Young pregnant women and risk for mental disorders: findings from an early pregnancy cohort

• DOI: 10.1192/bjo.2019.6
• Publication Date: 2019-03-07T02:02:21Z
• Authors: Georgia Lockwood ...; Elizabeth G. Ryan; Kylee Trevillion; Jill Demilew; Debra Bick; Andrew Pickles; Louise Michele Ho...
• Keywords: Psychiatry; RC435-571; Trauma; 3. Good health; psyc; 03 medical and health sciences; 0302 clinical medicine; anxiety disorders; Papers; perinatal psychiatry; depressive disorders; RC

Background Young women aged 16–24 are at high risk of common mental disorders (CMDs), but the during pregnancy is unclear. Aims To compare population prevalence CMDs in pregnant with ≥25 years a representative cohort, hypothesising that younger higher (depression, anxiety disorders, post-traumatic stress disorder, obsessive–compulsive disorder), and this associated low social support, rates lifetime abuse unemployment. Method Analysis cross-sectional baseline data from cohort 545 (of whom 57 were years), attending South London maternity service, recruitment stratified by endorsement questions on mood, interviewed Structured Clinical Interview DSM-IV-TR. Results Population estimates 45.1% (95% CI 23.5–68.7) young 15.5% 12.0–19.8) ≥25, for ‘any disorder’ 67.2% 41.7–85.4) 21.2% 17.0–26.1), respectively. had greater odds having CMD (adjusted ratio (aOR) = 5.8, 95% 1.8–18.6) living alone (aOR 3.0, 1.1–8.0) 1.5, 0.8–2.8). Conclusions Pregnant between 16 24 very disorders; services need to target resources under 25, including those their early 20s. Interventions enhancing networks, addressing providing adequate health treatment may minimise adverse outcomes children. Declaration interest None.