Prevalence and correlates of psychopathology in pregnant adolescents

Constance M. Wiemann, Abbey B. Berenson, Karen D. Wagner, Brenda M. Landwehr

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Purpose: To investigate the prevalence and correlates of psychopathology, as measured by the Youth Self-Report Scale, in pregnant adolescents so that interventions during pregnancy may be tailored to treat the psychopathology and thereby improve maternal and child outcomes. Methods: Scores on seven psychologic syndromes (withdrawn, delinquent, aggressive behaviors; anxiety/depression; and social, thought, and attention problems) were compared for groups of pregnant adolescents (n = 185), never pregnant teenagers (n = 126), and previously published normative samples of clinically referred (n = 518) and nonreferred (n = 518) female adolescents using chi-square, Student's t-tests, analysis of covariance, or multiple logistic regression. Correlates of psychopathology were identified for the pregnant sample using odds ratios and 95% confidence limits. Results: Pregnant adolescents exhibited less serious or lower rates of psychopathology than groups against which they were compared. Correlates of psychopathology included substance use during pregnancy, prior assault, maternal childbirth before age 18 years, ethnicity, ≥3 sexual partners, and absence of a relationship with the baby's father. Conclusions: Although the prevalence of psychopathology was lower among pregnant patients, those who exhibit psychopathology are likely to engage in risky health behaviors that contribute to poor perinatal outcome.

Original languageEnglish (US)
Pages (from-to)35-43
Number of pages9
JournalJournal of Adolescent Health
Volume18
Issue number1
DOIs
StatePublished - Jan 1996

Keywords

  • adolescent pregnancy
  • depression
  • psychopathology
  • substance use

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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