{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T17:02:28Z","timestamp":1793466148160,"version":"4.5.0"},"reference-count":36,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2019,3,7]],"date-time":"2019-03-07T00:00:00Z","timestamp":1551916800000},"content-version":"unspecified","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec id=\"S2056472419000061_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Young women aged 16\u201324 are at high risk of common mental disorders (CMDs), but the risk during pregnancy is unclear.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472419000061_sec_a2\"><jats:title>Aims<\/jats:title><jats:p>To compare the population prevalence of CMDs in pregnant women aged 16\u201324 with pregnant women \u226525 years in a representative cohort, hypothesising that younger women are at higher risk of CMDs (depression, anxiety disorders, post-traumatic stress disorder, obsessive\u2013compulsive disorder), and that this is associated with low social support, higher rates of lifetime abuse and unemployment.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472419000061_sec_a3\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>Analysis of cross-sectional baseline data from a cohort of 545 women (of whom 57 were aged 16\u201324 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.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472419000061_sec_a4\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Population prevalence estimates of CMDs were 45.1% (95% CI 23.5\u201368.7) in young women and 15.5% (95% CI 12.0\u201319.8) in women \u226525, and for \u2018any mental disorder\u2019 67.2% (95% CI 41.7\u201385.4) and 21.2% (95% CI 17.0\u201326.1), respectively. Young women had greater odds of having a CMD (adjusted odds ratio (aOR) = 5.8, 95% CI 1.8\u201318.6) and CMDs were associated with living alone (aOR = 3.0, 95% CI 1.1\u20138.0) and abuse (aOR = 1.5, 95% CI 0.8\u20132.8).<\/jats:p><\/jats:sec><jats:sec id=\"S2056472419000061_sec_a5\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Pregnant 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.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472419000061_sec_a6\"><jats:title>Declaration of interest<\/jats:title><jats:p>None.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjo.2019.6","type":"journal-article","created":{"date-parts":[[2019,3,7]],"date-time":"2019-03-07T02:02:21Z","timestamp":1551924141000},"source":"Crossref","is-referenced-by-count":39,"title":["Young pregnant women and risk for mental disorders: findings from an early pregnancy cohort"],"prefix":"10.1192","volume":"5","author":[{"given":"Georgia","family":"Lockwood Estrin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth G.","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylee","family":"Trevillion","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Demilew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Bick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Pickles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise Michele","family":"Howard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2019,3,7]]},"reference":[{"key":"S2056472419000061_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32749-6"},{"key":"S2056472419000061_ref34","first-page":"CD009414","article-title":"Interventions for preventing or reducing domestic violence against pregnant women","volume":"11","author":"Jahanfar","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"S2056472419000061_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2009.04.006"},{"key":"S2056472419000061_ref29","volume-title":"Safe Young Lives: Young People and Domestic Abuse","year":"2017"},{"key":"S2056472419000061_ref23","doi-asserted-by":"publisher","DOI":"10.2307\/1402588"},{"key":"S2056472419000061_ref22","doi-asserted-by":"publisher","DOI":"10.1177\/096228029500400106"},{"key":"S2056472419000061_ref21","volume-title":"Posttraumatic Stress Diagnostic Scale Manual","author":"Foa","year":"1995"},{"key":"S2056472419000061_ref32","volume-title":"Domestic Violence and Abuse: How Services Can Respond Effectively","year":"2014"},{"key":"S2056472419000061_ref20","volume-title":"Composite Abuse Scale Manual","author":"Hegarty","year":"2007"},{"key":"S2056472419000061_ref19","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-11-57"},{"key":"S2056472419000061_ref18","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.782"},{"key":"S2056472419000061_ref16","volume-title":"The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care","author":"Babor","year":"2001"},{"key":"S2056472419000061_ref15","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/12.8.701"},{"key":"S2056472419000061_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S0047279409003250"},{"key":"S2056472419000061_ref13","unstructured":"National Institute for Health and Care Excellence. 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