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

Georgia Lockwood Estrin; Elizabeth G. Ryan; Kylee Trevillion; Jill Demilew; Debra Bick; Andrew Pickles; Louise Michele Howard

doi:10.1192/bjo.2019.6

journal article Open Access Mar 01, 2019

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

Georgia Lockwood Estrin Elizabeth G. Ryan

Kylee Trevillion Jill Demilew Debra Bick

Andrew Pickles Louise Michele Howard

BJPsych Open Vol. 5 No. 2 · Royal College of Psychiatrists

View at Publisher Save 10.1192/bjo.2019.6

Abstract

BackgroundYoung women aged 16–24 are at high risk of common mental disorders (CMDs), but the risk during pregnancy is unclear.AimsTo compare the population prevalence of CMDs in pregnant women aged 16–24 with pregnant women ≥25 years in a representative cohort, hypothesising that younger women are at higher risk of CMDs (depression, anxiety disorders, post-traumatic stress disorder, obsessive–compulsive disorder), and that this is associated with low social support, higher rates of lifetime abuse and unemployment.MethodAnalysis of cross-sectional baseline data from a cohort of 545 women (of whom 57 were aged 16–24 years), attending a South London maternity service, with recruitment stratified by endorsement of questions on low mood, interviewed with the Structured Clinical Interview DSM-IV-TR.ResultsPopulation prevalence estimates of CMDs were 45.1% (95% CI 23.5–68.7) in young women and 15.5% (95% CI 12.0–19.8) in women ≥25, and for ‘any mental disorder’ 67.2% (95% CI 41.7–85.4) and 21.2% (95% CI 17.0–26.1), respectively. Young women had greater odds of having a CMD (adjusted odds ratio (aOR) = 5.8, 95% CI 1.8–18.6) and CMDs were associated with living alone (aOR = 3.0, 95% CI 1.1–8.0) and abuse (aOR = 1.5, 95% CI 0.8–2.8).ConclusionsPregnant women between 16 and 24 years are at very high risk of mental disorders; services need to target resources for pregnant women under 25, including those in their early 20s. Interventions enhancing social networks, addressing abuse and providing adequate mental health treatment may minimise adverse outcomes for young women and their children.Declaration of interestNone.

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Published: Mar 01, 2019
Vol/Issue: 5(2)
License: View

Authors

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Georgia Lockwood Estrin

Louise Michele Howard

Cite This Article

Georgia Lockwood Estrin, Elizabeth G. Ryan, Kylee Trevillion, et al. (2019). Young pregnant women and risk for mental disorders: findings from an early pregnancy cohort. BJPsych Open, 5(2). https://doi.org/10.1192/bjo.2019.6

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

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