Mental health issues in adolescent mothers and young adult mothers: the Brazilian context.

IF 2.8 4区医学 Q1 PEDIATRICS

Jornal de pediatria Pub Date : 2025-05-27 DOI:10.1016/j.jped.2025.03.011

Amanda Ferreira de Carvalho, Daniela Dal Forno Kinalski Guaranha, Bruna Marmett, Júlia Mathias Reis, Carmem Lisiane Escouto de Souza, Bruna Silveira da Rosa, Tiago Chagas Dalcin, Sérgio Luis Amantea

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引用次数: 0

Abstract

Objective: To analyze anxiety and depression levels in adolescent and young adult mothers.

Methods: This multicenter cross-sectional study was conducted across Brazil's five regions. A non-probabilistic sample of 1177 adolescent (10-19 years) and young adult (20-29 years) mothers was selected proportionally based on regional live birth rates. Data collection (August 2022-May 2023) involved a structured questionnaire assessing mental health (DASS-21), family support, and quality of life. Statistical analyses were performed using RStudio©, with p-values < 0.05 considered significant. The study was approved by the Research Ethics Committee (CAAE: 55465822.0.2003.5086).

Results: Depression or anxiety was reported by 22.7 % of both adolescent and young adult mothers, with 7.55 % and 7.07 % diagnosed during pregnancy, respectively. Among affected adolescents, 66.67 % did not seek follow-up care, primarily due to limited healthcare access (29.55 %). Adolescent mothers showed a higher prevalence of depression (p < 0.001), anxiety (p < 0.001), and stress (p = 0.027) postpartum. Depression was associated with a lack of emotional support from the child's father (p = 0.096), insufficient family caregiving support (p = 0.014), and low perceived quality of life.

Conclusion: Adolescent mothers exhibit greater vulnerability to mental disorders, emphasizing the need for targeted psychological and social support during the perinatal period.

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青少年母亲和年轻成年母亲的心理健康问题：巴西情况。

目的：分析青少年和青年母亲的焦虑和抑郁水平。方法：这项多中心横断面研究在巴西的五个地区进行。根据地区活产率按比例选择了1177名青少年（10-19岁）和年轻成人（20-29岁）母亲的非概率样本。数据收集（2022年8月至2023年5月）包括一份评估心理健康（DASS-21）、家庭支持和生活质量的结构化问卷。采用RStudio©进行统计学分析，p值< 0.05为差异有统计学意义。本研究已获得研究伦理委员会批准（CAAE: 55465822.0.2003.5086）。结果：22.7% %的青春期和年轻成年母亲报告抑郁或焦虑，其中7.55% %和7.07 %分别在怀孕期间被诊断。在受影响的青少年中，66.67 %没有寻求后续护理，主要是由于有限的医疗保健机会（29.55 %）。结论：青少年母亲更容易出现精神障碍，强调在围产期需要有针对性的心理和社会支持。

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

Jornal de pediatria 医学-小儿科

CiteScore

5.60

自引率

3.00%

发文量

审稿时长

43 days

期刊介绍： Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.