OBJECTIVE: To determine the association between adverse childhood experiences (ACEs), positive influences in childhood (PICs), and depressive symptoms among low-income pregnant women. METHODS: Face-to-face survey of women receiving prenatal care at Philadelphia community health centers. We conducted surveys at the first prenatal care visit and at a mean age +/- standard deviation of 11 +/- 1 months postpartum, and obtained information on sociodemographic characteristics and childhood experiences before age 16. Group differences were tested with respect to a cutpoint of 23 on the Center for Epidemiologic Studies-Depression scale (CES-D), with the chi(2) test used for categorical variables and the Student's t test used for continuous variables. Logistic regression analyses were conducted to adjust for potential confounding variables. RESULTS: The sample consisted of 1476 mostly young, African American, low-income women. The majority (70% and 90%, respectively) of women reported at least one ACE and one PIC. For each ACE, affected women were more likely to have depressive symptoms than their counterparts. There was a dose-response effect in that a higher number of ACEs was associated with a higher likelihood of having depressive symptoms. PICs, on the other hand, were associated with a lower likelihood of having depressive symptoms. CONCLUSIONS: Among low-income women, ACEs were associated with a higher likelihood of having depressive symptoms in a dose-response fashion, and PICs were associated with a lower risk. Efforts to prevent ACEs and to promote PICs might help reduce the risk of depressive symptoms and their associated problems in adulthood.
OBJECTIVE: To determine the association between adverse childhood experiences (ACEs), positive influences in childhood (PICs), and depressive symptoms among low-income pregnant women. METHODS: Face-to-face survey of women receiving prenatal care at Philadelphia community health centers. We conducted surveys at the first prenatal care visit and at a mean age +/- standard deviation of 11 +/- 1 months postpartum, and obtained information on sociodemographic characteristics and childhood experiences before age 16. Group differences were tested with respect to a cutpoint of 23 on the Center for Epidemiologic Studies-Depression scale (CES-D), with the chi(2) test used for categorical variables and the Student's t test used for continuous variables. Logistic regression analyses were conducted to adjust for potential confounding variables. RESULTS: The sample consisted of 1476 mostly young, African American, low-income women. The majority (70% and 90%, respectively) of women reported at least one ACE and one PIC. For each ACE, affected women were more likely to have depressive symptoms than their counterparts. There was a dose-response effect in that a higher number of ACEs was associated with a higher likelihood of having depressive symptoms. PICs, on the other hand, were associated with a lower likelihood of having depressive symptoms. CONCLUSIONS: Among low-income women, ACEs were associated with a higher likelihood of having depressive symptoms in a dose-response fashion, and PICs were associated with a lower risk. Efforts to prevent ACEs and to promote PICs might help reduce the risk of depressive symptoms and their associated problems in adulthood.
Authors: Esther K Chung; Benjamin S Siegel; Arvin Garg; Kathleen Conroy; Rachel S Gross; Dayna A Long; Gena Lewis; Cynthia J Osman; Mary Jo Messito; Roy Wade; H Shonna Yin; Joanne Cox; Arthur H Fierman Journal: Curr Probl Pediatr Adolesc Health Care Date: 2016-04-18
Authors: Alison L Cammack; Carol J Hogue; Carolyn D Drews-Botsch; Michael R Kramer; Bradley D Pearce; Bettina T Knight; Zachary N Stowe; D Jeffrey Newport Journal: Arch Womens Ment Health Date: 2015-05-14 Impact factor: 3.633
Authors: Esther K Chung; Laila Nurmohamed; Leny Mathew; Irma T Elo; James C Coyne; Jennifer F Culhane Journal: Acad Pediatr Date: 2010 Jul-Aug Impact factor: 3.107
Authors: Janice A Blalock; Nisha Nayak; David W Wetter; Lisa Schreindorfer; Jennifer A Minnix; Jennifer Canul; Paul M Cinciripini Journal: Psychol Addict Behav Date: 2011-09-19