{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:39:52Z","timestamp":1788406792481,"version":"build-2803163510"},"reference-count":78,"publisher":"Georg Thieme Verlag KG","issue":"01\/02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Reprod Med"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The relationship between mental health and teenage pregnancy is complex. Mental health can be both an antecedent and contributing factor to teenage pregnancy and a concurrent factor wherein pregnancy itself can contribute to depression. Expectant and parenting teens (EPT) are faced with the simultaneous challenges of pregnancy and parenting while navigating the developmental tasks of adolescence which increases their risk for mental health problems. In addition, adolescents growing up in stressful community or home situations where their parents experienced depression, further places them and their children at greater risk of repeated patterns over time. However, adverse mental health outcomes are not inevitable. The socio-ecological model combined with a life course perspective provides a framework for understanding the complexity of risk and protective factors at multiple levels that influence knowledge, attitudes, behaviors, and other health outcomes later in life and across generations. This approach has important implications for reducing adolescents' risk of an unintended\/mistimed pregnancy and improving mental health and other outcomes for EPT. This paper describes the prevalence of mental health problems in EPT and using a socio-ecological framework and life course perspective explains variations in mental health outcome among EPT. Implications for interventions and innovative approaches are also discussed.<\/jats:p>","DOI":"10.1055\/s-0041-1741518","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T23:41:28Z","timestamp":1641512488000},"page":"107-115","source":"Crossref","is-referenced-by-count":24,"title":["Understanding the Psychological Impacts of Teenage Pregnancy through a Socio-ecological Framework and Life Course Approach"],"prefix":"10.1055","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6401-7923","authenticated-orcid":false,"given":"Kathleen P.","family":"Tebb","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Adolescent and Young Adult Medicine, University of California, California, San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire D.","family":"Brindis","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Adolescent and Young Adult Medicine, Adolescent and Young Adult Health National Resource Center, University of California, California, San Francisco"},{"name":"The Philip R. 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Black-White Differences in Characteristics of Nearby Pharmacies","volume":"6","author":"J S Barber","year":"2019","journal-title":"J Racial Ethn Health Disparities"},{"issue":"05","key":"ref31","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.jadohealth.2018.03.001","article-title":"The negative health consequences of anti-immigration policies","volume":"62","author":"M Raymond-Flesch","year":"2018","journal-title":"J Adolesc Health"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.healthplace.2018.09.001","article-title":"Neighborhoods matter. A systematic review of neighborhood characteristics and adolescent reproductive health outcomes","volume":"54","author":"M J Decker","year":"2018","journal-title":"Health Place"},{"issue":"03","key":"ref33","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1002\/nur.21471","article-title":"The effects of school poverty on adolescents' sexual health knowledge","volume":"35","author":"R Atkins","year":"2012","journal-title":"Res Nurs Health"},{"issue":"01","key":"ref34","first-page":"62","article-title":"Ethnicity, Gender and Age: Predicting Resilience and Academic Achievement among Urban High School Students","volume":"32","author":"T Wasonga","year":"2003","journal-title":"Am Secondary Educ"},{"issue":"01","key":"ref35","doi-asserted-by":"crossref","first-page":"e20183766","DOI":"10.1542\/peds.2018-3766","article-title":"Adolescent Connectedness and Adult Health Outcomes","volume":"144","author":"R J Steiner","year":"2019","journal-title":"Pediatrics"},{"issue":"01","key":"ref37","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1080\/00224490209552115","article-title":"Family influences on adolescent sexual and contraceptive behavior","volume":"39","author":"B C Miller","year":"2002","journal-title":"J Sex Res"},{"issue":"01","key":"ref38","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.jadohealth.2012.04.014","article-title":"A review of interventions with parents to promote the sexual health of their children","volume":"52","author":"D Wight","year":"2013","journal-title":"J Adolesc Health"},{"issue":"04","key":"ref39","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0749-3797(98)00017-8","article-title":"Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. 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Partner age difference, power, intimate partner violence, and sexual risk in urban adolescents","volume":"28","author":"E M Volpe","year":"2013","journal-title":"J Interpers Violence"},{"issue":"06","key":"ref42","doi-asserted-by":"crossref","first-page":"e020418","DOI":"10.1136\/bmjopen-2017-020418","article-title":"Sexual orientation-related disparities in employment, health insurance, healthcare access and health-related quality of life: a cohort study of US male and female adolescents and young adults","volume":"8","author":"B M Charlton","year":"2018","journal-title":"BMJ Open"},{"issue":"01","key":"ref43","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1111\/j.1939-0025.1989.tb01636.x","article-title":"High-risk children in young adulthood: a longitudinal study from birth to 32 years","volume":"59","author":"E E Werner","year":"1989","journal-title":"Am J Orthopsychiatry"},{"issue":"01","key":"ref44","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/BF02191539","article-title":"Intelligence and temperament as protective factors for mental health. A cross-sectional and prospective epidemiological study","volume":"245","author":"M Cederblad","year":"1995","journal-title":"Eur Arch Psychiatry Clin Neurosci"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1177\/0272431698018001002","article-title":"Pubertal development, parental communication, and sexual values in relation to adolescent sexual behaviors","volume":"18","author":"B C Miller","year":"1998","journal-title":"J Early Adolesc"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1093\/her\/10.2.233","article-title":"Sex information given to Latina adolescents by parents","volume":"10","author":"L M Baumeister","year":"1995","journal-title":"Health Educ Res"},{"issue":"07","key":"ref47","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1093\/jpepsy\/27.7.619","article-title":"Resilience among African American adolescent mothers: predictors of positive parenting in early infancy","volume":"27","author":"C R Hess","year":"2002","journal-title":"J Pediatr Psychol"},{"issue":"04","key":"ref48","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1007\/s10995-011-0814-9","article-title":"Longitudinal study of depressive symptoms and social support in adolescent mothers","volume":"16","author":"J D Brown","year":"2012","journal-title":"Matern Child Health J"},{"issue":"01","key":"ref49","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.childyouth.2010.08.010","article-title":"Resilience in parenting among young mothers: Family and ecological risks and opportunities","volume":"33","author":"M A Easterbrooks","year":"2011","journal-title":"Child Youth Serv Rev"},{"key":"ref50","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4614-3661-4_6","volume-title":"What Can We Learn about Resilience from Large-Scale Longitudinal Studies?","author":"E E Werner","year":"2013"},{"key":"ref51","first-page":"3","volume-title":"The emergence and development of life course theory","author":"G H Elder Jr","year":"2003"},{"key":"ref52","doi-asserted-by":"crossref","first-page":"162","DOI":"10.4172\/2471-9846.1000162","article-title":"Exploring Adolescence and Parenthood: A Transitional Life Stage and Abrupt Life Change","volume":"3","author":"M Kelly","year":"2017","journal-title":"J Comm Pub Health Nurs"},{"key":"ref54","volume-title":"Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities","author":"NRC and IOM, Committee on the Prevention of Mental Disorders and Substance Abuse Among Children, Youth, and Young Adults: Research Advances and Promising Interventions, Board on Children, Youth, and Families","year":"2009"},{"key":"ref55","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.neuroscience.2015.09.029","article-title":"Parenting begets parenting: A neurobiological perspective on early adversity and the transmission of parenting styles across generations","volume":"342","author":"A M Lomanowska","year":"2017","journal-title":"Neuroscience"},{"issue":"04","key":"ref56","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1037\/0278-6133.27.4.419","article-title":"The intergenerational cycle of teenage motherhood: an ecological approach","volume":"27","author":"C S Meade","year":"2008","journal-title":"Health Psychol"},{"issue":"02","key":"ref57","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1542\/peds.113.2.320","article-title":"The association between adverse childhood experiences and adolescent pregnancy, long-term psychosocial consequences, and fetal death","volume":"113","author":"S D Hillis","year":"2004","journal-title":"Pediatrics"},{"issue":"16","key":"ref59","first-page":"409","article-title":"Reduced disparities in birth rates among teens aged 15\u201319 years\u2014United States, 2006\u20132007 and 2013\u20132014","volume":"65(","year":"2016"},{"issue":"04","key":"ref60","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1097\/NMC.0b013e3182836bd4","article-title":"Reducing the stigmatization of teen mothers","volume":"38","author":"L I SmithBattle","year":"2013","journal-title":"MCN Am J Matern Child Nurs"},{"key":"ref61","volume-title":"Reducing maternal depression and its impact on young children: Toward a responsive early childhood policy framework (Project Thrive Issue Brief No. 2)","author":"J Knitzer","year":"2008"},{"key":"ref63","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s13033-020-00356-9","article-title":"Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care?","volume":"14","author":"M Colizzi","year":"2020","journal-title":"Int J Ment Health Syst"},{"key":"ref64","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1007\/s10964-006-9091-0","article-title":"Factors that Influence Mental Health Stigma Among 8th Grade Adolescents","volume":"36","author":"A Chandra","year":"2007","journal-title":"J Youth Adolescence"},{"issue":"05","key":"ref65","first-page":"116","article-title":"Adolescent pregnancy, a social stigma","volume":"1","author":"T Afrose","year":"2015","journal-title":"MOJ Anat Physiol."},{"issue":"01","key":"ref66","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1089\/heq.2018.0011","article-title":"Innovative Approaches to Address Social Determinants of Health Among Adolescents and Young Adults","volume":"2","author":"K P Tebb","year":"2018","journal-title":"Health Equity"},{"key":"ref67","doi-asserted-by":"crossref","first-page":"S9","DOI":"10.1016\/j.jadohealth.2016.11.002","article-title":"Teen Pregnancy Prevention: Implementation of a Multicomponent, Community-Wide Approach","volume":"60","author":"T Mueller","year":"2017","journal-title":"J Adolesc Health"},{"issue":"01","key":"ref68","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1186\/s12889-020-08789-0","article-title":"Interventions to support people exposed to adverse childhood experiences: systematic review of systematic reviews","volume":"20","author":"T Lorenc","year":"2020","journal-title":"BMC Public Health"},{"key":"ref71","volume-title":"Approaches, Opportunities, and Cautions Paula Doyle Zeanah Jon Korfmacher","author":"Infant Mental Health and Home Visiting Needs","year":"2019"},{"issue":"S 02","key":"ref72","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/s10995-020-02968-6","article-title":"Impacts of a Home Visiting Program Enhanced with Content on Healthy Birth Spacing","volume":"24","author":"S Zief","year":"2020","journal-title":"Matern Child Health J"},{"issue":"S 02","key":"ref73","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s10995-020-02985-5","article-title":"Implementing Case Management with Positive Youth Development to Empower Young Mothers in California","volume":"24","author":"S Asheer","year":"2020","journal-title":"Matern Child Health J"},{"issue":"03","key":"ref74","doi-asserted-by":"crossref","first-page":"e20182303","DOI":"10.1542\/peds.2018-2303","article-title":"A Parenting and Life Skills Intervention for Teen Mothers: A Randomized Controlled Trial","volume":"143","author":"J E Cox","year":"2019","journal-title":"Pediatrics"},{"issue":"05","key":"ref75","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1367\/1539-4409(2003)003<0240:TPPFTM>2.0.CO;2","article-title":"The parenting project for teen mothers: the impact of a nurturing curriculum on adolescent parenting skills and life hassles","volume":"3","author":"E R Woods","year":"2003","journal-title":"Ambul 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Med"},{"key":"ref79","volume-title":"The Effectiveness of Mentoring for Adolescent Mothers and their Infants: A Comparative Study between Sister Friend and Cal Learn","author":"K P Tebb","year":"1999"},{"issue":"04","key":"ref80","doi-asserted-by":"crossref","first-page":"e1087","DOI":"10.1542\/peds.2005-2318","article-title":"Delaying second births among adolescent mothers: a randomized, controlled trial of a home-based mentoring program","volume":"118","author":"M M Black","year":"2006","journal-title":"Pediatrics"},{"issue":"06","key":"ref83","doi-asserted-by":"crossref","first-page":"513","DOI":"10.3109\/09540261.2015.1086322","article-title":"Telemental health for children and adolescents","volume":"27","author":"N E Gloff","year":"2015","journal-title":"Int Rev Psychiatry"},{"issue":"01","key":"ref84","first-page":"050","article-title":"Promoting resilience among expectant and parenting youth in California During the COVID-19 Pandemic","volume":"6","author":"Y Toofan","year":"2020","journal-title":"Arch Nurs Pract Care"},{"issue":"05","key":"ref86","doi-asserted-by":"crossref","first-page":"e176","DOI":"10.2196\/jmir.7332","article-title":"Mental Health Mobile Apps for Preadolescents and Adolescents: A Systematic Review","volume":"19","author":"R Grist","year":"2017","journal-title":"J Med Internet Res"},{"issue":"06","key":"ref87","doi-asserted-by":"crossref","first-page":"3305","DOI":"10.3390\/ijerph18063305","article-title":"Lessons Learned from Replicating a Randomized Control Trial Evaluation of an App-Based Sexual Health Program","volume":"18","author":"J Manlove","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"03","key":"ref88","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1037\/a0039127","article-title":"Nature-based child-centered play therapy: An innovative counseling approach","volume":"24","author":"J M Swank","year":"2015","journal-title":"Int J Play 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