Skip to main content
Top
Published in: Maternal and Child Health Journal 11/2016

01-11-2016

Exploring Trajectories and Predictors of Depressive Symptoms Among Young Couples During Their Transition to Parenthood

Authors: Heather L. Sipsma, Tamora Callands, Alethea Desrosiers, Urania Magriples, Krista Jones, Tashuna Albritton, Trace Kershaw

Published in: Maternal and Child Health Journal | Issue 11/2016

Login to get access

Abstract

Objectives Young parents may be particularly vulnerable to poor mental health during the postpartum period. Little research exists, however, to adequately describe trajectories of depressive symptoms during their transition to parenthood, particularly among young fathers. Therefore, we aim to explore trajectories of depressive symptoms from pregnancy through 1 year postpartum among young expectant mothers and their partners. Methods Data are derived from a longitudinal cohort of pregnant adolescent females (ages 14–21; n = 220) and their male partners (n = 190). Multilevel regression models examined the impact of time on depressive symptoms, and generalized linear regression models examined predictors of experiencing elevated depressive symptoms. Results Depressive symptoms significantly decreased from pregnancy through 1 year postpartum among young females. Overall, depressive symptoms did not significantly change over time among young males. Predictors of elevated depressive symptoms common across genders included social support and relationship satisfaction. Marijuana use resulted in almost twice the odds of experiencing elevated depressive symptoms among young fathers (OR 1.82; 95 % CI 1.04, 3.20). Conclusion for Practice Providing strategies for strengthening social support networks among young parents may be an effective way to improve mental health among young parents, particularly during this period of potential social isolation. Additionally, providing tools to strengthen relationships between partners may also be effective for both young mothers and fathers. Substance use may be a marker for depressive symptoms among young fathers and thus screening for substance use could be important to improving their mental health. Future research is needed to better understand how IPV affects mental health, particularly among young fathers.
Literature
go back to reference Areias, M., Kumar, R., Barros, H., & Figueiredo, E. (1996). Comparative incidence of depression in women and men, during pregnancy and after childbirth. Validation of the Edinburgh Postnatal Depression Scale in Portuguese mothers. British Journal of Psychiatry, 169(1), 30–35.CrossRefPubMed Areias, M., Kumar, R., Barros, H., & Figueiredo, E. (1996). Comparative incidence of depression in women and men, during pregnancy and after childbirth. Validation of the Edinburgh Postnatal Depression Scale in Portuguese mothers. British Journal of Psychiatry, 169(1), 30–35.CrossRefPubMed
go back to reference Barnet, B., Joffe, A., Duggan, A., Wilson, M., & Repke, J. (1996). Depressive symptoms, stress, and social support in pregnant and postpartum adolescents. Archives of Pediatrics and Adolescent Medicine, 150, 64–69.CrossRefPubMed Barnet, B., Joffe, A., Duggan, A., Wilson, M., & Repke, J. (1996). Depressive symptoms, stress, and social support in pregnant and postpartum adolescents. Archives of Pediatrics and Adolescent Medicine, 150, 64–69.CrossRefPubMed
go back to reference Birkeland, R., Thompson, J., & Phares, V. (2005). Adolescent motherhood and postpartum depression. Journal of Clinical Child & Adolescent Psychology, 34(2), 292–300.CrossRef Birkeland, R., Thompson, J., & Phares, V. (2005). Adolescent motherhood and postpartum depression. Journal of Clinical Child & Adolescent Psychology, 34(2), 292–300.CrossRef
go back to reference Byrnes, J., Miller, D., & Schafer, W. (1999). Gender differences in risk taking: A meta-analysis. Psychological Bulletin, 125(3), 367–383.CrossRef Byrnes, J., Miller, D., & Schafer, W. (1999). Gender differences in risk taking: A meta-analysis. Psychological Bulletin, 125(3), 367–383.CrossRef
go back to reference Caldwell, C., & Antonucci, T. (1997). Perceptions of parental support and depressive symptomatology among black and white adolescent mothers. Journal of Emotional and Behavioral Disorders, 5, 173–183.CrossRef Caldwell, C., & Antonucci, T. (1997). Perceptions of parental support and depressive symptomatology among black and white adolescent mothers. Journal of Emotional and Behavioral Disorders, 5, 173–183.CrossRef
go back to reference Clare, C., & Yeh, J. (2012). Postpartum depression in special populations: A review. Obstetrical & Gynecological Survey, 67(5), 313–323.CrossRef Clare, C., & Yeh, J. (2012). Postpartum depression in special populations: A review. Obstetrical & Gynecological Survey, 67(5), 313–323.CrossRef
go back to reference Condon, J., Boyce, P., & Corkindale, C. (2004). The First-Time Fathers Study: A prospective study of the mental health and wellbeing of men during the transition to parenthood. Australian and New Zealand Journal of Psychiatry, 38(1–2), 56–64.CrossRefPubMed Condon, J., Boyce, P., & Corkindale, C. (2004). The First-Time Fathers Study: A prospective study of the mental health and wellbeing of men during the transition to parenthood. Australian and New Zealand Journal of Psychiatry, 38(1–2), 56–64.CrossRefPubMed
go back to reference Crittenden, C., Boris, N., Rice, J., Taylor, C., & Olds, D. (2009). The role of mental health factors, behavioral factors, and past experiences in the prediction of rapid repeat pregnancy in adolescence. Journal of Adolescent Health, 44, 25–32.CrossRefPubMed Crittenden, C., Boris, N., Rice, J., Taylor, C., & Olds, D. (2009). The role of mental health factors, behavioral factors, and past experiences in the prediction of rapid repeat pregnancy in adolescence. Journal of Adolescent Health, 44, 25–32.CrossRefPubMed
go back to reference Florsheim, P., Sumida, E., McCann, C., Winstanley, M., Fukui, R., Seefeldt, T., et al. (2003). The transition to parenthood among young African American and Latino couples: Relational predictors of risk for parental dysfunction. Journal of Family Psychology, 17(1), 65–79.CrossRefPubMed Florsheim, P., Sumida, E., McCann, C., Winstanley, M., Fukui, R., Seefeldt, T., et al. (2003). The transition to parenthood among young African American and Latino couples: Relational predictors of risk for parental dysfunction. Journal of Family Psychology, 17(1), 65–79.CrossRefPubMed
go back to reference Garfield, C., Duncan, G., Rutsohn, J., Dade, T., Adam, E., Coley, R., et al. (2014). A longitudinal study of paternal mental health during transition to fatherhood as young adults. Pediatrics, 133(5), 836–843.CrossRefPubMedPubMedCentral Garfield, C., Duncan, G., Rutsohn, J., Dade, T., Adam, E., Coley, R., et al. (2014). A longitudinal study of paternal mental health during transition to fatherhood as young adults. Pediatrics, 133(5), 836–843.CrossRefPubMedPubMedCentral
go back to reference Gavin, N., Gaynes, B., Lohr, K., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics and Gynecology, 106(5, Part 1), 1071–1083.CrossRefPubMed Gavin, N., Gaynes, B., Lohr, K., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics and Gynecology, 106(5, Part 1), 1071–1083.CrossRefPubMed
go back to reference Gee, C., & Rhodes, J. (1999). Postpartum transitions in adolescent mothers’ romantic and maternal relationships. Merrill-Palmer Quarterly, 45(3), 512–532. Gee, C., & Rhodes, J. (1999). Postpartum transitions in adolescent mothers’ romantic and maternal relationships. Merrill-Palmer Quarterly, 45(3), 512–532.
go back to reference Halkitis, P., & Parsons, J. (2003). Recreational drug use and HIV-risk sexual behavior among men frequenting gay social venues. Journal of Gay & Lesbian Social Services, 14(4), 19–38.CrossRef Halkitis, P., & Parsons, J. (2003). Recreational drug use and HIV-risk sexual behavior among men frequenting gay social venues. Journal of Gay & Lesbian Social Services, 14(4), 19–38.CrossRef
go back to reference Heath, D., Mckenry, P., & Leigh, G. (1995). The consequences of adolescent parenthood on men’s depression, parental satisfaction, and fertility in adulthood. Journal of Social Service Research, 20(3–4), 127–148.CrossRefPubMed Heath, D., Mckenry, P., & Leigh, G. (1995). The consequences of adolescent parenthood on men’s depression, parental satisfaction, and fertility in adulthood. Journal of Social Service Research, 20(3–4), 127–148.CrossRefPubMed
go back to reference Heron, J., O’Connor, T., Evans, J., Golding, J., & Glover, V. (2004). The course of anxiety and depression through pregnancy and the postpartum in a community sample. Journal of Affective Disorders, 80(1), 65–73.CrossRefPubMed Heron, J., O’Connor, T., Evans, J., Golding, J., & Glover, V. (2004). The course of anxiety and depression through pregnancy and the postpartum in a community sample. Journal of Affective Disorders, 80(1), 65–73.CrossRefPubMed
go back to reference Jones, K., Eathington, P., Baldwin, K., & Sipsma, H. (2014). The impact of health education transmitted via social media or text messaging on adolescent and young adult risky sexual behavior: A systematic review of the literature. Sexually Transmitted Diseases, 41(7), 413–419. doi:10.1097/OLQ.0000000000000146.CrossRefPubMed Jones, K., Eathington, P., Baldwin, K., & Sipsma, H. (2014). The impact of health education transmitted via social media or text messaging on adolescent and young adult risky sexual behavior: A systematic review of the literature. Sexually Transmitted Diseases, 41(7), 413–419. doi:10.​1097/​OLQ.​0000000000000146​.CrossRefPubMed
go back to reference Kalil, A., Spencer, M., Spieker, S., & Gilchrist, L. (1998). Effects of grandmother coresidence and quality of family relationships on depressive symptoms in adolescent mothers. Family Relations, 47, 433–441.CrossRef Kalil, A., Spencer, M., Spieker, S., & Gilchrist, L. (1998). Effects of grandmother coresidence and quality of family relationships on depressive symptoms in adolescent mothers. Family Relations, 47, 433–441.CrossRef
go back to reference Knobloch, L., & Donovan-Kicken, E. (2006). Perceived involvement of network members in courtships: A test of the relational turbulence model. Personal Relationships, 13(3), 281–302.CrossRef Knobloch, L., & Donovan-Kicken, E. (2006). Perceived involvement of network members in courtships: A test of the relational turbulence model. Personal Relationships, 13(3), 281–302.CrossRef
go back to reference Lee, Y., Fagan, J., & Chen, W. (2011). Do late adolescent fathers have more depressive symptoms than older fathers? Journal of Youth and Adolescence, 41(10), 1366–1381.CrossRefPubMed Lee, Y., Fagan, J., & Chen, W. (2011). Do late adolescent fathers have more depressive symptoms than older fathers? Journal of Youth and Adolescence, 41(10), 1366–1381.CrossRefPubMed
go back to reference Letourneau, N., Stewart, M., & Barnfather, A. (2004). Adolescent mothers: Support needs, resources, and support-education interventions. Journal of Adolescent Health, 35, 509–525.CrossRefPubMed Letourneau, N., Stewart, M., & Barnfather, A. (2004). Adolescent mothers: Support needs, resources, and support-education interventions. Journal of Adolescent Health, 35, 509–525.CrossRefPubMed
go back to reference Logsdon, M., Foltz, M., Stein, B., Usui, W., & Josephson, A. (2010). Adapting and testing telephone-based depression care management intervention for adolescent mothers. Archives of Women’s Mental Health, 13, 307–317.CrossRefPubMed Logsdon, M., Foltz, M., Stein, B., Usui, W., & Josephson, A. (2010). Adapting and testing telephone-based depression care management intervention for adolescent mothers. Archives of Women’s Mental Health, 13, 307–317.CrossRefPubMed
go back to reference Matthey, S., Barnett, B., Ungerer, J., & Waters, B. (2000). Paternal and maternal depressed mood during the transition to parenthood. Journal of Affective Disorders, 60(2), 75–85.CrossRefPubMed Matthey, S., Barnett, B., Ungerer, J., & Waters, B. (2000). Paternal and maternal depressed mood during the transition to parenthood. Journal of Affective Disorders, 60(2), 75–85.CrossRefPubMed
go back to reference Milan, S., Kershaw, T., Lewis, J., Westdahl, C., Rising, S., Patrikios, M., et al. (2007). Caregiving history and prenatal depressive symptoms in low-income adolescent and young adult women: Moderating and mediating effects. Psychology of Women Quarterly, 31, 241–251.CrossRef Milan, S., Kershaw, T., Lewis, J., Westdahl, C., Rising, S., Patrikios, M., et al. (2007). Caregiving history and prenatal depressive symptoms in low-income adolescent and young adult women: Moderating and mediating effects. Psychology of Women Quarterly, 31, 241–251.CrossRef
go back to reference Militello, L., Kelly, S., & Melnyk, B. (2012). Systematic review of text-messaging interventions to promote healthy behaviors in pediatric and adolescent populations: implications for clinical practice and research. Worldviews on Evidence-Based Nursing, 9(2), 66–77.CrossRefPubMed Militello, L., Kelly, S., & Melnyk, B. (2012). Systematic review of text-messaging interventions to promote healthy behaviors in pediatric and adolescent populations: implications for clinical practice and research. Worldviews on Evidence-Based Nursing, 9(2), 66–77.CrossRefPubMed
go back to reference O’Hara, M., & McCabe, J. (2013). Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology, 9, 379–407.CrossRefPubMed O’Hara, M., & McCabe, J. (2013). Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology, 9, 379–407.CrossRefPubMed
go back to reference Radloff, L. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef Radloff, L. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef
go back to reference Ramchandani, P., Stein, A., O’Connor, T., Heron, J., Murray, L., & Evans, J. (2008). Depression in men in the postnatal period and later child psychopathology: A population cohort study. Journal of the American Academy of Child and Adolescent Psychiatry, 47(4), 390–398.CrossRefPubMedPubMedCentral Ramchandani, P., Stein, A., O’Connor, T., Heron, J., Murray, L., & Evans, J. (2008). Depression in men in the postnatal period and later child psychopathology: A population cohort study. Journal of the American Academy of Child and Adolescent Psychiatry, 47(4), 390–398.CrossRefPubMedPubMedCentral
go back to reference Reid, V., & Meadows-Oliver, M. (2007). Postpartum depression in adolescent mothers: An integrative review of the literature. Journal of Pediatric Health Care, 21, 289.CrossRefPubMed Reid, V., & Meadows-Oliver, M. (2007). Postpartum depression in adolescent mothers: An integrative review of the literature. Journal of Pediatric Health Care, 21, 289.CrossRefPubMed
go back to reference Roye, C., & Balk, S. (1996). The relationship of partner support to outcomes for teenage mothers and their children: A review. Journal of Adolescent Health, 19, 86–93.CrossRefPubMed Roye, C., & Balk, S. (1996). The relationship of partner support to outcomes for teenage mothers and their children: A review. Journal of Adolescent Health, 19, 86–93.CrossRefPubMed
go back to reference Schumacher, M., Zubaran, C., & White, G. (2008). Bringing birth-related paternal depression to the fore. Women and Birth: Journal of the Australian College of Midwives, 21(2), 65–70.CrossRef Schumacher, M., Zubaran, C., & White, G. (2008). Bringing birth-related paternal depression to the fore. Women and Birth: Journal of the Australian College of Midwives, 21(2), 65–70.CrossRef
go back to reference Sherbourne, C., & Stewart, A. (1991). The MOS social support survey. Social Science and Medicine, 32, 713–714.CrossRef Sherbourne, C., & Stewart, A. (1991). The MOS social support survey. Social Science and Medicine, 32, 713–714.CrossRef
go back to reference Spanier, G. (1976). Measuring dyadic adjustment: New scale for assessing the quality of marriage and similar dyads. Journal of Marriage & the Family, 38, 15–28.CrossRef Spanier, G. (1976). Measuring dyadic adjustment: New scale for assessing the quality of marriage and similar dyads. Journal of Marriage & the Family, 38, 15–28.CrossRef
go back to reference Strauss, M., Hamby, S., Boney-McCoy, S., & Sugarman, D. (1996). The revised Conflict Tactics Scales (CTS2): Development and preliminary psychometric data. Journal of Family Issues, 17(3), 283–316.CrossRef Strauss, M., Hamby, S., Boney-McCoy, S., & Sugarman, D. (1996). The revised Conflict Tactics Scales (CTS2): Development and preliminary psychometric data. Journal of Family Issues, 17(3), 283–316.CrossRef
go back to reference Wee, K., Skouteris, H., Pier, C., Richardson, B., & Milgrom, J. (2011). Correlates of ante- and postnatal depression in fathers: A systematic review. Journal of Affective Disorders, 130(3), 358–377.CrossRefPubMed Wee, K., Skouteris, H., Pier, C., Richardson, B., & Milgrom, J. (2011). Correlates of ante- and postnatal depression in fathers: A systematic review. Journal of Affective Disorders, 130(3), 358–377.CrossRefPubMed
go back to reference Yim, I., Tanner Stapleton, L., Guardino, C., Hahn-Holbrook, J., & Dunkel Schetter, C. (2015). Biological and psychosocial predictors of postpartum depression: Systematic review and call for integration. Annual Review of Clinical Psychology, 11, 99–137.CrossRefPubMed Yim, I., Tanner Stapleton, L., Guardino, C., Hahn-Holbrook, J., & Dunkel Schetter, C. (2015). Biological and psychosocial predictors of postpartum depression: Systematic review and call for integration. Annual Review of Clinical Psychology, 11, 99–137.CrossRefPubMed
go back to reference Yozwiak, J. (2010). Postpartum depression and adolescent mothers: A review of assessment and treatment approaches. Journal of Pediatric and Adolescent Gynecology, 23, 172–178.CrossRefPubMed Yozwiak, J. (2010). Postpartum depression and adolescent mothers: A review of assessment and treatment approaches. Journal of Pediatric and Adolescent Gynecology, 23, 172–178.CrossRefPubMed
Metadata
Title
Exploring Trajectories and Predictors of Depressive Symptoms Among Young Couples During Their Transition to Parenthood
Authors
Heather L. Sipsma
Tamora Callands
Alethea Desrosiers
Urania Magriples
Krista Jones
Tashuna Albritton
Trace Kershaw
Publication date
01-11-2016
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 11/2016
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-016-2064-3

Other articles of this Issue 11/2016

Maternal and Child Health Journal 11/2016 Go to the issue