Exploring Differences Between Adolescents and Adults With Perinatal Depression—Data From the Expanding Care for Perinatal Women With Depression Trial in Nigeria

Abstract:
Background: Depression is common among women in the perinatal period. Although pregnancy and motherhood among adolescents are global public health issues, little is known about how adolescents differ from adults in the occurrence and correlates of perinatal depression. Methods: Data were derived from a cluster randomized controlled trial of psychosocial interventions for perinatal depression in primary maternal care in Nigeria (the Expanding Care for Perinatal Women with Depression trial). Adolescents and adult participants recruited during pregnancy and followed up till 6-month postpartum were compared: proportions with depression [screening positive to depression on the Edinburgh Postnatal Depression Scale (score ≥ 12) and meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria using the short form of the Composite International Diagnostic Interview]; adjustment and attitude to pregnancy and motherhood (using the Maternal Adjustment and Maternal Attitudes scale); and parenting skills (measured on Infant–Toddler version of the Home Inventory for Measurement of the Environment). Infant and fetal growth were assessed by measures of weight and head circumference at birth and upper mid-upper arm circumference (MUAC) at 6 months. Results: Of 8,580 adults screened, 6.9% had major depression compared with 17.7% of 772 screened adolescents (p < 0.001). Adolescents had significantly poorer adjustment and attitudes to pregnancy, lower mean fetal gestational age at birth, and a smaller mean baby’s birth weight. At 6-month postpartum, there were no significant differences in the rates of remission from depression between adolescent and adult women (Edinburgh Postnatal Depression Scale score <6). Adolescent mothers continued to have poorer maternal attitudes and parenting skills indicated by significantly lower scores on the Infant–Toddler version of the Home Inventory for Measurement of the Environment responsivity and involvement subscales. Infants of adolescent mothers had a higher rate of undernutrition (defined as MUAC < 12.5 cm) compared with those of adult mothers: 14.8 and 6.3%, respectively (p = 0.008), with the mean MUAC remaining significantly lower for infants of adolescent mothers after adjusting for their lower birth weight (p = 0.04). Conclusion: Perinatal depression is more common and is associated with poorer maternal attitudes and parenting skills in adolescents compared with those in adults. Evidence from this exploratory study suggests that in improving outcomes in infants of adolescent mothers with perinatal depression, depression treatment may need to be supplemented with specific approaches to improve parenting skills.
Author Listing： Bibilola D. Oladeji;Toyin Bello;Lola Kola;Ricardo Araya;Phyllis Zelkowitz;Oye Gureje
Volume： 10
Pages： None
DOI： 10.3389/fpsyt.2019.00761
Language： English
Journal： Frontiers in Psychiatry

Frontiers in Psychiatry

FRONT PSYCHIATRY

影响因子：3.2 是否综述期刊：否 是否OA：是 是否预警：不在预警名单内 发行时间：- ISSN：1664-0640 发刊频率：- 收录数据库：SCIE/Scopus收录/DOAJ开放期刊 出版国家/地区：UNITED STATES 出版社：Frontiers Media S.A.

期刊介绍

Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.The journal's mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.

《精神病学前沿》杂志发表了广泛的转化、基础和临床研究领域的严格同行评审研究。巴塞尔大学的领域主编Stefan Borgwardt得到了由国际研究人员组成的杰出编辑委员会的支持。这是一本多学科开放获取期刊，在向世界各地的研究人员、学者、临床医生和公众传播和交流科学知识和有影响力的发现方面处于最前沿。该期刊的使命是利用转化方法改善精神疾病的治疗选择，从而改善患者的治疗结果。

年发文量 2160
国人发稿量 652
国人发文占比 30.19%
自引率 9.4%
平均录取率 -
平均审稿周期 14 Weeks
版面费 US$2950
偏重研究方向 Medicine-Psychiatry and Mental Health
期刊官网 https://www.frontiersin.org/journals/psychiatry
投稿链接 https://www.frontiersin.org/submission/SubmissionHome.aspx?domainId=2&fieldId=68&specialtyId=0&entityType=1&entityId=71

质量指标占比

研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
85.74% 99.43% 0.00% 1.44%

相关指数

{{ relationActiveLabel }}
{{ item.label }}

期刊预警不是论文评价，更不是否定预警期刊发表的每项成果。《国际期刊预警名单（试行）》旨在提醒科研人员审慎选择成果发表平台、提示出版机构强化期刊质量管理。

预警期刊的识别采用定性与定量相结合的方法。通过专家咨询确立分析维度及评价指标，而后基于指标客观数据产生具体名单。

具体而言，就是通过综合评判期刊载文量、作者国际化程度、拒稿率、论文处理费（APC）、期刊超越指数、自引率、撤稿信息等，找出那些具备风险特征、具有潜在质量问题的学术期刊。最后，依据各刊数据差异，将预警级别分为高、中、低三档，风险指数依次减弱。

《国际期刊预警名单（试行）》确定原则是客观、审慎、开放。期刊分区表团队期待与科研界、学术出版机构一起，夯实科学精神，打造气正风清的学术诚信环境！真诚欢迎各界就预警名单的分析维度、使用方案、值得关切的期刊等提出建议！

预警情况 查看说明

时间 预警情况
2024年02月发布的2024版 不在预警名单中
2023年01月发布的2023版 不在预警名单中
2021年12月发布的2021版 不在预警名单中
2020年12月发布的2020版 不在预警名单中

JCR分区 WOS分区等级：Q2区

版本 按学科 分区
WOS期刊SCI分区
WOS期刊SCI分区是指SCI官方（Web of Science）为每个学科内的期刊按照IF数值排 序，将期刊按照四等分的方法划分的Q1-Q4等级，Q1代表质量最高，即常说的1区期刊。
（2021-2022年最新版）
PSYCHIATRY Q2

关于2019年中科院分区升级版（试行）

分区表升级版（试行）旨在解决期刊学科体系划分与学科发展以及融合趋势的不相容问题。由于学科交叉在当代科研活动的趋势愈发显著，学科体系构建容易引发争议。为了打破学科体系给期刊评价带来的桎梏，“升级版方案”首先构建了论文层级的主题体系，然后分别计算每篇论文在所属主题的影响力，最后汇总各期刊每篇论文分值，得到“期刊超越指数”，作为分区依据。

分区表升级版（试行）的优势：一是论文层级的主题体系既能体现学科交叉特点，又可以精准揭示期刊载文的多学科性；二是采用“期刊超越指数”替代影响因子指标，解决了影响因子数学性质缺陷对评价结果的干扰。整体而言，分区表升级版（试行）突破了期刊评价中学科体系构建、评价指标选择等瓶颈问题，能够更为全面地揭示学术期刊的影响力，为科研评价“去四唯”提供解决思路。相关研究成果经过国际同行的认可，已经发表在科学计量学领域国际重要期刊。

《2019年中国科学院文献情报中心期刊分区表升级版（试行）》首次将社会科学引文数据库（SSCI）期刊纳入到分区评估中。升级版分区表（试行）设置了包括自然科学和社会科学在内的18个大类学科。基础版和升级版（试行）将过渡共存三年时间，推测在此期间各大高校和科研院所仍可能会以基础版为考核参考标准。 提示：中科院分区官方微信公众号“fenqubiao”仅提供基础版数据查询，暂无升级版数据，请注意区分。

中科院分区 查看说明

版本 大类学科 小类学科 Top期刊 综述期刊
医学
3区
PSYCHIATRY
精神病学
3区
 否 否
2021年12月
基础版
医学
3区
PSYCHIATRY
精神病学
3区
 否 否
2021年12月
升级版
医学
3区
PSYCHIATRY
精神病学
3区
 否 否
2020年12月
旧的升级版
医学
3区
PSYCHIATRY
精神病学
3区
 否 否
2022年12月
最新升级版
医学
3区
PSYCHIATRY
精神病学
3区
 否 否
翻译 润色 隐私声明 期刊介绍 SCI论文润色 SCI论文投稿
科研顾问
官方微信公众号