Depressive symptoms, stress, and social support in pregnant and postpartum adolescents

Article Abstract:

Depression may be common among urban pregnant and postpartum teenagers. A group of 124 primarily black urban pregnant teenagers between the ages of 12 and 18 responded to questionnaires in the third trimester and at 2 and 4 months post partum. Three-quarters of the group were low income. Over 40% reported depressive symptoms in the third trimester falling to about one-third at two and four months post partum. Half the group reported depressive symptoms at one post partum assessment and one-quarter were depressed at both. A family history of depression was associated with increased likelihood of depressive symptoms as were high stress levels. Good social support was associated with decreased likelihood of depressive symptoms. Two-thirds of highly stressed teens lacking social support reported depressive symptoms versus one-third of stressed teens with good social support. Social support was most commonly provided by the teenager's mother or the baby's father. However, conflict with the baby's father doubled the likelihood of depressive symptoms.

Psychological aspects, Risk factors, Postpartum depression, Social networks, Depression in adolescence, Adolescent depression, Pregnant girls, Pregnant teenagers

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Residents' self-assessed skills in providing sexuality-related care to teenagers

Article Abstract:

Female residents and male residents may differ in their comfort level in providing sexuality-related health care to teenagers depending on the patient's sex. Forty second-year and 17 third-year pediatric residents responded to a survey. Women rated their skills lower in taking a history of pubertal development, taking a sexual history, asking about sexual preference, and in examining, diagnosing, and counselling when caring for boys compared with caring for girls. Men reported no differences between caring for boys and girls. Second-year female residents rated their satisfaction in caring for boys lower compared with caring for girls.

Care and treatment, Methods, Practice, Residents (Medicine), Medical examination, Periodic health examinations

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