Associations between oral hormonal contraceptives and internalising problems in adolescent girls.

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2025-03-04 DOI:10.1192/bjo.2024.859
Nadie H M Bosmans, Milan Zarchev, Leonie Berges, Astrid M Kamperman, Eline M P Poels, Witte J G Hoogendijk, Nina H Grootendorst-van Mil
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引用次数: 0

Abstract

Background: Oral contraceptive pills (OCP) have received increased critical attention recently owing to their perceived link with mental health, especially among adolescent girls. The empirical literature, however, includes mixed findings on whether OCP use is associated with poorer mental health.

Aims: To examine the association between the use of OCP and internalising problems in adolescent girls.

Methods: This study was embedded in the iBerry study, a population-based cohort of adolescents oversampled for behavioural and emotional problems from the greater Rotterdam area, The Netherlands. In 372 girls, internalising problems were measured using the Youth Self Report, and use of OCP was determined by parental interview and self-report questionnaire across two subsequent waves (mean ages 14.9 and 17.9 years, respectively). Multiple regression analyses were performed to determine the association. Analyses were adjusted for various sociodemographic factors and adjusted for previous internalising problems assessed at a mean age of 14.9 years.

Results: In total, 204 girls (54.8%) used OCP. OCP use was associated with fewer internalising problems in adolescent girls compared with non-use (adjusted β = -2.22, 95% CI [-4.24, -0.20]; P = 0.031).

Conclusions: In this research, we found that adolescent girls using OCP reported fewer internalising problems compared with non-users. This association was most prominent for girls with pre-existing internalising problems. Although healthy user bias may have a role, our observations suggest a potential therapeutic benefit for those with greater baseline challenges.

口服激素避孕药与青春期女孩内化问题之间的关系。
背景:口服避孕药(OCP)最近受到越来越多的关注,因为人们认为它与心理健康有关,特别是在少女中。然而,经验文献对使用OCP是否与较差的心理健康有关的研究结果不一。目的:研究青春期女孩使用OCP与内化问题之间的关系。方法:本研究嵌入iBerry研究中,iBerry研究是一项基于人群的青少年队列,从荷兰鹿特丹地区过度抽样调查行为和情绪问题。在372名女孩中,使用青少年自我报告测量内化问题,并通过父母访谈和自我报告问卷确定OCP的使用情况(平均年龄分别为14.9岁和17.9岁)。采用多元回归分析确定相关性。在平均年龄为14.9岁时,对各种社会人口因素和先前的内化问题进行了调整。结果:204例(54.8%)使用OCP。与不使用OCP相比,青春期女孩使用OCP与更少的内化问题相关(调整后的β = -2.22, 95% CI [-4.24, -0.20];P = 0.031)。结论:在本研究中,我们发现使用OCP的青春期女孩报告的内化问题比不使用OCP的女孩少。这种关联在已有内化问题的女孩中最为突出。虽然健康用户偏见可能有一定作用,但我们的观察表明,对基线挑战较大的患者有潜在的治疗益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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