoms, with prenatal care attendance and poor birth outcomes (i.e., preterm birth, low birthweight, and small for gestational age), in a racially diverse, urban low-income sample. Whether or not social support modifies the association of depressive symptoms with prenatal care and birth outcomes is also examined. This project also aimed to examine the associations of prenatal and postpartum depressive symptoms, characterizing the timing of detection and persistence or recurrence of symptoms. Personal, behavioral, and environmental correlates of experiencing elevated depressive symptom levels in pregnancy only, postpartum only, or during both periods were identified.

ISBN: 9781339972343Subjects--Topical Terms:

568544
Epidemiology.

Prenatal depressive symptoms and social support: An examination of their roles in prenatal care adequacy, birth outcomes, and postpartum depressive symptoms among low-income urban women.
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100 1 $a Sidebottom, Abbey Chapman. $3 3191228
245 1 0 $a Prenatal depressive symptoms and social support: An examination of their roles in prenatal care adequacy, birth outcomes, and postpartum depressive symptoms among low-income urban women.
300 $a 161 p.
500 $a Source: Dissertation Abstracts International, Volume: 77-11(E), Section: B.
500 $a Adviser: Wendy L. Hellerstedt.
502 $a Thesis (Ph.D.)--University of Minnesota, 2016.
520 $a Objectives. This project aimed to examine associations of two key psychosocial factors, social support and depressive symptoms, with prenatal care attendance and poor birth outcomes (i.e., preterm birth, low birthweight, and small for gestational age), in a racially diverse, urban low-income sample. Whether or not social support modifies the association of depressive symptoms with prenatal care and birth outcomes is also examined. This project also aimed to examine the associations of prenatal and postpartum depressive symptoms, characterizing the timing of detection and persistence or recurrence of symptoms. Personal, behavioral, and environmental correlates of experiencing elevated depressive symptom levels in pregnancy only, postpartum only, or during both periods were identified.
520 $a Methods. For the first manuscript, examining prenatal care, the sample was limited to those with a live born infant and a matched birth certificate with available data on prenatal care attendance (n = 2,341). For the second manuscript, examining birth outcomes, the sample was limited to those with a live born infant and a matched birth certificate with complete birth outcomes data (n = 2,868). For the third manuscript, examining prenatal and postpartum depressive symptoms, the sample was limited to those who had enrolled in the TCHS program and completed a postpartum risk screen within the specified time period (n = 594).
520 $a In the first manuscript, the dependent variables were late prenatal care and less than adequate prenatal care with prenatal depressive symptoms and social support as the independent variables. In the second manuscript, preterm birth, low birthweight, and small size for gestational age were the dependent variables with prenatal depressive symptoms and social support as the independent variables. A comprehensive set of covariates including personal, social, behavioral environmental risks are included in each of these papers. In the third manuscript, the association between elevated depressive symptoms in the prenatal and postpartum periods are explored. The dependent variables were elevated depressive symptoms at different time points (in pregnancy only, postpartum only, or during both periods) compared to low symptoms at both time periods. Analysis identified personal, behavioral, and environmental risk factors for each pattern of depressive symptoms.
520 $a Results. In the first manuscript, examining prenatal care, an interaction was identified for partner support and depressive symptoms with regard to late prenatal care. Specifically, women with both no/low partner support and elevated depressive symptoms were at highest risk of late care compared to women with both good partner support and low depressive symptoms. Those with good partner support and elevated depressive symptoms were less likely to have late care. Lack of social support was a risk for prenatal care inadequacy while depressive symptoms were not. Women with moderate/poor social support were more likely to get less than adequate care compared to women with good support. Women with moderate/high depressive symptoms were less likely to experience less than adequate care compared to women with low symptoms.
520 $a In the second manuscript, examining birth outcomes, depressive symptoms were weakly associated with LBW in unadjusted analyses, but the association did not persist in multivariable analyses. Similarly, partner support was associated with LBW and SGA---and friend support was associated with LBW---in unadjusted analyses only. Depressive symptoms and support variables were not associated with PTB.
520 $a In the third manuscript, we identified that more women had elevated depressive symptoms prenatally (23%) than in the postpartum period (14%). In our sample, 15% had depressive symptoms in the prenatal period only, 8% had depressive symptoms in both periods, and 6% in the postpartum period only. Of women with postpartum elevated depressive symptom levels, 58% had elevated levels in the prenatal period. All of the social, behavioral, and environmental risks examined were significantly associated with elevated depressive symptoms at any point compared to women with low depressive symptoms at both points. Risk factors varied for those who experienced depressive symptoms at one point versus those with persistent depressive symptoms. Lack of social support, being foreign born, and food insecurity were risk factors for experiencing depressive symptoms in the prenatal period, while abuse, not living with the father of the baby, and smoking were associated with risk of elevated depressive symptoms in both periods. Limited phone access was a risk for experiencing depressive symptoms only in the postpartum period.
520 $a Conclusion. The collective findings of these three manuscripts exploring social support and depressive symptoms indicate that screening for poor social support and elevated depressive symptoms early in pregnancy or in preconception periods may be helpful for identifying risks related to prenatal care attendance as well as postpartum depressive symptoms in low-income urban populations, but did not identify either of these as independent risk factors for LBW, PTB, or SGA in the study population. (Abstract shortened by UMI.).
590 $a School code: 0130.
650 4 $a Epidemiology. $3 568544
650 4 $a Clinical psychology. $3 524863
650 4 $a Women's studies. $3 526816
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710 2 $a University of Minnesota. $b Epidemiology. $3 3179509
773 0 $t Dissertation Abstracts International $g 77-11B(E).
790 $a 0130
791 $a Ph.D.
792 $a 2016
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10141910